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Title: Replies on ITS vs. PCS: Best practices? (c/s)
Greetings:
Here are the replies I received to my recent query. Many thanks to all, we appreciate your help!
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I believe that ITS is best used for capturing the departmental charges
for the ancillary departments; however, the PCS documentation piece is
the obvious choice for these areas. The notes feature is better and it
has the functionality for their evaluations, assessments, respiratory
flow sheets, etc.
I had one hospital try to link the charges for the ancillary departments
to the pcs documentation and they didn't like it. They wound up
entering their charges in ITS because it was easier to use and the
charge capture seemed to be more accurate.
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We are C/S 5.4 sr2. We enter therapy charges on inpatients via PCS. We have one intervention for PT, and OT and Speech. Each query prepresents a different billing number. When they document, the also pull up the PT Charge Intervention for example and either "document" a response query for non time based charges or a number query for time based charges (15 minute units). Works wonderfully!!!!
Outpatients is a different story. We still use ITS, because we are unable to attached billing modifiers to indicate mutually exclusive charges in PCS. In fact, a couple of years ago, when we tried to impliment PCS charging for outpatient therapy, Meditech didn't even know what a billing modifier was. Took us a couple of tasks, and a conference call for them to respond to our inquiry intelligently. We submitted an enhancement request. Don't know where that is now. If this ever goes through, we will switch to PCS charges asap. The fact that the charges are in your face when documenting and are in the EMR with the documentation, which is suppose to justify the charges is a no brainer....Attach the billing numbers to queries via the Intervention Dictionary.
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For PT, OT, & ST when we went up with ITS I built all the billing in
ITS for those disciplines as well as our Supply charges for Rehab.
In 2005 we added PCS, so I added the billing into the assessment for
each charge,
I also built a rule so they cannot get out of the chargeable assessments
without placing the proper charge (they can choose zero, if the do not
need to bill each modality they used for a patient). Some assessments
are billed by unit, some assessments are built so it is response based
billing; whatever works best for the each assessment.
In this way if the Therapists are documenting in PCS, they do not have
to open a new screen, or possibly forget to place their charges. We also
bill Off Site for aqua therapy & a new clinic we have recently opened,
so those choices are built in as well.
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Regards,
Roderick D. Stitt
South County Hospital
MIS Department
401.782.8020.1636
[EMAIL PROTECTED]
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