The billing rules for chemotherapy delivery systems can seem like so much tangled tubing - but master those fine distinctions between coverage rules for internal and external infusion pumps and you can keep your reimbursement flowing more smoothly. Medicare only covers [...]
If a neurosurgeon supplies the pump and catheter for the implantation (or subsequent replacement), he or she may gain reimbursement through the local durable medical equipment regional carrier (DMERC) by using the applicable HCPCS E code: E0782 Infusion pump, implantable, [...]
Oncologists are equipping more of their patients with ambulatory infusion pumps that administer chemotherapy outside of the office. The supplies associated with these pumps are usually reimbursable, but billing for the pumps themselves must be done carefully. You have to [...]
Through documenting the ineffectiveness of other pain management and spacticity treatments and choosing appropriate procedure and diagnosis codes for pain pumps (62350-62368), neurosurgeons may overturn denials and eliminate the risk of future lost reimbursement. Document Medical Necessity Proper documentation is [...]
Oncology practices that have been billing for both chemotherapy administration and the use of infusions pumps and have had difficulty getting reimbursed for the latter may be running into trouble for a good reason they may be wrong when they [...]
