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Tag Archives: Intensive

intensive monitoring definintion

Posted on by
Hey all,

I’m trying to get a clear definition of ‘Drug therapy requiring INTENSIVE MONITORING’ to toxicity on the Risk Table.
Google has confused me further.
I’m trying to decipher when it would be in that category verses ‘prescription drug management’ in the moderate.

An example I have that one of my Drs brought up to me is a drug called Noctiva which treats Nocturia.
One of the main side effects is hyponatremia which CAN be life-threatening. So he will need to closely monitor the patients sodium levels.

But my question is what exactly is ‘intensive monitoring for toxicity’. The internet definitely points me to when the patient is in the hospital and getting IV medications of controlled substances and such that might need to be titrated, but does this also apply to clinically monitoring? I think I read that this drug recommends checking sodium levels bi weekly or monthly.

I see that Gentamicin is on a list of requiring intensive monitoring for toxicity. We give this often for UTI’s. So, if the patient has a UTI and we give them this injection (I know I still need 2 out of 3 in MDM), but I can put it in the high spot on the risk table??

Medical Billing and Coding Forum

‘Intensive Drug Monitoring’

Posted on by
Hey all,

I’m trying to get a clear definition of ‘Drug therapy requiring INTENSIVE MONITORING’ to toxicity on the Risk Table.
Google has confused me further.
I’m trying to decipher when it would be in that category verses ‘prescription drug management’ in the moderate.

An example I have that one of my Drs brought up to me is a drug called Noctiva which treats Nocturia.
One of the main side effects is hyponatremia which CAN be life-threatening. So he will need to closely monitor the patients sodium levels.

But my question is what exactly is ‘intensive monitoring for toxicity’. The internet definitely points me to when the patient is in the hospital and getting IV medications of controlled substances and such that might need to be titrated, but does this also apply to clinically monitoring? I think I read that this drug recommends checking sodium levels bi weekly or monthly.

I see that Gentamicin is on a list of requiring intensive monitoring for toxicity. We give this often for UTI’s. So, if the patient has a UTI and we give them this injection (I know I still need 2 out of 3 in MDM), but I can put it in the high spot on the risk table??

Medical Billing and Coding Forum

‘Intensive Drug Monitoring’ on Risk Table

Posted on by
Hey all,

I’m trying to get a clear definition of ‘Drug therapy requiring INTENSIVE MONITORING’ to toxicity on the Risk Table.
Google has confused me further.
I’m trying to decipher when it would be in that category verses ‘prescription drug management’ in the moderate.

An example I have that one of my Drs brought up to me is a drug called Noctiva which treats Nocturia.
One of the main side effects is hyponatremia which CAN be life-threatening. So he will need to closely monitor the patients sodium levels.

But my question is what exactly is ‘intensive monitoring for toxicity’. The internet definitely points me to when the patient is in the hospital and getting IV medications of controlled substances and such that might need to be titrated, but does this also apply to clinically monitoring? I think I read that this drug recommends checking sodium levels bi monthly or monthly.

I see that Gentamicin is on a list of requiring intensive monitoring for toxicity. We give this often for UTI’s. So, if the patient has a UTI and we give them this injection (I know I still need 2 out of 3 in MDM), but I can put it in the high spot on the risk table??

Medical Billing and Coding Forum

Substance Abuse Intensive Out Patient H0015 billing provider?

Posted on by
The situation is that there is a substance abuse facility that performs the three hour intensive outpatient treatment service that is billed under one code H0015. The three hour segments of the service are performed by three different therapists. They are all therapists, no one is an MD. There is no Incident To situation going on. There is no supervising therapist. The MD oversees ongoing care generally, with regular visits but is not present at the time of these services.

How is the billing provider determined?

​My knee jerk reaction is to draw straws and pick someone of the three to bill under, and after spending many hours now reading on this, I still don’t have a better answer. Anyone have direction to an official answer on this, please let me know. ​

Medical Billing and Coding Forum

G0447 Intensive Behavioral Therapy (IBT) for obesity

Posted on by
Hello,

I have some questions about G0447. Any resources besides Medicare’s website?

1) Documentation requirements for billing code? Time documentation required?

2) Can it be billed with an e/m? Other preventive visit?

3) Can you bill if they only discuss with the patient at one visit? Or do you have to have more visits?

Any help is greatly appreciated!!

Medical Billing and Coding Forum