Question: Do you bill for all crossmatches performed? Or only the ones that were ordered?
Example: 1 RBC is ordered. Patient has a an antibody. You grab 4 units and crossmatch through Coombs. You then antigen type the compatible units. Do you bill for four XMs? Or just one? What about antigen typing? Four units? Or just one?
We used to bill for all work done. Then someone told my director that we could only bill for what was ordered or it was medicare fraud.... but, I feel like that is not applicable to patients with antibodies that require much more work to find compatible blood.
Thanks,
Morgan