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I just wanted to
alert the group, especially the pharmacy people, of a problem that I just
uncovered while auditing some outpatient claims for accuracy. If an order is
entered on a recurring patient say on 8/31/06 with a start date of 9/1/06, the
charge will have the correct service date. However, if you are dropping claims
on 9/1/06 for August (which is what we do for our recurring IV infusion and
oncology patients), the September charge shows up on the August claim. This
happens because the September charge is in an August batch sent over at midnight
on the 1st. This then causes problems for the billing people because they have
to do a manual manipulation to get the September charge off of the August
claim.
I don't believe that there
is any solution to this other than to wait until the 1st of the next month to
enter any charges for those outpatients with recurring accounts. Does anyone
know of another solution?
Also, I never thought
about it, but there is a significant amount of money just sitting there because
we only cut these claims once a month. Is this just because our hospital has
chosen to do it this way, or can claims for recurring accounts be submitted more
frequently (e.g.: weekly or monthly)?
Thanks,
Charlie
Charles Downs Pharm.D. Washington County Hospital Inpatient Pharmacy 251 E. Antietam Street Hagerstown, MD, 21740 301-790-8904 ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. |
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