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We have been addressing this for a while. We have many "Outreach" locations and don't want to set up new locations. Claim Check "CALC UB92 TOB" makes use of a Field "TOB 141" (among others) and associated Map, to make 141 the Type of Bill. The logic is along the lines of: If the Account's "Admission Source Code" is one of these, and the account's Revenue codes are in a Map, make the TOB 141. Well it seems the definition of Source Code has changed quite a bit over the years. There is no more "Other" Admission Source that can be used on a Medicare OP Claim. They now seem to want the source code indicating MD Referral whether the patient is here or their specimen is brought in. I have asked Meditech for a custom Claim Field "zTOB 141" that would work off the Admission Source MNEMONIC that we build in our Dictionary. Like "NP" which would indicate Non-Patient, but still put the Correct Source Code for MD Referral on the claim The proposed logic: If the Admission Source MNEMONIC is in list A, and the Rev Code is in Map B, Use 141 on the claim. Is anyone else coming up with alternative solutions? Thanks, Rich McNeil Southcoast Hospitals Group New Bedford, MA %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Mon Nov 28, 2005 4:12 pm From: "Marcia S Flessner" Subject: RE: [MEDITECH-L] Magic-BAR Medicare Bill Type 141 To: "Roger Allen" <[EMAIL PROTECTED]>, "@Meditech-L" <[email protected]> From: "Marcia S Flessner" <[EMAIL PROTECTED]> Date: Mon, 28 Nov 2005 09:37:36 -0600 All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Roger, We had this clarified when we became a Critical Access Hospital and had to change to Bill type 851 for our Out Patients. If a patient does not physic ally enter the building we have made these visits the 141 TOB. We did this by our location setup in Meditech. If admissions registers the patient an d the speciman comes from a nursing home patient, we use a nursing home location. If they register a speciman from a doctor's office (a path specimen ), then we use a path location. Then in BAR, we have tied these locations so that they map the TOB to become a 141. It has been working for us. Hope this helps. Marcia Flessner Mendota Community Hospital CONFIDENTIALITY NOTICE: This e-mail communication and any attachments, may contain confidential and privileged information for the use of the designa ted recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and tha t any review, disclosure, dissemination, distribution or copying of it or it's contents is prohibited. If you have received this communication in err or, please notify Mendota Community Hospital immediately by telephone at (815) 539-7461 and destroy all copies of this communication and any attachmen ts. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Roger Allen Sent: Thursday, November 24, 2005 1:42 PM To: @Meditech-L Subject: [MEDITECH-L] Magic-BAR Medicare Bill Type 141 All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Has anyone come up with how they are going to handle generating a bill type 141 for Non-Patient Laboratory Specimens for Medicare patients? There is a big change as of 4/03/2006 for Medicare type of bill 141. CMS is now redefining the meaning of the usage of type of bill 141. For our hospital all outpatient services is now to appear on the 13x type of bill. TOB 141 is to be only used for when only a lab specimen is sent to be tested here, i.e. the term"Non-Patient Laboratory Specimen". --- Roger Allen HCIS Manager MRMC - Meadows Regional Medical Center 1703 Meadows Lane P.O. Box 1048 Vidalia, GA 30475-1048 Phone: 912-538-5860 Fax: 912-538-5351 E-Mail: [EMAIL PROTECTED] Web: www.meadowsregional.org --- [This E-mail scanned for viruses by your Internet Service Provider] _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l -------------------------------------------------------------------------------- Return-Path: <"Marcia S Flessner" <[EMAIL PROTECTED]>> Received: from southcoast.org by SLH.ORG; Mon, 28 Nov 2005 16:12:14 0000 Received: from user18.southcoast.org (unverified [10.0.0.48]) by southcoast.org (Rockliffe SMTPRA 6.1.17) with SMTP id <[EMAIL PROTECTED]> for <[EMAIL PROTECTED]>; Mon, 28 Nov 2005 16:10:35 -0500 Received: from prosonic.com ([204.202.252.254]) by user18.southcoast.org (SAVSMTP 3.1.6.45) with SMTP id M2005112816103416692 for <[EMAIL PROTECTED]>; Mon, 28 Nov 2005 16:10:34 -0500 Received: from prosonic.iserver.net (localhost [127.0.0.1]) by prosonic.com (8.13.1/8.13.1) with ESMTP id jASKZIYC060527; Mon, 28 Nov 2005 20:36:22 GMT Received: from mchavs02.mch.local (st216124238195.mendotahospital.org [216.124.238.195] (may be forged)) by prosonic.com (8.13.1/8.13.1) with ESMTP id jASFbhc5022402 for <[email protected]>; Mon, 28 Nov 2005 15:37:43 GMT X-eSCM-MailFrom: <[EMAIL PROTECTED]> Received: from MCHEXG01 (10.1.1.239) by mchavs02.mch.local (10.1.1.158); Mon, 28 November 2005 09:37:36 -0600 X-MimeOLE: Produced By Microsoft Exchange V6.0.6603.0 content-class: urn:content-classes:message MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Subject: RE: [MEDITECH-L] Magic-BAR Medicare Bill Type 141 Date: Mon, 28 Nov 2005 09:37:36 -0600 Message-ID: <[EMAIL PROTECTED]> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: [MEDITECH-L] Magic-BAR Medicare Bill Type 141 Thread-Index: AcXzfSvKBI+X5ivWRQeouvu5gFaKKAAsy9ZA From: "Marcia S Flessner" <[EMAIL PROTECTED]> To: "Roger Allen" <[EMAIL PROTECTED]>, "@Meditech-L" <[email protected]> Content-Transfer-Encoding: 8bit X-MIME-Autoconverted: from quoted-printable to 8bit by prosonic.com id jASFbhc5022402 X-Mailman-Approved-At: Mon, 28 Nov 2005 16:33:06 +0000 Cc: X-BeenThere: [email protected] X-Mailman-Version: 2.1.5 Precedence: list List-Id: Email list for Meditech users <meditech-l.MTUsers.com> List-Unsubscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> List-Archive: <http://prosonic.iserver.net/pipermail/meditech-l> List-Post: <mailto:[email protected]> List-Help: <mailto:[EMAIL PROTECTED]> List-Subscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> Sender: [EMAIL PROTECTED] Errors-To: [EMAIL PROTECTED] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ------------------------------------------------------------------------------------------ SENT TO: RICHARD MCNEIL, KIMBERLY ANN SOARES CONFIDENTIALITY NOTICE: This e-mail and any files transmitted with it are confidential and may contain health information protected by law. Any unauthorized use or disclosure is strictly prohibited. If you are not the intended recipient, please notify the sender by return email, delete this email, and destroy any copies. Please note that any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Southcoast. The recipient should check this e-mail and any attachments for the presence of viruses. Southcoast accepts no liability for any damage caused by any virus transmitted by this e-mail. _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
