Hello~
We have encountered a problem when checking MN.  Medical Necessity in MAGIC is 
checked based on the patient's insurance.  So, whether Medicare is primary or 
secondary, MN is checked by the system.  In C/S, Medical Necessity is checked 
based on Financial Class, not by individual insurance.  If Medicare is 
secondary, MN is not being checked.  Because we are a mixed platform, and our 
patients are admitted through MAGIC ADM, sometimes our Radiology patients 
(using C/S ITS) have procedures that are not being checked for MN.  

Has anyone else run into this problem and what did you do to address it?  
Meditech suggested two things, neither of which we will use: either flip the 
insurances when the patient is registered (making Medicare primary and their 
other insurance secondary) and then flip them back after the procedure is 
ordered or change the financial class for the primary insurance (which would 
cause a whole host of statistical problems).  Right now, we are going to try to 
manually "catch" these patients that have Medicare as secondary insurance, 
hoping that between the depts and Admissions, we get all of them.  

Any ideas/help would greatly be appreciated!  tia, deb

Deb Baltikauski
Clinical Analyst
 
Mendota Community Hospital
1315 Memorial Drive
Mendota, IL 61342
815-539-1641
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