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We do not use the Meditech solution yet.  However, medical necessity is 
performed after the patient is scheduled and then, if a walk-in, before 
registration.  

When patients are scheduled, a scheduling notification prints to our coders, 
the coders review the diagnosis and scheduled test.  If it meets medical 
necessity, the coder notes it in the scheduling module.  If it doesn't, they 
contact the physician and if the physician can't provide additional 
information, then the ABN is prepared for the time of registration and normally 
the coder will issue it.  If it is during off ours, the tech will issue the 
ABN.  Incidentally, we have a coder who sits in the admitting department.
Valerie

-----Original Message-----
From: Mic Sager [mailto:[EMAIL PROTECTED]
Sent: Thursday, April 13, 2006 12:41 PM
To: [email protected]
Subject: [MEDITECH-L] ABN's - Who get's them signed?


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Hi folks, working on our ABN process, and wondering how other facilities
are processing with just the MediTech solution?  In some areas, as this
happens during order entry, the clinicians are prompted to print and get
a signature.  

Obviously, clinicians don't like talking $$$ with patients.  

Does anyone have anything to share?

- Mic Sager

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