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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

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