DecisionHealth, DecisionHealth - 2011 Issue 12 (December)

Splitting single-use drug vials among patients is clinical, coding no-no

You may bill single-use vials of drugs and biologicals one time for one patient for one treatment. Anything more will land you in hot water, a Kentucky physician recently learned. Steven H. Stern, MD, and his practice, Kentuckiana Center for Better Bone and Joint Health PLLC (KCB), Louisville, Ky., recently agreed to pay $349,860 to settle allegations of overbilling Medicare for vials of the drug Infliximab (Remicade®).

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