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We went thrpugh this when Medicare changed the rules and we had to assign a new 
TOB 
(Type of bill) to these claims.
Meditech gave us a custom variation of Claim Check TOB141 that looks at the 
MNEMONIC
of the Admission Source rather than their no longer functional Admission Source 
Code which 
is defined for the Admission Source.
Subsequently we also spec'd a Claim Check that will FAIL the claim if there is 
a 
"Travel Fee" on the claim (CPT CODE) but there is no Veni charge on the claim 
FOR THE 
SAME DATE OF SERVICE.  (RCR's were a problem).
 
Rich
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Mon May 15, 2006 4:45 pm                                       From: 
"Harrington, Dianna"
 
Subject: [MEDITECH-L] Repost: C/S 5.5 SR2: Venipuncture charge
To: <[email protected]>
From: "Harrington, Dianna" <[EMAIL PROTECTED]>
Date: Mon, 15 May 2006 10:07:43 -0400
 
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======================================
 
Hi all
 
We have had a request from other areas of our hospital to start charging
a venipuncture charge if they draw the specimen. We have two areas set
up in our venipuncture rule to not drop a charge because they ALWAYS
draw their own. The problem that is arising with this new request, is
that these new areas MOSTLY draw their own, but there are instances
where the lab will draw the specimen.
 
These locations are going to manually enter the charge via PCS instead
of having the charge automatically drop with our venipunture rule. I
don't want to add the burden of having our phlebotomists try and
remember to add a charge for these locations if they happen to draw the
specimen.
 
Has anyone encountered the same issues and what was your resolution?
 
Thanks
Dianna Harrington
Clinical Applications Analyst
MIS Department
The William W. Backus Hospital
326 Washington Street
Norwich, CT 06360
(860)889-8331 X2364
 
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