Mastering Injection and Infusion Coding - American Health ...
Mastering Injection and Infusion Coding - American Health ...
Mastering Injection and Infusion Coding - American Health ...
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<strong>Mastering</strong> <strong>Injection</strong> <strong>and</strong> <strong>Infusion</strong> <strong>Coding</strong><br />
Notes/Comments/Questions<br />
The Ground Rules<br />
• The Rules for Documentation<br />
• Must be ordered by a physician<br />
• Documentation must support medical<br />
necessity<br />
• EACH substance administered is<br />
• Clearly documented, no abbreviations<br />
• Route <strong>and</strong> site is easily discernable<br />
• Start <strong>and</strong> stop times for EACH substance is<br />
documented – this is the best practice<br />
• Amount of EACH substance given is<br />
documented<br />
Copyright Sarasin Consulting Group 29<br />
Key Factors<br />
• Record documentation<br />
• The service must be ordered by a<br />
physician or other party who is licensed<br />
to diagnose <strong>and</strong> treat<br />
• Diagnoses must support service(s) as<br />
medically necessary<br />
• Substance(s) administered clearly<br />
documented<br />
• MSO<br />
Copyright Sarasin Consulting Group 30<br />
AHIMA 2009 Audio Seminar Series 15
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