DecisionHealth, DecisionHealth - 2009 Issue 10 (October)

Get ahead of the RACs: Audit your infusion therapy claims

Start with CMS's guidance for IV hydration therapy (96360, $56.62) when you audit your claims. That's what your Recovery Audit Contractor (RAC) will use to determine whether you've received an overpayment for this service. The rule: "The hydration codes are used to report a hydration IV infusion which consists of a pre-packaged fluid and /or electrolytes (e.g., normal saline, D5-1/2 normal saline +30 mg EqKC1/liter) but are not used to report infusion of drugs or other substances."

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