All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ======================================
There's another element, other than efficiency, to be considered. If you have agreed with your payers that a charge should be bundled and not included in the primary payment, then I agree that you would want to writeoff at the time of billing for efficiency-sake. However, we have a good deal of silent treatment by our payers, to bundle payment. When you haven't contractually agreed that it should be bundled, I don't want it written off just because a payer tells you so. These are the items that are being flagged and should be worked through denial management, using the contract review reports in Meditech. Kimberly Rzomp, Controller Chambersburg Hospital [EMAIL PROTECTED] >>> Gary Ring <[EMAIL PROTECTED]> 4/4/06 04:15:27 PM >>> All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Ganesh: I advise my clients to do the same thing you are doing. Depending on whether the payer bundles it and therefore is "included in payment for another service", or whether they deny the service, would drive the decision on whether to write- off at proration time or take the contractual at time of payment. If the payer bundles it in with payment for other services, you should be able to calculate the contractual allowance at time of payment. However, for payers like Medicare who deny the charge as an E-Status non-covered, it is more efficient to exclude the charge from the claim and include it in the write-off amount at proration time. In either case, as long as the charge is hitting the patient's account, you should have an accurate cost of the patient's care, regardless of whether you write-off the unpaid amount during proration or as part of remit processing. Gary J. Ring Strategic Resource Group, Inc. 978-807-1573 ---- Original message ---- >Date: Tue, 4 Apr 2006 08:28:06 -0400 >From: "Ganesh Seshadri" <[EMAIL PROTECTED]> >Subject: [MEDITECH-L] ? billing bundled procedures >To: <[email protected]> > >All messages should be posted in plain text. HTML will be converted to >attachments. The meditech-l web site is MTUsers.com >====================================== > >i've been asked to post this for suggestions on handling procedures that are bundled for some payers and payable by others: > >Has anyone set up any kind of bundling of codes by payor ? >For example - currently in our area Medicare and Health America deny code 97010 (hot packs) as a bundled service but we have payors who are still paying. We are prorating the charge off for these two payors but would rather have the charge bundle with the other procedures so that the true cost is reflected for the patient's care. > >This is just one example, we have many services that some payors want bundled in different scenarios so we'd like to know how everyone has addressed this issue. > >tia, ganesh seshadri, indiana regional > >_______________________________________________ >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 _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
