1 / 8

Drug Administration

Drug Administration. CAH uses Non-Medicare Codes for drug administration Learn the meaning of 1 minute time creep 1 hour 30 minutes v. 1 hour 31 minutes Chart start and stop times accurately Hydrate, therapeutic, hydrate Stop when drug stops, even if IV line is kept open

mercia
Download Presentation

Drug Administration

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Drug Administration • CAH uses Non-Medicare Codes for drug administration • Learn the meaning of 1 minute time creep • 1 hour 30 minutes v. 1 hour 31 minutes • Chart start and stop times accurately • Hydrate, therapeutic, hydrate • Stop when drug stops, even if IV line is kept open • One initial for hydrate and one initial for therapeutic (Transmittal 902)

  2. Blood Administration • One half of blood administration is billed erroneously. • Blood charges • Administration charge • Related lab tests • Cross match • Typing

  3. LOCM • Low osmolar contrast material may be billed separately in a Critical Access Hospital. • Appropriate revenue (636) and HCPCS codes must be used.

  4. Clinical Diagnostic Lab Tests • PPS hospitals are paid for lab services using the Medicare lab fee schedule. • CAHs payment for clinical diagnostic lab tests are made on a reasonable cost basis. • Patient must be an outpatient of CAH • Patient must be physically present in CAH when specimen is collected. • Tests for non-patients of the CAH (RHC, HHA) are paid under the Medicare lab fee schedule.

  5. Ambulance • Critical Access Hospital may receive reasonable costs for ambulance services. • Must be furnished by a CAH or entity owned and operated by CAH • CAH or entity must be the only provider of ambulance service with 35 miles

  6. ABN • Advance beneficiary notices are used to • Inform Medicare beneficiary BEFORE receiving service that Medicare may not pay • Allow beneficiary to make informed decision whether or not to receive service he/she may have to pay out of pocket.

  7. CSW • Medicare may pay for clinical social worker services in an outpatient setting. • If furnished under partial hospitalization program, payment is included in PHP rate. • Other CSW services may be billed to carrier on Form 1500. • CSW payment will be at 75% of fee schedule for PPS hospital. • CSW payment will be a reasonable costs for CAHs. • Part B deductible and coinsurance applies

  8. Private Room Differential • May negatively impact CAH rates • Medicare will generally only pay the costs of semi-private rooms. • If there is a differential in charges between private and semi-private room, this charge differential will be used to reduce the costs associated with a semi-private room. • Private room differentials could also negatively impact ICTF program payments.

More Related