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My two cents;  From a Medical Records person.....

Two accounts -- Two separate encounters -- Two separate records..   (with
some exceptions, ie: RCR accounts, enter visit dates & times)

My guidance to registration staff, if the patient leaves the building = new
account needs to be created;
It becomes a legal issue, if your records indicate that a patient is on your
premises/is a patient, but is not.... the facility is liable for the patient
from "admit date & time to discharge date & time".

It is a billing requirement that the bills be combined....
Administrative & Medical Records requirement that two accounts be
created....

Patti Markunas, RHIT, CCS
Manager, Coding
Washington County Hospital


 ----- Original Message ----- 
From: "Schneider, Dawn" <[EMAIL PROTECTED]>
To: "'Cindy Wall'" <[EMAIL PROTECTED]>; "'Meditech L'"
<[email protected]>
Sent: Friday, May 19, 2006 9:18 AM
Subject: RE: [MEDITECH-L] Billing Overlap Question


> All messages should be posted in plain text.  HTML will be converted to
> attachments.    The meditech-l web site is MTUsers.com
> ======================================
>
> No, we definitley do not make two separate accounts.  Can't the billing
> office see if it is two requisitions and different collection times?
>
> Dawn
>
> -----Original Message-----
> From: Cindy Wall [mailto:[EMAIL PROTECTED]
> Sent: Thursday, May 18, 2006 9:56 AM
> To: 'Meditech L'
> Subject: [MEDITECH-L] Billing Overlap Question
>
> All messages should be posted in plain text.  HTML will be converted to
> attachments.    The meditech-l web site is MTUsers.com
> ======================================
>
> I'm posting this for our Business Office Manager
>
>
> We have lots and lots of outpatient overlaps...(visits on the same day ).
> If you have someone come for lab on a given day and the Dr. orders more
lab
> for the same day (same Dr. and diagnosis), do you register two accounts?
> Medical records wants two so they can see the two vistis and the time of
the
> visits.  Your help will be greatly appreciated.
>
> -- 
> Cindy Wall
> Systems Analyst
> Morehead Memorial Hospital
> 117 East Kings Highway
> Eden, North Carolina 27288
> (336)623-9711 ext. 2202
> [EMAIL PROTECTED]
>
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