Small group and individual markets have unique strategic opportunities for coding and operational processes. Risk adjustment is predictive modeling that assesses members’ risk for incurring medical expenses above or below the average during a defined time. Demographics and health status are used to determine health plan payments, which also can assist with care management needs. […]
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IVP and hydration time calculations
Concerning this scenario:
IV fluids and medications
Fluids 0.9% Normal Saline …
VOLUME of 0.9% Normal Saline infused (mL): 2000 Saline ran for 42 minutes
START time of 0.9% Normal Saline infusion: 04:18 PM
END time of 0.9% Normal Saline infusion: 05:00 PM
AMOUNT of Zofran infused (mg): 4 mg
METHOD of Zofran infusion: IV push IV Push ran for 5 minutes
START time of Zofran infusion: 04:21 PM
END time of Zofran infusion: 04:26 PM
"For each IVP that is given during hydration, subtract 15 minutes from the normal saline time, unless multiple IVPs are given within 15 minutes of each other." – Does this rule still apply when the exact time of the IVP is given?
Because counting only 5 min means we could bill 96374 AND 96361, otherwise only the IVP.
All ideas are welcomed!