tci Medicare Compliance & Reimbursement - 2013 Issue 23

Pulmonary Coding: Win Deserved Dollars With These 5 Tips for Inhaler Teaching

Tip: Use a judicious mix of modifiers if you have the documentation to back your claim. You don’t need to leave dollars on the table just because some payers deny payment when your provider spends time helping a patient with an inhaler demo or evaluation. But you’ll need to keep track of the device used, whether medicine was administered during the teaching session, and above all National Correct Coding Initiative (NCCI) bundles before you code. 1. Categorize the Diskus Correctly Many Part B offices use the Advair Diskus for their patients, which is an aerosol generator. These...

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