Understanding Accounts Receivable structure and the RBRVS are the two most important factors in medical account management. The RBRVS is easily obtained on line at: http://www.svmic.com/ Go to "Medical Practice Services" then "2004 Medicare Fees" It downloads as an Excel file.
IGNORE "Medicare Fee" as that has no relevance. The power is in the formulae. If not in US, you may also want to ignore the malpractice and local practice cost. Thanks, thurman > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:hardhats- > [EMAIL PROTECTED] On Behalf Of Nancy Anthracite > Sent: Saturday, February 05, 2005 6:41 AM > To: hardhats-members@lists.sourceforge.net > Subject: Re: [Hardhats-members] differential charging for diagnostic tests > > Do you use the same diagnosis and procedure codes in India as we do in the > United States, the ICD-9 and and CPT codes? If you do, I would think that > this would involve putting a new field in registration that would capture > a > code for the billing level that could be exported along with the other > information that is exported with the recent billing patches. Then the > data > could be handled externally with a language and procedure you are familiar > with. I suspect that there is enough difference in registration in your > country and the States that you could "hijack" one of the fields that is > already exported and use that to contain your billing code. > > On Friday 04 February 2005 11:48 pm, Nick James wrote: > > 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 > > -- > 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
