Office Fluoro Contrast Billing

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runfastnow

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For those of you who do in office fluoro - how do you handle billing for contrast?

Our EMR (ModMed) calculates billing meds by mL used and so 1 mL of Omnipaque-300 is billed ~$0.40. Which is wayyy below cost of Omnipaque.

Does everyone just eat the cost of contrast at a loss or am I missing something with how contrast should be billed?
Our billing team wants to bill by 'unit' and argues 1 mL = 300 units of Omnipaque-300 - this seems incorrect at welcoming an audit nightmare.

Any advice appreciated.

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For those of you who do in office fluoro - how do you handle billing for contrast?

Our EMR (ModMed) calculates billing meds by mL used and so 1 mL of Omnipaque-300 is billed ~$0.40. Which is wayyy below cost of Omnipaque.

Does everyone just eat the cost of contrast at a loss or am I missing something with how contrast should be billed?
Our billing team wants to bill by 'unit' and argues 1 mL = 300 units of Omnipaque-300 - this seems incorrect at welcoming an audit nightmare.

Any advice appreciated.
Fairly certain billing is per mL and the billing team is wrong. Yes, basically you are eating the cost.
 
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It is by the ml. It doesn’t pay very much but contrast only costs me .14/ml.
Any chance you could share your supplier? PM if needed? We are still struggling getting a consistent supplier with decent price since COVID.
 
Henry Schein pedspal GPO
Not my idea, it was recommended many years ago on this forum.
 
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Henry Schein pedspal GPO
Not my idea, it was recommended many years ago on this forum.
I've been with HS pedspal GPO for over 10 years. Pre-pandemic, I was paying about $0.06 per ml for omnipaque 240. There was a big shortage 1-2 year ago to a point I couldn't get it ordered from HS. Then I was able to get a batch at about $0.12 per ml in 50ml plus pak. Now I'm just looking at the price again, notice it's costing about $1 per ml, or $50 per 50ml bottle!

Can you clarify if you are still get the price of $0.14 per ml from HS on these 50ml bottle? I don't really need 50ml bottle, but it's actually the least expensive option.
 
I've been with HS pedspal GPO for over 10 years. Pre-pandemic, I was paying about $0.06 per ml for omnipaque 240. There was a big shortage 1-2 year ago to a point I couldn't get it ordered from HS. Then I was able to get a batch at about $0.12 per ml in 50ml plus pak. Now I'm just looking at the price again, notice it's costing about $1 per ml, or $50 per 50ml bottle!

Can you clarify if you are still get the price of $0.14 per ml from HS on these 50ml bottle? I don't really need 50ml bottle, but it's actually the least expensive option.
I checked and it is actually even higher. Like .20/ml after tax and shipping. I bought 20 boxes last year and have plenty still.
 
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