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When doing medical billing of claims through electronic transmission media, the GE0 record is fairly new as enteral nutrition wasn't always

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

something that was billable. In this installment of our GE0 CMN series, we cover fields 9 through 14.

GE0 field 9, positions 44 - 51, is 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 date last seen field. This field tells the carrier the last time the patient saw the physician who issued this CMN. The reason this is

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

eeded is because with some items it is required that a patient see his or her doctor every so many days. If this isn't done, there is a pos

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

sibility the claim could be denied because the carrier could claim the patient hasn't proven the continued need for the item. This date is

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

Combination pro

transmitted in yyyymmdd or mmddyyyy format, depending on the requirements of the carrier.

GE0 field 10, position 52, is the non-visit indic

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

tor. Many billers have no idea what this actually means. This field tells the carrier what the medical evaluation of the patient was based

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

on. There are four possible code responses. N means the evaluation was made by a visiting nurse. L means the evaluation was made by lab

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

tests or clinical reports. O means the evaluation was made by some other means and if the field is left blank, it means it does not apply t

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

this particular claim. It should be noted that if the physician didn't see the patient during this certification then this must be noted i

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

n the narrative field 26, which we will cover in another installment.

GE0 field 11, positions 53 - 55, is the patient age. Many people won

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

Following aspects would a

der why this is a three digit field. Well, believe it or not, some people do live to be 100. If the patient is under 100 then the field is

dd to the challenges in developing combination products:

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

zero filled to the left. So a patient who is 65 is sent over as 065.

GE0 field 12, positions 56 - 58, is the patients height in inches. W

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

hile it is true that a patient would have to be over 8 feet tall to be 100 inches, nevertheless the field does allow for a patient to be tha

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

t tall. You'd be surprised how many billers feel this is a total waste of transmission space.

GE0 field 13, positions 59 - 61, is the pati

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

nts weight in pounds. This field tells the carrier how much the patient weighs. For enteral nutrition, this field is critical because how

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

Professional from academic institutions, pharmaceutical industries, health care indust

much nutrition a patient needs is greatly determined by his or her weight. Many patients who suffer from malnutrition are actually given mo

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

re than a patient who is heavier.

GE0 field 14, position 62, is the consciousness level indicator. This field tells the carrier the level

.

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

f the patient's consciousness. There are only two valid responses. C is entered if the patient is conscious and the letter I is entered if

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

Companies that provide selfless information through particip

the patient is conscious impaired.

In the next installment on medical billing, we'll cover the GE0 record, picking up with field number 15

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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Being able to communicate effectively through the written word is one of the most important skills you can have in the business world. With that in mind here are seven simple ideas to help you improve your business writing immediately.

One of the most confusing things about medical billing for billers is the concept of multiple batches for electronic billing. In this installment, we'll explain when and why multiple batches are needed.

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