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Here is one of the responses to my request.
Roberta Cranswick [EMAIL PROTECTED]
Clinical Systems Analyst
Willamette Falls Hospital
1500 Division Street
Oregon City, Oregon 97045
503-656-1631 ext. 3483
----- Forwarded by Roberta Cranswick/WFH on 03/01/2006 07:23 AM -----
[EMAIL PROTECTED]
02/28/2006 01:40 PM
To
[EMAIL PROTECTED]
cc
Subject
Re: [MEDITECH-L] prevent charges from crossing to BAR after 5 day
Hi Roberta,
We are in the 5 to 6 day range depending on the account type (Journal).
We have a very detailed Journal set up.. specific to the nth degree,
although this is
not necessary at all for anything else. Almost to the point where an
individual clinic
secretary feels s/he owns it, and it better be right and COMPLETE.
When we started Meditech
in '89, most charges were entered by users directly into BAR Batches.
Over time we are now reading automatic batches from most ancillaries. But
there are
holdouts that still won't use OE etc, and exception reporting from our
PICIS-OR system
is not quite good enough across all 3 sites to turn on automatic batch
creation for OR
MM Charges.... yet.
Then there are those odd situations that haven't been addressed like the
special order bed
or Prosthetics which are still entered in BAR Batches by the users.
At this point dropping 1 day on getting the claim out and the resulting
increase in cash
flow is worth the possible expense of lost charges. But we do have a
select few (Nursing)
staff/trainers who can enter a late charge after the BAR Cutoff date. They
of course work to find
ways to ensure that that a particular area either automates or improves
their systems.
(They hate being called to enter these charges!)
User Departments regularly get Late charge reports and Fiscal Service will
question them
if the volume becomes "problematic". There's also a cultural
recognization that if the
supply/procedure/test wasn't documented in the system/on the claim, then
we mght have an
audit (Fiscal or Medical) problem.
Ask if ABS wants to unfinalize an Abstract for Late Charges. They can
turn this off.
Unfinalizing can be a problem for getting a claim out on time depending on
the type of
charge, which could conceivably change reimbursement (DRG, APC, Coding).
All of us should have a goal (my Opinion) of being able to generate a
complete, valid claim
on the day after the patient leaves. And present a complete list of
itemized charges (less
Abstracting info) as they walk out the door.
Good Luck,
Rich
508-961-5836
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Tue Feb 28, 2006 11:21 am From:
[EMAIL PROTECTED]
Subject: Re: [MEDITECH-L] prevent charges from crossing to BAR after 5 day
To: [EMAIL PROTECTED]
From: [EMAIL PROTECTED]
Date: Tue, 28 Feb 2006 08:21:15 -0800
thanks for kindly answering my question. Most of my responses point to
this.
I think the real problem lies with trying to drop the bills in 5 days, but
then having straggler charges come across after that. BAR doesn't want
any charges to cross after that point, even to the rejection report. If
the charge is insignificant, they want to ignore it, but if the charge is
significant, they want the module that owns the charge to do a manual
process to have the charge put into the system.
How does your site deal with this issue?
Roberta Cranswick [EMAIL PROTECTED]
Clinical Systems Analyst
Willamette Falls Hospital
1500 Division Street
Oregon City, Oregon 97045
503-656-1631 ext. 3483
[EMAIL PROTECTED]
02/27/2006 07:35 AM
To
[EMAIL PROTECTED]
cc
Subject
Re: [MEDITECH-L] prevent charges from crossing to BAR after 5 day
Hi Roerta,
In the BAR Journal Dictionary, BAR can set these 2 entries to restrict the
window on
charge entry.
Allow Charges For Service Dates X Days Prior To Service (Admission)
Y Days After Service (Discharge)
Rich
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Mon Feb 27, 2006 1:31 pm From:
[EMAIL PROTECTED]
Subject: [MEDITECH-L] prevent charges from crossing to BAR after 5 days
from
To: "Meditech L, Meditech L" <[email protected]>
From: [EMAIL PROTECTED]
Date: Fri, 24 Feb 2006 13:30:03 -0800
All messages should be posted in plain text. HTML will be converted to
attachments. The meditech-l web site is MTUsers.com
======================================
Our BAR wants to prevent charges from crossing to them automatically after
5 days. We can prevent this in OE with a parameter setting, but LAB, RAD,
PHA, OR charges can cross whenever they are entered. BAR wants this to be
a manual process after the 5 days. Anybody else dealing with late charges
in an innovative way?
Roberta Cranswick [EMAIL PROTECTED]
Clinical Systems Analyst
Willamette Falls Hospital
1500 Division Street
Oregon City, Oregon 97045
503-656-1631 ext. 3483
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