maudys
Networker
Can anyone clarify whether it is acceptable to bill for infusions or injections in the inpatient setting, or whether only meds are billable? I know we use procedure codes when billing inpatient claims, but I am trying to determine why it would be any different than charging for x-ray, lab, etc. in the inpatient setting (i.e., ancillary services are billed with CPT codes on the inpatient claims). I also realize that inpatient claims are paid by DRG, BUT, what about in a critical access hospital? We aren't paid by DRG, but reimbursed based on "reasonable" cost of services provided.... does this change anything???