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I have been working on this off and on for several months (just haven't had the time to bring it live yet because of the testing involved and because our main issue was getting our chemo center charges to the correct revenue center), but Jim has pretty much spelled out what you have to do. The only thing that he didn't mention is that for multi-dose items, you need to have page 1 of the drug dictionary set up as the amount that is in a J-code unit. If you use pharmacy MM like we do, you also need to have it the MM side set up like this. I was the one who wrote the specs for the original MUSE enhancement years ago. The J-code and the multiplier should have resided in the drug dictionary, but for some reason, Meditech decided that it belonged in BAR. Unfortunately, pharmacy is expected to keep the J-code information current at my hospital, but the BAR people won't give anyone in the pharmacy access to BAR; go figure. Charlie Charles R. Downs Pharm.D. Washington County Hospital 251 E. Antietam Street Hagerstown, MD, 21740 301-790-8904 [EMAIL PROTECTED] ----- Original Message ----- From: "Jim Flood" <[EMAIL PROTECTED]> To: "Meditech-L" <[email protected]> Sent: Monday, June 19, 2006 1:59 PM Subject: FW: [MEDITECH-L] J Codes > All messages should be posted in plain text. HTML will be converted to > attachments. The meditech-l web site is MTUsers.com > ====================================== > > ---------------------------------------------------------------------------- ---- > Here's how we set it up.............. > > Pharmacy: Define a charge type for each drug to be billed individually. > The charge type dictionary has a field for the B/AR procedure code {billng > code field}. > Associate the charge type with the drug on page 7 of the > drug dictionary > > B/AR: Create a billing procedure code for each charge type. You > now have a direct relationship between the drug and billing code. > > You can now use the multiplier functionality in the B/AR Procedure > Dictionary to have claims reflect the qty for the "billable unit" for each > of the drugs. To determine what multiplier to use you need to divide the > dispensed unit by the billable unit. This is the value you enter in the > 'Quantity Adjustment for Forms" field. You can define which claim group > will use the multiplier. > > Example: > > Drug: IVIG Dispensed to the patient in 24GM Vials > > Charge Type: IVIG 12GM - 24 X 500 MG > > B/AR Procedure Dictionary: [Your Procedure Code] - Alt Code "J1566" - > Claim Group Medicare set up with a multiplier of 24 as the billable unit is > 500MG. > > When claims linked to claim group Medicare process the multiplier field is > referenced. The dispensed unit from PHA sent as the quantity is multiplied > by 24 with the result printing on the claim form. The $$$ amount billed is > not changed. Reimbursement is based on a 'Per Billable Unit Rate'. > > Meditech KB article #18478 provides the details for setting up a claim to > use the multiplier the field. > > Hope this helps............... > > -Jim > > _____ > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] > On Behalf Of Billy Smith > Sent: Monday, June 19, 2006 6:41 AM > To: 'Jerry Hudgens'; [email protected] > Subject: RE: [MEDITECH-L] J Codes > > > > I would like help also. Thanks, Billy > > > > Billy Smith, R.Ph. > > Directory of Pharmacy > > Ashe Memorial Hospital > > 200 Hospital Ave > > Jefferson, NC 28640 > > (336) 846-0748 > > Fax (336) 846-0767 > > > > IMPORTANT NOTICE! > > > > The information contained in this e-mail message is CONFIDENTIAL UNDER > FEDERAL LAW, and intended only for the use of the individual or entity named > above. > > > > If the reader or recipient of this message is not the intended recipient, > you are hereby notified that any dissemination, distribution or copying of > this confidential information is prohibited by federal law. If you have > received this communication in error, immediately notify the person listed > above and return this message and all information that accompanies it to > Ashe Memorial Hospital, Inc. > > > > > > _____ > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] > On Behalf Of Jerry Hudgens > Sent: Friday, June 16, 2006 10:38 AM > To: [email protected] > Subject: [MEDITECH-L] J Codes > > > > I know this topic pops up from time to time, but has anyone discovered that > magical bridge between the Pharmacy Module and Bar? > > I keep trying to convince myself that Meditech is intelligent enough to > convert dispensing units into J code billing units without totally > reinventing the wheel. > > > > Jerry Hudgens R.Ph. > > Director of Pharmacy > > Palo Pinto General Hospital > > Mineral Wells, Tx > > [EMAIL PROTECTED] > > > > > *********************************************************************** > Important Confidentiality Notice: This message and any attachments are > confidential and may be protected by legal privilege. 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