Medicare Minute℠: Nebulizer Drug Calculators

By Adem Lewis / in , , , , , /

Hello and welcome to another edition of Medicare
Minute. I’m Dr. Robert Hoover, medical director at CGS Administrators, the Jurisdiction C
DME MAC. Today I’m going to talk about another helpful tool available on the CGS web site. Like me, I know there are folks that are “mathematically
challenged” when it comes to calculating nebulizer drug units of service. Converting milligrams
and other measures to units of service can be frustrating and is one source of claim
error that we see at CGS in the Nebulizer policy. The good news is that CGS takes the worry
out of doing these routine calculations with the Nebulizer Drugs suite of calculators.
We have provided you with online tools which are available under the MEDICAL REVIEW section
of CGS Medicare DOT com. Simply enter the strength of the drug ordered
and the number of time per day the drug is taken and the calculator shows you the maximum
number of units of service allowed per 30 day and 90 day period. There’s even a helpful
milliliter to milligram converter. These helpful tools are available for all
of the nebulizer drugs in the Nebulizers local coverage determination and again, can be found
on the CGS web site under Medical Review. That does it for this edition of Medicare
Minute. As with all of CGS’ educational offerings, this is only a summary of certain policy requirements.
I encourage you to read the applicable LCD and related Policy Article for a complete
description of the coverage, coding and documentation requirements.
Thank you for watching and have a nice day.

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