Hi Kim,
 
I submitted a request for this in 2001 (2002?) on behalf of a large 500+ bed 
C/S California Hospital. 
They wanted to do the same thing - we wrote up the spec and MEDITECH worked on 
it for a year. Our hospital then lost interest in having it done - but they 
initially had the same concerns (due to retro adjudication of claims and 
reimbursement corrections).
 
You may give me a call if you want the enhancement # - or ask MediTech to look 
at the DEVELOPMENT enhancements for C/S Southern California. (Ed should be 
aware of it).  Hopefully, you won't have to start at square one!!
Roberta
 
Dr. Roberta Forrest DeLuca
[EMAIL PROTECTED]
559284519
5594354497

-----Original Message-----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Mon, 15 Jan 2007 9:30 AM
Subject: Fwd: [MEDITECH-L] Proration Issue for C/S Sites


 
Attached Message
From:[EMAIL PROTECTED]
To:[email protected]
Subject:[MEDITECH-L] Proration Issue for C/S Sites
Date:Wed, 10 Jan 2007 11:41 AM

C/S Reimbursement Management Users:

I am submitting an enhancement request for a batch reorder/reprorate
routine that would allow you to reorder/reprorate a selection file, and
I wanted to get a feel as to whether or not other sites have felt the
need for this routine.  We recently have had several cases where payors
have completed bulk reprocessing of claims resulting in a change in the
contractual adjustment.  On our last couple of remittances our Medicare
Intermediary reprocessed all claims from 1-1-2006 forward because of a
reimbursement issue, and instead of just reprocessing the impacted
claims, the intermediary reprocessed all claims.  To make matters worse,
Medicaid went back and reprocessed claims from 6-1-2006 forward.  We
ended up running a selection and scripting the reorder/reprorate of the
last remittance because of the volume and repetition.  Have other sites
experienced this type of issue?

Thanks,
Kim Tilley
IS Specialist
Citizens Memorial Healthcare
Phone: 417.328.6718
Fax: 417.777.7157
[EMAIL PROTECTED]



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