Medicare Compliance & Reimbursement - 2014 Issue 5
Reader Question: Keep Face-to-Face Visit in Mind
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Article Overview
This article addresses a reimbursement and coding question about physician work tied to coordinating hospital-based IV antibiotic therapy for urinary infections resistant to oral antibiotics. It explains the general issue of whether non-face-to-face work can be billed, references timing and payer considerations, and mentions prolonged non-face-to-face service coding in a broad, non-technical way. The piece is most relevant to physicians, coders, and billing staff looking for guidance on documentation and claimability of behind-the-scenes work.
Why This Topic Matters
It helps readers assess whether time spent on orders, chart review, and coordination may be considered for billing, and highlights that payer rules and audit risk can affect how such work is handled.
What You Will Learn
- How non-face-to-face physician work is discussed in the context of hospital-based IV therapy coordination.
- Why the absence of a direct patient encounter affects billability in this scenario.
- What general payer and documentation considerations may come into play for related work.
- That prolonged non-face-to-face service coding is referenced as an alternative category of guidance.
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
Codes Discussed
Code Ranges Discussed
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