What is the time-based rule that applies to IV infusions lasting 15 minutes or less?

The time-based rule that applies to IV infusions lasting 15 minutes or less is known as the 15-minute rule. This rule provides guidance on how to bill for intravenous (IV) therapy based on the duration of the infusion. When an IV infusion is administered and lasts 15 minutes or less, it is typically considered to be a "short" infusion. According to the 15-minute rule, this short duration allows for proper billing practices and ensures that healthcare providers are compensated accurately for the time and resources utilized during that brief infusion period.

Understanding the specific duration requirements set forth by this rule is essential for revenue integrity professionals, as it helps maintain compliance with billing guidelines and ensures that healthcare services are accurately documented and billed. This rule plays a crucial role in optimizing revenue cycle management and preventing potential billing errors or audits associated with incorrect time-based reporting.