We do triple check every onth and it helps a LOT!! Not only does it make sure we are billing the correct codes and amounts, but clears the charts for surveys and just general information also. I tremble every time the end of the month comes around because our BOM is quite intimidating and beoing the new kid on the block and having no training as the MDA coordinator, I have made quite a few mistakes, but it is getting better and the whole process is a good idea.
Corey Ali <[EMAIL PROTECTED]> wrote:
Corey Ali <[EMAIL PROTECTED]> wrote:
Only the truly money wise folks appear to do triple check. In the facility
I was in that did it, it occurred during the few days at the end of the
month. The biller, the therapy department and the MDS nurse, as well as the
DON and Administrator were present. Basically, we would determine which
would be the primary diagnosis, which was usually the reason for therapy, if
it was given, or the nursing skill problem. The next most important
diagnosis would be determined, down to 5. I think that billing only needed
3 but it was important that all diagnoses were listed identically by Billing
and Therapy. The actual minutes of therapy would be determined for each
case (and each MDS assessment if there was more than one that month), and
all three departments had to agree. Then therapy gave the RUG code they
determined was appropriate, and the MDS folks gave the actual RUG given by
the grouper. If the two didn't match, heads butted until they did. End of
story, repeat next month. Bring lots of coffee! For approx. 12 patients a
month, it took more than an hour!
----- Original Message -----
From: "Julie Thomas" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, February 06, 2004 3:57 PM
Subject: RE: Triple Check Proces
> I would really be interested in this also.
>
> Julie Thomas, RN BSN
> Clinical/Quality Improvement
> KB Enterprises
> fax 254-445-3960
>
> -----Original Message-----
> From: Orth, Ron A [mailto:[EMAIL PROTECTED]
> Sent: Friday, February 06, 2004 1:36 PM
> To: '[EMAIL PROTECTED]'
> Subject: Triple Check Proces
>
>
> Is anyone out there willing to share their pre billing triple check
process
> that they may use for PPS claims. If so please email to
> [EMAIL PROTECTED] or you may fax to my attention at 414.908.8044.
>
> I am under an important mission and any assistance would be appreciated.
>
> Thanks
> Ronald A Orth
> National Director of Clinical Reimbursement
> Extendicare Health Services, Inc.
> (414) 908-8234
>
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