Medical necessity for hydration coding
[Document header] - Novitas Solutions
Billing and Coding: Hydration Therapy (A56634). December 9, 2020: ... in an effort to support the necessity and payment for radiology service(s)/item(s) billed to Medicare. ... Claims may also be adjusted with no change to payment if the coding on the claim meets the medical necessity of any local editing that is in place.
[DOC File]DRAFT - Flash Code
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CPT coding for otorhinolaryngologic services involves a number of tests that can be performed qualitatively by confrontation during physical examination or quantitatively with electrical recording equipment. ... both tests must satisfy the requirement for medical necessity. J. Allergy Testing and Immunotherapy ... If the hydration and/or ...
[DOCX File]onPoint Oncology
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Something on the claim made the payer think that the product or indication was not FDA-approved. Make sure that the information on the claim is consistent with FDA approval. Double check diagnosis coding. If the indication is off-label, gather clinical literature and a letter of medical necessity and appeal the claim.
[Document header] - Novitas Solutions
Billing and Coding: Hydration Therapy (A56634). December 9, 2020: ... For any durable medical equipment, prosthetic, orthotic and supply (DMEPOS) item to be covered by Medicare, the patient’s medical record must contain sufficient information about the patient’s medical condition to substantiate the necessity for the type of equipment or ...
[DOCX File]Subject: - Home State Health
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Medical necessity criteria for hospice services. Policy. ... Dysphagia and declining tube feeding and hydration. ... Providers should reference the most up-to-date sources of professional coding guidance prior to the submission of claims for reimbursement of covered services.
Chapter 1
Use of Modifiers Indicating Degree of Hydration: The conditions listed below may influence the use of modifiers for drugs and chemicals. We recognize the degree of hydration by the last part of a formula which indicates that the compound contains a specific number of water molecules (H2O) or none. Submit the chemical formula with the proposed name.
[DOCX File]Mercy Provider Network ǀ Health Care Management
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Appropriate coding would be: 96374 x1 (initial push) and 96361 x1 (add on hydration).• A patient receives IV hydration from 1:00 pm to 3:00 pm and two IV pushes of the same drug at 1:30pm and 3:30 pm. Appropriate coding would be 96374 (for the 1:30 push), 96376 (push of the same drug at 3:30) and 96361 x2 (for the two hours of hydration.)
[DOC File]Top line of doc
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The DBPM shall make medical necessity determinations that are consistent with the department’s definition. 11. The DBPM shall submit written policies and processes for LDH approval, within thirty calendar days, but no later than prior to the readiness review, of the contract signed by the DBPM, on how the core dental benefits and services the ...
[DOCX File]Protocol Signature Page - Clinical Research Resource HUB
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State any special warnings or precautions relevant to study drug administration, for example, incompatibility of study drug with commonly used intravenous solutions, necessity of administering drug with food, pre-medications, hydration, whether any monitoring of vital signs during or shortly after treatment is required, etc.
[DOC File]Instructor’s Guide for ICD-9-CM Diagnostic Coding and ...
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7. Describe the general principles of medical record documentation . 8. Given a list of services, identify what cannot be coded with CPT . 9. Compare and contrast CPT with ICD-9-CM . 10. Identify the ICD-9-CM/HCPCS coding assignment necessary for physician services, hospital inpatients, and hospital ambulatory patients . 11.
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