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We have this problem also, and I believe that  it is not with the midnight
to midnight vs noon-noon part.
We do screen fills for our non-IV's. Let's say a patient is on a drug 4
times daily. The cart is filled on T for T+1. When filling the cart, 1 dose
of that drug is returned. The cart filler changes the 4 to 3 to do the
credit when doing the screen fill. Now, later on that day, the patient is
discharged. If you are using the auto-credit routine, it will only
autocredit 4 but since you billed for only 3, it will go back and autocredit
a dose from T. This is really complicated, and without testing it out, I
can't say that this is 100% accurate, but do know that whatever actually
happens, it causes the credits on a particular date not to match the debits.
Also, if you are doing manual credits, the same thing can happen if someone
picks the wrong date of service.
Charlie
Charles R. Downs Pharm.D.
Washington County Hospital
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904
[EMAIL PROTECTED]

---- Original Message ----- 
From: "Marcia S Flessner" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Tuesday, August 08, 2006 4:08 PM
Subject: [MEDITECH-L] Pharmacy-billing question


> All messages should be posted in plain text.  HTML will be converted to
> attachments.    The meditech-l web site is MTUsers.com
> ======================================
>
> For those of you with Magic B/AR and Pharmacy module, I have a question
about credits for drugs once a patient is discharged.
> We have discussed with our pharmacy department how it works when credits
are issued from pharmacy for a patient.  They say they are set up as a noon
to noon basis and B/AR is setup to charge from midnight to midnight.  Is
anyone else having trouble with credits coming from pharmacy and service
dates not matching the dates they were charged?  We have a claim check set
up to stop the claim if there is a credit on one service date and no
matching charge for that service date.  It still means we have to fix the
charges to make the claim correct.  We would like to know if anyone else has
this problem or are you set up in pharmacy on a midnight to midnight basis
and does that work for you - no crediting problems?  Any suggestions/input
would be appreciated.  Thanks.
> Marcia Flessner
> Business Office/Accounting/CBO Manager
> Mendota Community Hospital
> 815 539-7461 ext.213
>
>
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