Catalog Number : cra1377
Title : Mastering Injections and Infusions
Speaker : Duane Abbey

Webplay Recording Date : 1-12-2011
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

This workshop is designed for nursing staff, clinical staff, and coding, billing and reimbursement personnel that are involved with injections, infusions and chemotherapy services. Clinical documentation and the associated charge capture along with possible coding through charge capture are discussed. Additionally, compliance issues relative to charging and billing are discussed including the ED and observation services.

Target Audience:

• Nursing Staff
• Clinical Service Area Staff
• Billing and Claims Transaction Personnel
• Chargemaster Coordinators
• Financial Analysts
• Compliance Personnel
• Case Managers
• Physicians and Other Interested Personnel

Webinar Level: Intermediate/Advanced

Webinar Objectives:

• Review the CPT coding logic for injections, infusion therapy and chemotherapy and changes made for CY2007-CY2012
• Discuss the documentation that is needed to justify drug reporting and the administration of drugs, both clinically and for proper reimbursement
• Identify key policy and procedure elements in the use of the injection and infusion CPT codes
• Recognize different approaches for charge capture and associated coding and billing through charge capture
• Recall the potential reimbursement for injections and infusion therapy under APCs
• Explain the policy and procedure decisions that must be made relative to injections, infusion therapy and chemotherapy
• Compare related issues such as ‘integral-part’ and ‘not to be reported separately’ compliance guidance from CPT and CMS
• Name injection and infusion coding guidance as found in the NCCI coding policies
• Recognize coding injections and infusions in observation

The following are a few of the topics to be discussed:

• Overview
  • Injections
  • Hydration
  • Infusion Therapy
  • Chemotherapy
  • Changes for CY2007-CY2012
• Documentation of Drug Administration
  • What Must Be Reported
  • Drug Administration Documentation
  • Drug Wastage and Disposal
  • Special Requirements for Observation
• Charging/Coding/Billing Issues
  • Capturing Charges
  • Coding Through Charge Capture and the Chargemaster
  • Alternative Approach for Charge Capture and Coding
  • Reimbursement Potential
• Review of CPT Coding Logic
  • CPT Coding Structure
  • Logic Embedded in CPT Codes
  • CPT Coding Guidance
    • Hospital Coding - Hierarchy
    • Physician Coding - Initial, Subsequent, Sequential
• Compliance Issues
  • Start and Stop Time Reporting for Infusions
  • Charging vs. Reporting vs. Bundling
  • NCCI Edit Coding Guidelines
  • Injections and Infusions in the ED
  • Injections and Infusions In Observation
• Case Studies and Exercises
• Developing Special Training for Service Area Personnel
  • Sources for Further Information