I assure you that there are a number of people who will appreciate the enlightenment. I don't even want to guess how many emails there have been on and off the Hardhats about billing. If we are all on the same page, it might be easier to solve this problem. The FreeB folks have been working away, and I am still hoping that FreeB will eventually be something that can be hooked up with VistA, or that the IHS program for submitting claims can be hooked up with the VAs output from these new patches. The latter issue will require some worker bees to look at it, and I think the knowledgeable bees are on other missions.
On Saturday 05 February 2005 06:23 pm, Thurman Pedigo wrote: > I think this means go ahead. I will do the first installment tonight. I > don't know how to do "open forum." Is it related to this list? Let me know > how to post or subscribe and I will gladly post there as well. > > Thanks, > > Thurman > > > -----Original Message----- > > From: [EMAIL PROTECTED] [mailto:hardhats- > > [EMAIL PROTECTED] On Behalf Of Nancy Anthracite > > Sent: Saturday, February 05, 2005 3:53 PM > > To: hardhats-members@lists.sourceforge.net > > Subject: Re: [Hardhats-members] differential charging for diagnostic > > tests > > > > Maybe this needs to be posted in both places, here on Hardhats and on > > Open Forum. I think it reaches two different audiences and both have > > something to > > gain and to offer. > > > > On Saturday 05 February 2005 04:39 pm, Chris Richardson wrote: > > > Thurman; > > > > > > It would be even more interesting if we could move this discussion to > > > > the > > > > > Open FORUM. In the future we are expecting to have these discussions > > > indexed for hypertext and for people to do research with. Existing > > > > general > > > > > Fileman messages and discussions will be retro-fit to hypertext. We > > > > will > > > > > try to capture some of these discussions later, but no guarantees. > > > > This > > > > > is important knowledge-base for the whole community. Thanks for your > > > input, Thurman. > > > > > > Best wishes; Chris > > > > > > > > > ----- Original Message ----- > > > From: "Thurman Pedigo" <[EMAIL PROTECTED]> > > > To: <hardhats-members@lists.sourceforge.net> > > > Sent: Saturday, February 05, 2005 9:20 AM > > > Subject: RE: [Hardhats-members] differential charging for diagnostic > > > > tests > > > > > > Nancy, thanks for the invite. Our homepage got out of date and we > > > > took > > > > it > > > > > > down. My wife is working on new site which should be back online by > > > > the > > > > > end > > > > > > > of 02/05. I will post appropriate to that site. For now, I offer the > > > > following scheme. First I will post a series on RBRVS. It will be in > > > > 3-4 > > > > > > installments and is a series I already posted to another list (AAFP > > > > > > Practice > > > > > > > Management). > > > > > > > > Next I will give a brief history of the tribulations of AR in private > > > > practice, including the migration to Practice Management software. > > > > Each > > > > > post > > > > > > > will be limited to one or two screens to avoid bandwidth overload. > > > > All > > > > > > this > > > > > > > will later be posted to our website when is restarted. The series can > > > > be > > > > > > stopped anytime on request. > > > > > > > > Let me know any recommended plan modifications....tx/t > > > > > > > > > -----Original Message----- > > > > > From: [EMAIL PROTECTED] > > > > > [mailto:hardhats- [EMAIL PROTECTED] On Behalf Of > > > > > Nancy Anthracite Sent: Saturday, February 05, 2005 9:45 AM > > > > > To: hardhats-members@lists.sourceforge.net > > > > > Subject: Re: [Hardhats-members] differential charging for > > > > > diagnostic > > > > > > tests > > > > > > > > Thurman, this billing issue is such a thorn in the side of VistA > > > > users > > > > > > > that I > > > > > certainly hope you will continue this thread ONLINE and that others > > > > > will contribute to it. I think it is a major cause for the > > > > > non-adoption of VistA > > > > > and something important for the VistA-Office adopters to consider. > > > > > Remember > > > > > that the archive of this mailing list is an important reference for > > > > > many of > > > > > us strugglers, and this is an important topic to have included in > > > > it. > > > > > > > On Saturday 05 February 2005 09:39 am, Thurman Pedigo wrote: > > > > > > This is an excellent example to demonstrate the use of adjustment > > > > > > codes. > > > > > > > > It > > > > > > > > > > > is important to remember the systems doesn't care how one names > > > > these > > > > > > > > codes. The code names only need have meaning to you and your > > > > > > correspondents. Below are just a few examples: > > > > > > ========================= > > > > > > 4 Employer Reduction > > > > > > 5 Not Approved > > > > > > 6 Lab Rejected > > > > > > 7 Additional Emp Payment > > > > > > 8 Professional Courtesy > > > > > > ========================= > > > > > > These codes can be unlimited (1,000s) and represent insurance > > > > > > companies, > > > > > > > > > special employer arrangements, or special indigent categories > > > > > > such > > > > as > > > > > > > > unemployed, disabled, or whatever applies to your population. > > > > > > > > > > > > The added value of this system is the ease of adding cost > > > > accounting. > > > > > > > Any > > > > > > > > > > > material or activity coat may be attached to the procedure. I > > > > don't > > > > > > > want > > > > > > > > > > > to chew up a lot of bandwidth on this post, but will be glad to > > > > > > continue > > > > > > > > > this thread online of off line. Strongly advise understanding > > > > > > this > > > > > > > > > > concept > > > > > > > > > > > before adding complications to charges. > > > > > > > > > > > > Example below- partial AR record: Notice the $62.03 write off > > > > > > (Adj)hopefully format works...tx/t > > > > > > =============================================== > > > > > > Company: XXXXXX COMPANYXXXXXXXXXX DOI:03/29/01 > > > > > > > > > > > > CHG SLIP # PATIENT DR > > > > > > 17065.0 PATIENT NAMEXXXXXX - 1006901 Pedigo > > > > > > DOS DISCRIPTION AMT ADJUSTMENTS > > > > > > LINE > > > > > > > > > BAL 032901 99203 - Office/outpa 110.00 > > > > > > 043001 COMPANYXXXXX 8 -110.00 > > > > > > > > > > 0 > > > > > > > > > > > 032901 73564 - X-ray exam o 118.00 > > > > > > 043001 COMPANYXXXXX 8 -55.97 -62.03Ins > > > > > > Adj > > > > > > > > > > 0 > > > > > > > > > > > 032901 L1810 - KNEE SUPPORT 25.00 > > > > > > 043001 COPANYXXXXX 8 -25.00 > > > > > > > > > > 0 > > > > > > > > > > 0.00 > > > > > > ----- > > > > > > > > --- > > > > > > > > > > > TOTAL > > > > > > > > > > 0.00 > > > > > > > > > > > > -----Original Message----- > > > > > > > From: [EMAIL PROTECTED] > > > > > > > [mailto:hardhats- [EMAIL PROTECTED] On > > > > > > > Behalf > > > > Of > > > > > > > > > Nick James Sent: Friday, February 04, 2005 10:48 PM > > > > > > > To: hardhats-members@lists.sourceforge.net > > > > > > > Subject: RE: [Hardhats-members] differential charging for > > > > > > > diagnostic tests > > > > > > > > > > > > > > Hi Thurman, > > > > > > > > > > > > > > Thanks, that is certainly helpful. > > > > > > > > > > > > > > But the issues also relate to a categorisation of > > > > > > > direct paying patients which includes free (only some > > > > > > > select tests are free) subsidy, semi-subsidy, normal > > > > > > > private and luxury provate. The hospital where we once > > > > > > > worked for had six categories, each with differing > > > > > > > charges for the same test. I suppose one could treat > > > > > > > each category as a different employer using the same > > > > > > > logic as in industrial billing. Please comment. > > > > > > > > > > > > > > --- Thurman Pedigo <[EMAIL PROTECTED]> wrote: > > > > > > > > This is a little different philosophy that has > > > > > > > > worked well for me over the > > > > > > > > past 30 years. > > > > > > > > > > > > > > > > Billing for commercial insurance, Medicare, and > > > > > > > > Medicaid, have no need for > > > > > > > > "multiple rate" billing. Adjustments/write-offs, > > > > > > > > bring the payments into > > > > > > > > compliance with the charge and provides a powerful > > > > > > > > tool to assess > > > > > > > > performance in the accounts receivables. > > > > > > > > > > > > > > > > Industrial billing, where one contracts to with an > > > > > > > > employer to do specific > > > > > > > > services at a set price uses modification of the > > > > > > > > last 2 characters in the > > > > > > > > CPT code AND includes the company name in the > > > > > > > > description. > > > > > > > > > > > > > > > > Thanks, > > > > > > > > > > > > > > > > thurman > > > > > > > > > > > > > > > > > -----Original Message----- > > > > > > > > > From: [EMAIL PROTECTED] > > > > > > > > > > > > > > > > [mailto:hardhats- > > > > > > > > > > > > > > > > > [EMAIL PROTECTED] On Behalf Of > > > > > > > > > > > > > > > > Nancy Anthracite > > > > > > > > > > > > > > > > > Sent: Friday, February 04, 2005 1:11 PM > > > > > > > > > To: hardhats-members@lists.sourceforge.net > > > > > > > > > Subject: Re: [Hardhats-members] differential > > > > > > > > > > > > > > > > charging for diagnostic tests > > > > > > > > > > > > > > > > > I believe the majority of the billing is not done > > > > > > > > > > > > > > > > within VistA. The > > > > > > > > > > > > > > > > > recent > > > > > > > > > billing patches, to my knowledge, only gather > > > > > > > > > > > > > > > > together information for a > > > > > > > > > > > > > > > > > third party billing service to use to process a > > > > > > > > > > > > > > > > claim, and it may not even > > > > > > > > > > > > > > > > > include charges at all, as I believe that is > > > > > > > > > > > > > > > > probably handled by the > > > > > > > > > > > > > > > > > processing entity or information provided to that > > > > > > > > > > > > > > > > entity separately. Even > > > > > > > > > > > > > > > > > if > > > > > > > > > there are charges withing VistA, I doubt there are > > > > > > > > > > > > > > > > any rates that would > > > > > > > > > > > > > > > > > differ from patient to patient. > > > > > > > > > > > > > > > > > > On Friday 04 February 2005 07:22 am, Nick James > > > > > > > > > > > > > > > > wrote: > > > > > > > > > > can multople rates be maintained by VistA? > > > > > > > > > > > > > > > > > > > > If the charges applicable for a test are to be > > > > > > > > > > > > > > > > based > > > > > > > > > > > > > > > > > > on the patient type, and multiple rates apply > > > > > > > > > > > > > > > > for the > > > > > > > > > > > > > > > > > > same test depending on the patient type. > > > > > > > > > > > > > > > > > > > > If so how is it defined and which file is it > > > > > > > > > > > > > > > > stored in? > > > > > > > > > > > > > > > > > > __________________________________ > > > > > > > > > > Do you Yahoo!? > > > > > > > > > > All your favorites on one personal page - Try My > > > > > > > > > > > > > > > > Yahoo! > > > > > > > > > > > > > > > > > > http://my.yahoo.com > > > > > > > > > > > > > > ------------------------------------------------------- > > > > > > > > > > > > > > > > > This SF.Net email is sponsored by: IntelliVIEW > > > > > > > > > > > > > > > > -- Interactive Reporting > > > > > > > > > > > > > > > > > > Tool for open source databases. Create > > > > > > > > > > > > > > > > drag-&-drop reports. Save time > > > > > > > > > > > > > > > > > > by over 75%! Publish reports on the web. Export > > > > > > > > > > > > > > > > to DOC, XLS, RTF, etc. > > > > > > > > > > > > > > > > > > Download a FREE copy at > > > > > > > > > > > > > > > > http://www.intelliview.com/go/osdn_nl > > > > > > > > > > > > > > > > > > _______________________________________________ > > > > > > > > > > Hardhats-members mailing list > > > > > > > > > > Hardhats-members@lists.sourceforge.net > > > > > > > > > > > > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > > > > > > > > > > > > -- > > > > > > > > > Nancy Anthracite > > > > > > > > > > > > > > ------------------------------------------------------- > > > > > > > > > > > > > > > > This SF.Net email is sponsored by: IntelliVIEW -- > > > > > > > > > > > > > > > > Interactive Reporting > > > > > > > > > > > > > > > > > Tool for open source databases. Create drag-&-drop > > > > > > > > > > > > > > > > reports. Save time > > > > > > > > > > > > > > > > > by over 75%! Publish reports on the web. Export to > > > > > > > > > > > > > > > > DOC, XLS, RTF, etc. > > > > > > > > > > > > > > > > > Download a FREE copy at > > > > > > > > > > > > > > > > http://www.intelliview.com/go/osdn_nl > > > > > > > > > > > > > > > > > _______________________________________________ > > > > > > > > > Hardhats-members mailing list > > > > > > > > > Hardhats-members@lists.sourceforge.net > > > > > > > > > > > > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ------------------------------------------------------- > > > > > > > > > > > > > > > This SF.Net email is sponsored by: IntelliVIEW -- > > > > > > > > Interactive Reporting > > > > > > > > Tool for open source databases. Create drag-&-drop > > > > > > > > reports. Save time > > > > > > > > by over 75%! Publish reports on the web. Export to > > > > > > > > DOC, XLS, RTF, etc. > > > > > > > > Download a FREE copy at > > > > > > > > http://www.intelliview.com/go/osdn_nl > > > > > > > > _______________________________________________ > > > > > > > > Hardhats-members mailing list > > > > > > > > Hardhats-members@lists.sourceforge.net > > > > > > > > > > > > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > __________________________________ > > > > > > > Do you Yahoo!? > > > > > > > Yahoo! Mail - You care about security. So do we. > > > > > > > http://promotions.yahoo.com/new_mail > > > > > > > > > > > > > > > > > > > > > ------------------------------------------------------- > > > > > > > This SF.Net email is sponsored by: IntelliVIEW -- Interactive > > > > > > > > > > Reporting > > > > > > > > > > > > Tool for open source databases. Create drag-&-drop reports. > > > > > > > Save > > > > > > time > > > > > > > > > > by over 75%! Publish reports on the web. Export to DOC, XLS, > > > > RTF, > > > > > etc. > > > > > > > > > > Download a FREE copy at http://www.intelliview.com/go/osdn_nl > > > > > > > _______________________________________________ > > > > > > > Hardhats-members mailing list > > > > > > > Hardhats-members@lists.sourceforge.net > > > > > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > > > > > > > > ------------------------------------------------------- > > > > > > This SF.Net email is sponsored by: IntelliVIEW -- Interactive > > > > > > Reporting > > > > > > > > > Tool for open source databases. Create drag-&-drop reports. Save > > > > time > > > > > > > > by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, > > > > > > etc. Download a FREE copy at > > > > > > http://www.intelliview.com/go/osdn_nl > > > > > > _______________________________________________ > > > > > > Hardhats-members mailing list > > > > > > Hardhats-members@lists.sourceforge.net > > > > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > > > > > > -- > > > > > Nancy Anthracite > > > > > > > > > > > > > > > ------------------------------------------------------- > > > > > This SF.Net email is sponsored by: IntelliVIEW -- Interactive > > > > Reporting > > > > > > > Tool for open source databases. Create drag-&-drop reports. Save > > > > time > > > > > > > by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, > > > > etc. > > > > > > > Download a FREE copy at http://www.intelliview.com/go/osdn_nl > > > > > _______________________________________________ > > > > > Hardhats-members mailing list > > > > > Hardhats-members@lists.sourceforge.net > > > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > > > > ------------------------------------------------------- > > > > This SF.Net email is sponsored by: IntelliVIEW -- Interactive > > > > Reporting > > > > > > Tool for open source databases. Create drag-&-drop reports. Save time > > > > by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, > > > > etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl > > > > _______________________________________________ > > > > Hardhats-members mailing list > > > > Hardhats-members@lists.sourceforge.net > > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > > ------------------------------------------------------- > > > This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting > > > Tool for open source databases. Create drag-&-drop reports. Save time > > > by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. > > > Download a FREE copy at http://www.intelliview.com/go/osdn_nl > > > _______________________________________________ > > > Hardhats-members mailing list > > > Hardhats-members@lists.sourceforge.net > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > -- > > Nancy Anthracite > > > > > > ------------------------------------------------------- > > This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting > > Tool for open source databases. Create drag-&-drop reports. Save time > > by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. > > Download a FREE copy at http://www.intelliview.com/go/osdn_nl > > _______________________________________________ > > Hardhats-members mailing list > > Hardhats-members@lists.sourceforge.net > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > ------------------------------------------------------- > This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting > Tool for open source databases. Create drag-&-drop reports. Save time > by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. > Download a FREE copy at http://www.intelliview.com/go/osdn_nl > _______________________________________________ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members -- Nancy Anthracite ------------------------------------------------------- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag-&-drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
