Forum - Questions & Answers

Oct 11th, 2010 - katie 12 

self administered drugs

How to audit for self administered drugs?
Any ideas

Oct 12th, 2010 -

be more specific

are you talking about hospital observation patients?

Oct 12th, 2010 - katie 12 

self administered drugs at all locations?

Concern for identifying the method of documenting self administers drug services.

Would like to audit providers documentation to see how this service is billed?

How do you bill this service?

Are they billing A9270 to the patient pharmacy benefit?
Are they billing Medicare Pharmacy( Plan D)? what cpt?

Are you billing out pt- per pulication 11333? What CPT do you use?


http://www.medicare.gov/Publications/Pubs/pdf/11333.pdf

Thanks much... Katie

Oct 13th, 2010 - Codapedia Editor 1,399 

self administered drugs

Is your doctor providing a self administered medication at an office visit? I don't believe that is separately billable.

Are you selling whole prescriptions to patients, as if you were a pharmacy?

Oct 14th, 2010 - katie 12 

self administered drugs

Thank you for the responce-

No not selling...

I'm a consultant working on a best practice tool for Wa on this topic
I appreciate Codapedia you are a great discussion group !
Thanks Much Katie



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