Hi all, I am from the business office side. Some bundling must be done in ABS to obtain the correct payment. For example an OPS surgery done the day before an admission must be bundled into the Admission. If the DRG is not updated to include the surgery, the DRG payment may be much lower, and the OPS surgery was essentially "free" to the patient.
We bundle charges without any ABS intervention if the payment will not be effected. For those accounts with procedures that generate APC or DRG payment, we notify ABS and they move the codes to the account being billed out. Amber Holcombe Patient Accounts Analyst Olympic Medical Center -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] Behalf Of Patti Markunas Sent: Wednesday, December 27, 2006 5:38 AM To: MEDITECH-L; [EMAIL PROTECTED] Subject: Re: [MEDITECH-L] ABS-combining accounts.case mix and procedure dates Please post responses to the list -- I am evaluating our current practice and feel this should be handled totally in the Billing Office (I am the Coding Manager). By doing this in the Abstract (Coding), we end up with incorrect DRGs, incorrect Dates on procedures and we submit incorrect data to the State, as well as internal data has the procedure coded twice....... Do you "bundle" all Ins types, or only Medicare ?? Do you "bundle" "like diagnosis" only ??? I am definately interested in "Best Practices" for 72 Hour Bundling, your comments and input is greatly appreciated. Thank you in advance, Patti Markunas, RHIT, CCS Manager, Coding Washington County Hospital Hagerstown, Maryland ----- Original Message ----- From: "MEDITECH-L" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, December 19, 2006 8:07 AM Subject: [MEDITECH-L] ABS-combining accounts.case mix and procedure dates > ---------------------------- Original Message ---------------------------- > Subject: ABS-combining accounts.case mix and procedure dates > From: "Sarah L Foust" > Date: Mon, December 18, 2006 11:38 am > To: [email protected] > -------------------------------------------------------------------------- > > How are you all handling accounts that need combined under Medicare 3 day > rule? Do you put all the codes including procedure codes on one abstract > in order to get the correct DRG? if so, how do you get procedure dates > into the abstract that may be before the admit date or after the discharge > date? Do you change either of those dates? > > Thanks > > =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.COM. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
