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?
> >
> >
> >
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> --
> Nancy Anthracite
> 
> 
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