Main Subject - Business

When it comes to medical billing, oxygen billing is big business and quite complicated, what with all the calculations and computations that have

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

to be made in regard to oxygen content. These days, a biller has to have a degree in advanced calculus to figure out how to bill these claims. T

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

he use of electronic media makes things a little easier, but billers still have to know what they're doing. In this installment of our series on

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

medical billing, we'll be covering the GX0 record, or CMN, picking up with field number 8.

GX0 field 8, position 28, is the type of equipment 2.

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

In some cases, a patient will receive more than one type of equipment for receiving oxygen. There can be a number of reasons for this such as ne

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

eding something for an alternate location to just having a spare in case the main piece of equipment breaks down. The valid responses for this fi

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

eld are A for concentrator, B for liquid stationary, C for gaseous stationary, D for liquid portable, E for gaseous portable and O for other. Thi

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

s second piece of equipment must be prescribed by the ordering physician.

GX0 field 9, positions 29 - 92, is the reason for equipment field. Thi

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

s field tells the carrier the medical reason that the ordering physician prescribed the equipment for the patient. Because there are only 64 char

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

acters for this field, the explanation must be concise and accurate and in medical terms. Billers usually get this information from the doctor's

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

rescription.

GX0 fields 10 and 11, positions 93 - 108, are the oxygen prescribed from and to dates. These fields tell the carrier approximately

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

for how long the patient is to be on oxygen. The format of the date fields can either be yyyymmdd or mmddyyyy, depending on the requirements of t

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

he carrier. Please check your manual to see which format your carrier uses.

GX0 field 12, positions 109 - 116, is the date oxygen prescribed fie

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

ld. This field really puzzles billers because of field 10, which is also an oxygen prescribed field. The difference here is that this is not the

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

date the patient is to be on the oxygen. This is the actual date the doctor ordered oxygen to be given to the patient. The dates can be the sam

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

e, but they don't have to. Also, if this is a renewal, the doctor signed date for the renewal goes in this field. This date, as the above dates,

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

can also be transmitted either as yyyymmdd or mmddyyyy, depending on the carrier requirements.

GX0 field 13, positions 117 - 124, is the date pa

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

tient evaluated field. This field tells the carrier the date that the doctor decided that the patient needed oxygen. In most cases, this is the

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

same date that the oxygen was prescribed, unless it is a renewal. This field can also be transmitted as yyyymmdd or mmddyyyy, depending on the ca

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

rrier requirements.

In our next installment on medical billing, we'll continue with our review of the GX0 record, picking up with field number 14

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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