Could you give us a little primer in Accounts Receivable and how to use the data the SVMIC download, or send us to a web site that can explain it, please. I know I am asking a lot, but I am sure that there are a lot of people besides me that would like to have a better idea of how this all works. I think that one usually thinks that doctors just need to plug a number on a 1500 form and transmit it and that that is all there is to billing. I would like to help you explain it, but I don't understand it either. Also, is that download only for Tennessee? When I display it in Star Office, it only shows one state, but maybe it works differently in Excel.
On Saturday 05 February 2005 10:04 am, Thurman Pedigo wrote: > Understanding Accounts Receivable structure and the RBRVS are the two most > important factors in medical account management. The RBRVS is easily > obtained on line at: http://www.svmic.com/ > Go to "Medical Practice Services" then "2004 Medicare Fees" It downloads as > an Excel file. > > IGNORE "Medicare Fee" as that has no relevance. The power is in the > formulae. > > If not in US, you may also want to ignore the malpractice and local > practice cost. > Thanks, > > thurman > > > -----Original Message----- > > From: [EMAIL PROTECTED] [mailto:hardhats- > > [EMAIL PROTECTED] On Behalf Of Nancy Anthracite > > Sent: Saturday, February 05, 2005 6:41 AM > > To: hardhats-members@lists.sourceforge.net > > Subject: Re: [Hardhats-members] differential charging for diagnostic > > tests > > > > Do you use the same diagnosis and procedure codes in India as we do in > > the United States, the ICD-9 and and CPT codes? If you do, I would think > > that this would involve putting a new field in registration that would > > capture a > > code for the billing level that could be exported along with the other > > information that is exported with the recent billing patches. Then the > > data > > could be handled externally with a language and procedure you are > > familiar with. I suspect that there is enough difference in registration > > in your country and the States that you could "hijack" one of the fields > > that is already exported and use that to contain your billing code. > > > > On Friday 04 February 2005 11:48 pm, Nick James wrote: > > > 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 > > > > -- > > 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
