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Following up on an OBS issue... We received confirmation from our FI that we can bill both OBS hours and a Room charge on the same day (this is a different issue/question than my original email). I am passing this along because many of you said you were backing off the OBS charges when a patient was later admitted that same day - as were we. Here is the email I received from our FI: ------- Mike, Are you talking about an outpatient observation claim that rolls into an inpatient admission? If that's what you're looking at, you definitely want to capture both the 4 hours of observation and the standard room/board rate for the day. It wouldn't be considered excessive or double billing if that's what actually happened. You're right about getting paid the straight DRG for the inpatient admission, but you would still want to capture all of the services and charges that happened within the 72 hours prior to admission. Kelly -------- -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Sasur, Patricia Sent: Tuesday, March 21, 2006 9:53 AM To: Nelson, Mike; [email protected] Subject: RE: [MEDITECH-L] Observation Charging Issue All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Mike, We had automated our observation room charges close to two years ago. While I have to admit there are some bugs, for the most part the debit and credit of the inpatient room charge to and from observation works fairly well. The accounts that we have issues with are the ones that were changes well after the patient was discharged. In our case, we have the reverse scenario in which our patients start out as inpatient and the documentation only justifies the admission as an observation. We just updated from Magic 4.9 to 5.5sr1 and I did "break" the process in TEST where I had more credits for observation than actual charges that hit the account; but so far our live accounts have been accurate. Check to make sure that your system is current as there were several DTS addressing this issue. Pat Sasur Financial Applications Analyst, Patient Financial Services Wing Memorial Hospital & Medical Centers 40 Wright Street Palmer, MA 01069 tel: (413)284-5665 fax: (413)284-5488 Email: [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Nelson, Mike Sent: Monday, March 20, 2006 4:17 PM To: [email protected] Subject: [MEDITECH-L] Observation Charging Issue All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Hello, What are you all doing in the following scenario: Patient is registered as an INo (OBS) Midnight occurs and OBS hours/charges are sent to BAR It is later determined that the patient should have been IN from the start so the admit is backdated The system sends a room charge over, but does not back off/credit the OBS hours If you have a solution please share (other than getting the PT status right in the first place :> ). MT's response is to hold these accounts in BAR and manually remove the charges. We have been doing this but are tired of the manual work. MT has been sitting on a development request for years to fix this issue. If you are also frustrated with this broken/manual process, please contact your ADM specialist and ask them to fix it. Thanks! Mike Nelson Director, Patient Financial Services Yampa Valley Medical Center [EMAIL PROTECTED] 970-870-1130 970-871-2570 fax _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l <html><body><i>The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, transmission, re-transmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer.</i></body></html> _______________________________________________ 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
