brittcalvert
New
I noticed a patient for Injectafer infusion service, which is carried out in our clinic setting (POS 11), was ordered by the NP. I have never billed our infusion services under any NP as therapy plans are under the provider. This particular situation was a patient saw the NP in clinic and obtained lab iron studies. Following the results, the NP ordered for Injectafer infusion services to begin. So the charge sheet came across my desk with NP as ordering provider. However, I remember other coders stating they received denials for infusion claims billed under NPs. I am sure the conference leader stated "infusion services should be billed under the physician". I have personally never billed the NP on any infusion service. I informed my staff, NP, etc. that orders for infusion services require a physician to review and approve behind the NP with physician signature so claims can be billed under the physician for payment. I was understanding NP cannot bill infusion services without physician approval. Is this an accurate understanding?
For more understanding of this example, the patient has regularly received Entyvio infusion services which is under therapy plan signed and administered by a physician. The injectafer infusion service was initiated by the NP following iron lab results showing a deficiency. So the request came with her name on it, not a physician name.
For more understanding of this example, the patient has regularly received Entyvio infusion services which is under therapy plan signed and administered by a physician. The injectafer infusion service was initiated by the NP following iron lab results showing a deficiency. So the request came with her name on it, not a physician name.