Inpatient Infusion adminstration

Are inpatient IV infusions adminstration -chemo separately billable on an hourly basis or are they included in the room and board? any resources are appreciated.

my guess

is that this will be like blood transfusions- you can bill one unit per day. For blood transfusion, it is an approved Medicare RAC target for audit. Google RAC blood transfusion for resources

Hospital Billing

Medicare Part A covers a medically necessary inpatient hospital stay, plus all care provided to the patient by hospital staff and facilities related to that stay. Coverage includes:

Semi-private room (private room if medically necessary)

Special care units (such as intensive care and coronary care)

Operating room charges

Nursing services

Drugs, supplies, and appliances provided by the hospital

Special treatments (such as chemotherapy and dialysis)

Lab and diagnostic tests (such as X-rays and CAT scans)

Rehabilitation (physical, speech, and occupational therapy)

Drg

The hospital will receive payment for all listed items based on DRG assignment, this is based on diagnoses submitted, not CPT codes.

Inpatient Infusion adminstration

Any resources from medicare - which manual?? what about commercial insurances that make per-diem payments?

You probably won't find it here

Billing for hospital services is a whole different ballgame with rules and codes that will make you dizzy. Perhaps Editor knows where hospital coders hang out...

part A

http://www.cms.hhs.gov/manuals/downloads/bp102c01.pdf

Hospital bills using revenue code for services rendered