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| 12/28/2020 @ 12:29:00 PM
Post 1 of 3
Contributor: Karen Robinson, Baker Tilly
Can an RHC located inside the hospital's four walls, send their patients to an outpatient area of the hospital to receive injections and infusions and bill the service under the hospital's provider number? I'm looking for specific CMS guidance on this issue. Thanks
12/28/2020 @ 12:33:00 PM
Post 2 of 3
Contributor: Patty Harper, InQuiseek Consulting
We will be celebrating Christmas with our family from Dec 23 -28th. I
am, as I am sure you are, looking forward to a few days to celebrate and cherish all that is important to us this time of year. I will have limited cell phone access, but if you need me for an urgent issue, please TEXT me and I will get back with you as soon as possible.. I would prefer not to have calls or texts on Christmas Eve, Christmas Day or on Sunday the 27th. Please enjoy this Holiday Season. Patty Patty . Patty Harper Healthcare Consultant RHIA, CHTS-IM, CHTS-PW, CHC 940 Ratcliff Street Shreveport, LA 71104 318-243-2687 (Cell) 866-855-0683 (Secure E-Fax) pharper@inquiseek.com www.inquiseek.com -- Patty Harper *Business and Healthcare Consultant* *RHIA, CHTS-IM, CHTS-PW* *AHIMA-Approved ICD-10-CM/PCS Trainer* [image: small new logo InQuiseek] *940 Ratcliff Street* *Shreveport, LA 71104* *318-243-2687 <(318)%20243-2687> (Cell)* *866-855-0683 <(866)%20855-0683> (Secure E-Fax)* *pharper@inquiseek.com *www.inquiseek.com This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed.If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. If you are not the intended recipient you are notified that disclosing,copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited. 12/28/2020 @ 1:43:00 PM
Post 3 of 3
Contributor: Charles James, North American Healthcare Management Services
I don't think you are going to find specific guidance on this scenario. This needs to be pieced together from what we already know. My first question would be: which injections? Are these all injections which occur incident-to RHC visits? Or are these specialized chemo injections that accompany the infusion services? Referring all incident-to injections to hospital outpatient is problematic for many reasons. Foremost, these are statutorily included in our RHC encounter. In my view referring these to a hospital injection site for separate reimursement would constitute commingling.
For infusions, yes. These are not RHC services in the sense that infusion is not primary care. One would expect the patient to be scheduled separately from their RHC visit. It is never advisable to hop back and forth over the RHC - HOPD line arbirtrarily. We would NOT advise doing this for all incident-to injections. I hope that helps! Charles A. James, Jr. President and CEO North American Healthcare Management Services 9245 Watson Industrial Park * St. Louis, Missouri 63126 888.968.0076 Office 314.560.0098 Cell www.northamericanhms.com 'Proper preparation prevents poor performance." Lt. Col. Tom Warner - paraphrased (USAF- Deceased) See our Stopwatch challenge! http://www.aprima.com/aprima-stopwatch-challenge [cid:image002.jpg@01D6DD16.E3E6EFB0] This transmission contains privileged, confidential, and proprietary information and is only for the use of the individuals listed above, and may not be copied, distributed, or disseminated without express written consent. If you receive this transmission in error, please immediately destroy it. |
