We’re clarifying documentation requirements for physician office infusion therapy

In a September 2013 Record article, we said we’d begin processing individual provider medical drug claims at the National Drug Code level on Feb. 1, 2014. Because this was a major change for health care providers, we’re clarifying the documentation requirements associated with this change.

The person administering the medication is responsible for documenting the NDC number of the actual drug being administered, along with the quantity. During an audit, the NDC number billed will be compared to the NDC number documented in the medical record. Keep in mind that while BCBSM pays for the wastage of single-dose vials, the wastages must be documented as well.

Providing this information expedites the audit process and helps providers avoid any potential financial recoveries.