Certified Revenue Integrity Professional Implants
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| show | A device intended to be implanted into a surgically or naturally formed cavity of the human body to continuously assist, restore or replace the function of an organ system or structure of the human body for 30 days or more.
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| show | - Name & address of facility
- any ID numbers on the implant or device (lot, batch, model or serial #) used by manufacturer
- pt's demographic info
- name & demographic info of surgeon and physician following pt's care
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| show | Identify implants/devices that the fac wants to use
Work w/ physicians to consolidate contracted vendors to get addt'l savings
Work w/ the fac supply chain to negotiate per case pmts w/ vendors
review all pmts to ensure compliance and sustained savings
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| How is Anesthesia billed? | show 🗑
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| Conscious Sedation billing: | show 🗑
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| Recovery Room billing: | show 🗑
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| What are some scenarios where you have a "no cost device"? | show 🗑
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| Rules for billing a no cost device: | show 🗑
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| show | The device was not working properly and so was replaced earlier than anticipated (applies when credit is 50% or more) Also needs Value Code FD on both OP and IP cliams w/ amt of device credit.
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| Condition code 50 for replacement device: | show 🗑
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| show | The initial placement of device was provided as part of a clinical trial or free sample. For OP claims that have rec'd a device credit upon the initial medical device placement in clinical trial or free sample. Also use Value Code FD on both OP and IP clm
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| What are the two code families that Cardiac Catheterization CPT Codes are separated into? | show 🗑
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| What types of procedures are included in the cardiac catheterization CPT Codes? | show 🗑
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| show | - catheterization
- road mapping
- angiography
- surgical procedure code for the intervention
- Radiology supervision and interpretation for the intervention
- Embolic protection
- an open or precutaneous access
- an arterial closure device
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| show | An electronic device designed to detect and treat life-threatening tachyarrhythmias. Consists of a pulse generator and electrodes for sensing and defibrillating.
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| show | Medication Administration Record
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Amy17349
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