tci Part B Insider - 2010 Issue 43

94664: Have You Mastered the Do's and Don'ts of Inhaler Service Claims?

Inhaler demo could pay you $14 or more -- if you know how to navigate the rules.Three things you should keep in mind when reporting for inhaler demo/evaluation: (1) the type of device used, (2) documentation requirements and (3) qualifying modifiers. The following do's and don'ts show you why some payers would deny payment for this service -- and what you should do to outsmart them.Don't: Misjudge Advair DiskusThe Advair Diskus is an "aerosol generator." If the nurse/medical assistant taught someone to use an Advair Diskus -- or any other diskus -- you should report 94664...

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