JoyG

I just answered this question. My Score FAIL  

Hello, We build the RRC component code in SoftBank as the main product code and then build the individual RRC components depending on the type of RC used. After pooling the RCI and FFP in SoftBank creates the RRC (reconstituted red cell). We issue the RRC to the patient. We then bill the patient for a RCI, FFP and a pool. I can be reached at joy.gould@jefferson.edu if you need more information.

I just answered this question. My Score FAIL  

P9022 is the billing code for Washed Red Blood Cells. We use that and charge and irradiation fee (if needed) separately. From the AABB Billing Guide: P9022 Washed red blood cells unit

I agree with discontinuing the K negative units. We have the same policy as Ensis01

I would refer the insurance auditor to Medicare Claims Processing Manual Chapter 4, Section 231.7. It's right on CMS website. If your Med Exec committee and hospital policy was to crossmatch 6 units in preparation for that surgery, then that was the patient-specific preparation charges that can be billed. 231.7 - Billing for Unused Blood (Rev. 1487, Issued: 04-08-08, Effective: 04-01-08, Implementation: 04-07-08) When blood or blood products which the OPPS provider has collected in its own blood bank or received from a community blood bank are not used, processing and storage costs incurred by the community blood bank and the OPPS provider cannot be charged to the beneficiary. However, certain patient-specific blood preparation costs incurred by the OPPS provider (e.g., blood typing and cross-matching) can be charged to the beneficiary under Revenue Code Series 30X or 31X. Patient-specific preparation charges should be billed on the dates the services were provided.

We do the same as AuntieS. We have it written into our procedure that if a female of child bearing age is weak D, we send for molecular with no additional order from the physician. This was approved by our med exec committee and is in our reflex testing protocol so we can charge the patient for it. We scan the results into EPIC

Absolutely. We charge for every test performed working up a transfusion reaction. i.e Post transfusion DATP, repeat ABORh, ABSC and if positive, post DATG, DATC, ABID, pre DATG, DATC, and repeat crossmatching, etc.

Same as jalomahe. Straight to KB for the same reason

We are EPIC, EPIC Beaker and Softbank/SoftDonor.

Thank you!

Thanks so much!

Thanks, I will try that. I have been asking around but have had no luck so far.

We our own donor center and are experiencing an excess of plasma. We also discard a small percent of thawed plasma and HLA positive plasma. I was wondering if there were any companies that would purchase this type of products. Any information would be helpful. Thanks

Agree with all the responses!