The trend of Electronic/Digital health insurance ID cards is catching on among patients and physicians. Healthcare industry should expect to see an increase in patients coming up at the front desk with Electronic health insurance ID cards instead of physical cards. Consumerism is being discussed everywhere in healthcare and the number one topic is patient convenience. Patients now have similar service expectations from healthcare providers as they do from their other consumer interactions - so, it is just a matter of time before things from the consumer market come into the healthcare space. Electronic Health Insurance ID CardsMost health plans and prescription benefit managers (PBMs) have rolled out smartphone apps to help patients “manage” their benefits.

This includes tracking deductibles, providing benefits information, etc. Most plans also have an “ID” card element to their app, but patients are still sent physical ID cards - but this is beginning to change.

Empire BCBS Electronic ID CardsStarting in the Fall of 2017, Empire Blue Cross Blue Shield will give members the option to choose electronic cards only! That means the Empire BCBS members with Electronic ID Cards will have no physical health plan member ID card.

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For details, please go through Empire Electronic Member ID Cards Reference Guide. What does this mean for you?

Time to train your front desk and billing staff on the handling of digital health plan ID cards. The number of patients just showing their smartphones is going to grow. J0696 HCPCS, 90788 CPT, 5 E/M codes for Rocephin shot (Ceftriaxone) injection (IV/IM) can increase revenue, when used in the right combination. Yes, you read it right, Rocephin Shot (Ceftriaxone IV Injection) coding can increase medical reimbursement revenue. Yes, it is ethically and legally possible by billing for the procedure, the supply, and the E/M service correctly.

Rocephin (ceftriaxone sodium) is a cephalosporin antibiotic administered as Intramuscular (IM) or Intravenous(IV) injection. It works by fighting bacteria in your body. Rocephin is used to treat many kinds of bacterial infections, including severe or life-threatening forms such as meningitis. Using CPT Code 90788 for the Rocephin Injection IV will get you $16.80.

Use of NDC Code J0696 for Rocephin Short (Ceftriaxone Sodium) will reimburse you $13.35. For 1 gram of ceftriaxone sodium, bill 4 units J0696 as the increments of 250 mg as 1 unit. It means if a doctor office uses Rocephin (ceftriaxone) 1 gram the code J0696 will be used as 4 units, which is equal to 1000 mg. However, make sure that you are using the correct NDC per vial. Learn how to document Rocephin Shot (Ceftriaxone Sodium IV Injection) properly: J0696 Rocephin Shot IV Injection (Ceftriaxone) CodingFor maximum Rocephin shot reimbursement, please follow these steps: J0696 Rocephin Injection, Ceftriaxone Sodium, Per 250 mgHCPCS code J0696 should be charged per unit. When Rocephin shot is administered at the medical practice, the medical biller should report CPT 90788 (Intramuscular injection of antibiotic [specify]). Physicians use Rocephin, a type of antibiotic, which you may know by the generic name of ceftriaxone sodium, to treat serious bacterial infections Even if an insurer doesn’t pay much for 90788, this is the correct code to use.

You may mistakenly use 90782 (Therapeutic, prophylactic or diagnostic injection [specify material injected]; subcutaneous or intramuscular) as a catchall injection code. But 90782 isn’t for an antibiotic injection.

Code 90782 instead describes a therapeutic, prophylactic or diagnostic injection. Translation: Use 90782 for a preventive shot, such as Synagis for respiratory syncytial virus (RSV), or a restorative treatment, like Decadron for croup.The difference between 90782 and 90788 is the injection material. Watch out: The only time that you should report 90788 for a Rocephin injection is if your payer instructs you to do so.