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Our respiratory care director said that charges are being denied for the
Pentam (Pentamidine) component of the Pentam treatments in Medicare
patients. Does anyone know why this might be happening? Does CMS want these
charges bundled into the whole treatment? We had the J-code on the claim, so
that isn't the problem and had the rev code as 636. So, any ideas on what
is going on folks.
Thanks,
Charlie
Charles Downs Pharm.D.
Washington County Hospital
Inpatient Pharmacy
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904
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