How to properly document, charge, and code drug administration services (injections and infusions) continues to generate questions for most hospitals because the services are frequent and performed in numerous departments on numerous types of patients. Revenue integrity relies on orders, nurse documentation, correctly applying coding concepts, and capturing charges based on documentation. Review the impact of 2017 OPPS updates on drug administration payments, potential audit targets related to drug administration, and frequently asked questions.
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PRESENTERS Jugna Shah, MPH, is the president and founder of Nimitt Consulting, Inc., a firm specializing in case-mix payment system design, development, and implementation. She has extensive experience working with providers on the ongoing clinical, operational, and financial implications of Medicare’s OPPS based on APCs. She has educated and audited numerous hospitals on their drug administration coding and billing practices. She has contributed to several books and numerous OPPS/APC articles over the past 12 years. She is also a contributing editor of HCPro's Briefings on APCs.
Valerie A. Rinkle, MPA, is a lead regulatory specialist and instructor for HCPro's Revenue Integrity and Chargemaster Boot Camp®, as well as an instructor for HCPro’s Medicare Boot Camp®—Hospital Version and Medicare Boot Camp®—Utilization Review Version. Rinkle is a former hospital revenue cycle director and has over 30 years in the healthcare industry, including over 12 years of consulting experience in which she has spoken and advised on effective operational solutions for compliance with Medicare coverage, payment, and coding regulations. |