My understanding is that you still want to generate a charge for
Medicare patients  - for the self administerable drugs.  Once you
identify all of those drugs and use the revenue code to designate them,
then you can set up your claims to move that revenue code over to
non-covered charges on Medicare patients.  Medicare will then show this
as patient responsibility.  You should be able to automate all of this.
Hope this helps.....
 

Marcia Flessner
Patient Financial Services Manager
Mendota Community Hospital
815 539-1621


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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Cindy Mireley
Sent: Wednesday, July 18, 2007 8:03 AM
To: [email protected]
Subject: FW: Pharmacy Charges


Greetings,
 
We are reviewing the way medications are being charged, and the current
charge formula in the pharmacy module  and several questions came up. 
 
Is anyone aware of a  resource/ reference on what the  the standard
charge formula should be?   How is everyone determining the "mark up" if
there is not a reference or resource?   
 
How is everyone handling the self-administered drugs and not generating
a charge on Medicare patients?  The possible solutions to this, involve
a large amount of human intervention and resources and we were hoping to
automate this as much as possible.
 
Thank you
 

Cindy 
Cindy M. Mireley, RN BSN
Clinical Systems Analyst
Sturgis Hospital
269-659-4483
[EMAIL PROTECTED]
 


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