Hey Cindy-
I think the source for your charge formulas, or at least a good start, would
be your managed care contracts (BCBS, etc.).  Several include what the
reimbursement will be (AWP + or -) and will also include carve-outs for
individual drugs.  If that doesn't work, I've found that a dart board is
about as reliable!
 
Your B/AR folks should be able to help zero out those Medicare charges on
their side by global settings to specific rev codes (259, etc.).
 
Best of luck - Kevin.
 
 
 
 
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED]
 <http://www.RPhInformatics.com> www.RPhInformatics.com
 
 
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From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Cindy Mireley
Sent: Wednesday, July 18, 2007 8:03 AM
To: [email protected]
Subject: [MEDITECH-L] 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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