| Is KABOT Vista++ Meaningful use certified? |
Yes. Please see the certification page
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| Can I access the EHR via the web? |
| The KABOT EHR is offered as a SaaS (software as a service) product whichcan be accessed via the web, on a PC, laptop or tablet. Mobile access will be available shortly. |
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| Do I need to purchase KABOT Billing services with the HER? |
| The KABOT PMS and EHR are stand alone systems. Billing is an additional service we provide for the benefit of our customers and it is optional. |
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| Will I be able to design and create my own templates? |
| We have taken great care in creating template for our various specialties. We work at the time of set up with the physician to ensure that we gather all requirements of the practice to ensure we can set up appropriate templates for the practice. We understand that the physician notes are the most crucial output of the system to the referring physician and the KABOT system is also customizable by the practice. |
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| What is the typical implementation process? |
| The implementation starts with a complete set of questions to be answered by the practice to ensure comprehensive knowledge of the practice to customize the set up. Once all the data is gathered, with minimal disruption the KABOT team will set up the practice. All servers are remote and thus there is no hardware set up at the practice. |
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| If we infused more than one chemo drug in a day, for which drug would we bill the initial code: 96413? |
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It really does not matter. One can be initial (96413) and the other can be the sequential (96417). However, it might be easier to code the first drug as the initial. |
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| Can we bill initial chemo infusion (96413) with initial chemo push (96409)? |
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No, in this case we will bill sequential push (96411) with initial chemo infusion (96413). Only one initial service per day is allowed. |
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| Which code is used for concurrent chemo infusion? |
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There is no concurrent code for chemotherapy drug infusion. |
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| If 96416 is used for a prolonged infusion can it be considered an initial service? |
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No, it cannot. It can be billed with 96413 or 96411, if appropriate. |
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| If therapeutic agents are given the same day of chemotherapy, can we use the initial code for non – chemotherapy? |
| No, we would use the sequential code (96367) instead of initial code (96365). |
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| What does sequential means? |
| It means that the drug is administered before or after the initial treatment. |
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| Can we bill more than one unit of sequential infusion? |
| Yes, we can bill more than one unit of sequential infusion. |
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| ICan we bill in the second hour of a concurrent infusion? |
| One may not; this can only be reported once per day. |
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| If we give therapeutic push with chemo push, can we use the initial code (96374) for therapeutic push? |
| No, in this case, we would use the sequential code (96375) for therapeutic push since this push is sequential to the initial procedure, which is chemotherapy push. |
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| Can we bill more than one unit of 96372? |
| Yes, we may bill more than one unit if more than one drug per day is administered as therapeutic injection. |
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| Is 96372 an initial code and, if so, where is the sequential one? |
| Initial is the descriptor of 96372. For more than one injection, bill the number of units as per drugs given. |
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| Can an initial hydration and initial chemotherapy administration be billed on the same encounter? |
| When administrating multiple infusions, only one initial drug administration service code should be reported per patient per day. The initial code is the code that best describes the service that patient is receiving and additional codes are secondary to the initial code. Thus, if the chemotherapy infusion is selected as the initial code, then the subsequent hydration code (96361) is used. |
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| If a patient is infused with saline concurrent with infusion of a chemotherapy drug, can the hydration be billed separately? |
| No. Hydration may be billed separately only if it is given prior to chemotherapy infusion or subsequent to drug infusion. If hydration is provided to facilitate drug delivery, then it is considered incidental to that infusion and is not separately billable. |
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| CDoes sequential hydration need to be over thirty minutes? |
| Yes, It does. |
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| There is no “sequential code. How do I bill sequential hydration? |
| Transmittal R129-OTN, CR3631 states that one reports 96361 for a hydration infusion of greater than 30 minutes beyond 1 hour increments, or hydration greater than 30 minutes provided as a secondary or sequential service after a different initial infusion or chemotherapy service is provided. |
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How do I bill for the administration of hydration administered concurrently to chemotherapy administration? |
Hydration is not billable when it is administered concurrently to chemotherapy agents or diagnostic/therapeutic agents. |
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If magnesium sulfate or other additives are added to the infusion, is this hydration? |
CMS in their Transmittal R129 states: Codes 96360 and 96361 are intended to report a hydration IV infusion to consist of a prepackaged fluid and/or electrolyte solutions (e.g., normal saline, D5-1/2 normal saline +30mEq KC1/liter), but are not used to report infusion of drugs or other substances.What this means is ambiguous because additives are not prepackaged and are billed with J-codes and they can be classified as drugs, other substances or as electrolytes. |
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Can I bill for flushing a port, 96523, on the days that a patient is receiving chemotherapy? |
No. A port flush is a billable service only on the days where no other services are provided. |
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Can this code be billed the same day as an infusion or injection? |
No, it may only be billed as a sole service. |
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I am seeing reports that our nurses perform a push of Heparin into a port, draw blood for the lab, flush the port with saline, and then push Heparin into the port again. Should I code these as pushes or a port flush? |
You should code this as a port flush, not a push. |
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Can you give me an overview on the EHR Incentives Program? |
Click the links provided for more information on EHR Incentives Programs:
https://www.cms.gov/ehrincentiveprograms
https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp
http://www.myemrstimulus.com/tag/emr-software/ |
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