Hi All, we are looking to move our injections from Treatment > Procedures to the Therapeutic Injections section (this section didn’t exist when we went Live). Right now, we have specific dosages built for injections. Example: Rocephin 250mg, Rocephin 500mg, Rocephin 750mg, etc then the provider or staff is responsible for manually changing the units. We also have a billing rule written to bounce injections out to the billers to verify in case the changing of the units is forgotten. Now that we are moving the injections to the Therapeutic Injections, I know that I could actually write a rule for each injection to change the billing units but am wondering if this is how others build their Therapeutic Injection section.
Do you just have one instance of Rocephin and then when the provider enters the order, they manually populate the dosage field so the clinical staff know which dose to administer and then have someone change the units manually?
Or do you have the injection built with all the different possible dosages and write a rule for each different dose?
Also, do you attached the admin fee to the injection when you build it? We have rheumatology that do not use the 96372 admin code, they do joint injections so when they administer Kenalog, they use an entirely different CPT code based on the size of the joint: 20600, 20605, 20610. So if I add the 96372 automatically to the injection, it is going to trip them up. OR I would have to build specific instances of the injection for Rheumatology like Kenalog 40MG Large Joint and when they administer it, it would the admin code of 20610.
I thought about maybe creating templates for some of this stuff, however, we also do provider based billing for Medicare and have a ton of CPT Explosion codes built and unfortunately, templates and CPT explosion code rules do not jive together.
I would be interested to see how others have built this. I want to make sure I have considered all options before building since it’s going to be quite the project.