Results 1 to 3 of 3

Injection/Infusion Challenges in Observation

  1. #1
    Default Injection/Infusion Challenges in Observation
    Medical Coding Books
    I'm looking for some ideas of how hospitals are handling the charging for Injections and Infusions that are given to the patient in Observation Status? Our nurses often do not know when a patient is Inpatient or Observation, and they do not charge for such injections/Infusions. However, if the documentation is provided we want to capture those charges for our Observation patients, but who will capture?? Unit clerks, Coding staff?? I don't think it is realistic to ask nurses to understand the already complex guidlines for Injection/Infusion coding? I would appreciate any thoughts or advice.
    Thanks!!

  2. #2
    Default
    At our hospital I code the infusions/injections for OBS patients. I am a coder in the HIM Dept. The trick to coding the infusions/injections is to get the nurses administering the infusions/injections to record start and stop times. Other than that, being the coder I have learned the coding guidelines, so it is easy for me to code them. The hospital began coding the infusions/injections because they had an audit before I started working there and the auditors told them they were losing thousands of dollars not coding them. I hope this helps!

  3. #3
    Default
    Quote Originally Posted by sharon turk View Post
    At our hospital I code the infusions/injections for OBS patients. I am a coder in the HIM Dept. The trick to coding the infusions/injections is to get the nurses administering the infusions/injections to record start and stop times. Other than that, being the coder I have learned the coding guidelines, so it is easy for me to code them. The hospital began coding the infusions/injections because they had an audit before I started working there and the auditors told them they were losing thousands of dollars not coding them. I hope this helps!
    I realize how old this post is, just curious if you are still coding injections and infusions while in obs status? Any advice to offer? Do you know if your payor contracts allows for the billing or if it's rolled up into the OBS visit? This has been a back and forth topic I've followed for about 4 years now. It has circled back around again due to an external company stating we are losing a large volume of funds. I am not convinced since only a small group of payors seem to pay and I am not convinced that they pay once a patient becomes obs status?

Similar Threads

  1. Drug Infusion w/ Observation
    By thetru in forum Cardiology
    Replies: 0
    Last Post: 03-27-2014, 03:38 PM
  2. Infusion/injection coding
    By codeforever in forum Emergency Department
    Replies: 1
    Last Post: 06-14-2012, 03:54 PM
  3. LYNX system in the ED, Observation or OP Infusion
    By francespark in forum Emergency Department
    Replies: 2
    Last Post: 01-30-2012, 07:21 PM
  4. 99211 w/Infusion-Injection
    By aholla04 in forum E/M
    Replies: 0
    Last Post: 10-25-2010, 03:24 PM
  5. IV Infusion and Injection Heirarchy
    By ShawnScarbrough in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-21-2008, 02:52 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.