Hello L'ers!

I have a question which, because it is relatively new, I have not been
able to find an answer to. Our EDM and PCS groups need to document
Outpatients with a start and end time for IV meds. New Medicare
regulations for 2007 require this information to be captured and coders
are required to extract the correct CPT codes for the med based upon the
duration. 

We have come up with the solution to have each module enter these on
their assessments which can then be seen by both PCS and EDM. The
problem is that when they enter a start time, they may not enter the
stop time for a particular infusion until much later and the time that
they do eventually enter may be incorrect. Now, the coders take that
start and end time to determine the correct CPT code based on the
duration. The problem lies with the issue of an incorrect time being
entered for a 10 minute IV push, for example, in which case an
inaccurate CPT code will be entered.

The only other solution we could find was to have the start AND end
times entered at the time the assessment is created. While this is not
an ideal fix, it is the only one we know of. With this new Medicare
regulation so new, has anybody else run into this situation and what
have you found to be the best solution to this?

Thanks in advance for any assistance provided! 

Brent Massey
First Consulting Group

Home Office: 413.283.3613
Mobile: 413.668.8651





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