There is a medical necessity checking routine in Meditech that can be added to a custom menu: MIS.CPT.REQ.icd.ck.view. The user has to input facility, insurance, patient type, CPT Code and ICD9 Code to receive a status (this routine gets its data from the medical necessity dictionaries in Meditech). This is on all our ADM menus.
Our registration staff also uses the medical necessity web sites for checking whenever possible. A final check would be done in the clinical area through the OE medical necessity checking. Since you're doing the OE at the scheduling time, you've already passed the point of checking, right? Maybe the routine above will help. Julia Julia F. Carter, CPAR Systems Analyst Revenue Management Colquitt Regional Medical Center 3131 South Main Street PO Box 40 Moultrie, GA 31776-0040 (229) 891-9133 Voice http://www.colquittregional.com Note: The information contained in this electronic message and any attachments may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any reading, dissemination, distribution, copying, or other use of this communication or any of its attachments is strictly prohibited. If you have received this communication in error, please notify the sender immediately by replying to this message and deleting this message, any attachments, and all copies. -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Julie Carlson Sent: Thursday, January 04, 2007 11:02 AM To: Ken Harnish; [email protected] Subject: RE: [MEDITECH-L] Meditech (Magic) Medical Necessity - Insurancechanges Would you mind posting any replies? Please and thanks, Julie Carlson Meditech Systems Analyst Cascade Valley Hospital and Clinics 330 S Stillaguamish Arlington, WA 98223 (360)435-2133 ext 5017 -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Ken Harnish Sent: Wednesday, January 03, 2007 10:04 AM To: [email protected] Subject: [MEDITECH-L] Meditech (Magic) Medical Necessity - Insurance changes How are other facilities handling this scenario: A Pre-Registration is done and the patients insurance is pulled from Demo Recall, and since we have CWS, we also do order entry. Well, when the patient presents, we find out the insurance should have been updated to Medicare, so the Pre-Registration is updated and brought to Full-Registration. Now, the order that was entered in CWS didn't require Medical Necessity at the time, but may now, since the insurance was updated. How are you addressing these cases? Did you contact Meditech? If so, what response did you receive? Any work arounds? Any thoughts? TIA, Ken Harnish Applications Analysts Washington County Health System Hagerstown, MD [EMAIL PROTECTED] 301-790-8893 ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= 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 DISCLAIMER - Email is not considered secure. Confidentiality risks are assumed by choosing to communicate with Cascade Valley Hospital and Clinics by email. The information contained in this e-mail is confidential, privileged, or otherwise protected from disclosure. It is intended only for the use of the authorized individual as indicated in the e-mail. Any unauthorized disclosure, copying, distribution or taking of any action based on the contents of this material is strictly prohibited. Please do not rely on e-mail to communicate health concerns or confidential information. If you have received this e-mail in error, please notify the sender and delete it immediately. =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= 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 =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= 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
