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Hi All,
When ED patients become Inpatients we depart the ED visit and register
a new account for the Inpatient. We do this to meet the requirements of some of
the payors for the state of Rhode
Island. We must provide separate bills for the
ED visit for these specific payors. We are currently reviewing/researching the
needed changes to use the "roll" feature of ADM to roll the ED
patient to the
Inpatient. We realize there are great benefits to patient care if all of the
information were in one record. We have several questions that apply to both
ADM
and B/AR.Now to my questions:
1) If we roll the ED patient to an Inpatient, I believe we can still capture
statistics on each patient type. Is this correct?
2) We will still need to produce a separate bill for some of the rolled
patients
based on payor requirements. We realize that will mean creating a new ED
account
after the ED patient has been rolled to In. Is there a way to move the charges
from the now rolled account to the ED only account based on a specific date and
time? I believe there is a way to do it by date but the date and time of
decision to Admit is when the Admission becomes effective. Thus, any charges
entered prior to that need to stay with the ED visit. Do know of a way to
accomplish this?
3)We do professional billing (1500). We're required to have the servicing
location print on the 1500. If the ED patient rolls to an Inpatient and the EKG
was done in the ED, how can we print the ED as the servicing location on the
1500?
4)Our Medical Record Coders put the ED charges on the ED accounts. When we roll
the ED to an IN, they will put the charge on the single account. However, if we
need to create the ED only account for the specific payors, will our Coders
have
to place the charge directly on the ED account or can it be moved? - This is
similar to question #2 above.
Liz Blitz
Systems Analyst
Roger Williams Medical
Center
Phone 401.456.6501
[EMAIL PROTECTED]
www.rwmc.org
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