Hi Thurman, Thanks, that is certainly helpful.
But the issues also relate to a categorisation of direct paying patients which includes free (only some select tests are free) subsidy, semi-subsidy, normal private and luxury provate. The hospital where we once worked for had six categories, each with differing charges for the same test. I suppose one could treat each category as a different employer using the same logic as in industrial billing. Please comment. --- Thurman Pedigo <[EMAIL PROTECTED]> wrote: > This is a little different philosophy that has > worked well for me over the > past 30 years. > > Billing for commercial insurance, Medicare, and > Medicaid, have no need for > "multiple rate" billing. Adjustments/write-offs, > bring the payments into > compliance with the charge and provides a powerful > tool to assess > performance in the accounts receivables. > > Industrial billing, where one contracts to with an > employer to do specific > services at a set price uses modification of the > last 2 characters in the > CPT code AND includes the company name in the > description. > > Thanks, > > thurman > > > > -----Original Message----- > > From: [EMAIL PROTECTED] > [mailto:hardhats- > > [EMAIL PROTECTED] On Behalf Of > Nancy Anthracite > > Sent: Friday, February 04, 2005 1:11 PM > > To: hardhats-members@lists.sourceforge.net > > Subject: Re: [Hardhats-members] differential > charging for diagnostic tests > > > > I believe the majority of the billing is not done > within VistA. The > > recent > > billing patches, to my knowledge, only gather > together information for a > > third party billing service to use to process a > claim, and it may not even > > include charges at all, as I believe that is > probably handled by the > > processing entity or information provided to that > entity separately. Even > > if > > there are charges withing VistA, I doubt there are > any rates that would > > differ from patient to patient. > > > > On Friday 04 February 2005 07:22 am, Nick James > wrote: > > > can multople rates be maintained by VistA? > > > > > > If the charges applicable for a test are to be > based > > > on the patient type, and multiple rates apply > for the > > > same test depending on the patient type. > > > > > > If so how is it defined and which file is it > stored in? > > > > > > > > > > > > __________________________________ > > > Do you Yahoo!? > > > All your favorites on one personal page - Try My > Yahoo! > > > http://my.yahoo.com > > > > > > > > > > ------------------------------------------------------- > > > This SF.Net email is sponsored by: IntelliVIEW > -- Interactive Reporting > > > Tool for open source databases. Create > drag-&-drop reports. Save time > > > by over 75%! Publish reports on the web. Export > to DOC, XLS, RTF, etc. > > > Download a FREE copy at > http://www.intelliview.com/go/osdn_nl > > > _______________________________________________ > > > Hardhats-members mailing list > > > Hardhats-members@lists.sourceforge.net > > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > -- > > Nancy Anthracite > > > > > > > ------------------------------------------------------- > > This SF.Net email is sponsored by: IntelliVIEW -- > Interactive Reporting > > Tool for open source databases. Create drag-&-drop > reports. Save time > > by over 75%! Publish reports on the web. Export to > DOC, XLS, RTF, etc. > > Download a FREE copy at > http://www.intelliview.com/go/osdn_nl > > _______________________________________________ > > Hardhats-members mailing list > > Hardhats-members@lists.sourceforge.net > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > ------------------------------------------------------- > This SF.Net email is sponsored by: IntelliVIEW -- > Interactive Reporting > Tool for open source databases. Create drag-&-drop > reports. Save time > by over 75%! Publish reports on the web. Export to > DOC, XLS, RTF, etc. > Download a FREE copy at > http://www.intelliview.com/go/osdn_nl > _______________________________________________ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members > __________________________________ Do you Yahoo!? Yahoo! Mail - You care about security. So do we. http://promotions.yahoo.com/new_mail ------------------------------------------------------- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag-&-drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
