Recent content by Sheilag1

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    Wiki is it possible to get a part B drug (normally done in OP) reimbursed if administered during an inpatient hospital stay?

    Mikhaila, thank you so much for taking the time to address my question! This is actually a provided-administered only, part B medication, never self-administered. If this patient was truly an inpatient, would it not be paid as inpatient is part A (and included in the payment under IPPS/DRG) or...
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    Wiki is it possible to get a part B drug (normally done in OP) reimbursed if administered during an inpatient hospital stay?

    is it possible to get a part B drug (normally done in OP) reimbursed if administered during an inpatient hospital stay?
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    Wiki Billing for drug charges exceeding limit of 99,999.99 on 1500

    I have read guidance from several different MACs on splitting this billing between 2 claims, using different amounts, and applying either the modifier 59 or 76 (depending on the MAC) to the second claim and adding a comment on both, whether it is the 1st of 2 or 2nd of 2. I cannot however find...
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    Wiki billing professional component only, for drug admin

    When using the 26 modifier on the CPT for the professional component for drug administration, do you include the drug HCPCS and if yes, do you put $0 charge or $.01?
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    Wiki billing professional admin only, w/modifier 26 on the CPT on the 1500, for drug administered in a facility.

    Hi! My question is on the billing with the 1500. Since drug was purchased by hospital and administered there, and hospital is billing drug and TC on the 1450, when the HCPCS is listed on the 1500 for the professional admin only: 1) for the HCPCS, do they put $0 in charges, or .01 so that is no...
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