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Infusion Therapy

When filing claims, include accurate information pertaining to services rendered, including appropriate place of service and billing codes. HealthChoice cannot provide assistance with how to bill a claim; however, all claims are reviewed for billing accuracy, including, but not limited to, claims with billing codes S9490 through S9810. Home infusion therapy services are reimbursed at a per diem rate that is inclusive of equipment and supplies. Medication is reimbursed separately.

For all infusion therapy charges, certified home skilled nursing visits are not included in the HealthChoice allowed amount, but can be billed separately. Home health services should be billed by the provider rendering the services.

Home infusion therapy requires certification through the Health Care Management Unit. If you have questions regarding the certification process or to request certification, call HCMU at 405-717-8879 or toll-free 800-543-6044, ext. 8879.

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