持续性肾脏替代治疗crrt英文精品课件billing and charges for

Billing and Charges for CRRT,Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Childrens Hospital Grand Rapids, MI PCRRT June 26, 2004,Types of Charges,Physician (Current Procedural Terminology) Intensivist Nephrologist Facility (Charge Description Master) Nursing Time Support Staff Time Supplies Capturing both is the key!,Physician Intensivist CPTs,More than 25 to choose from Common CPTs are: 99221-99223, 99231-99233, 99238-99239, 99251-99255, 99356-99357, 99261-99263, 99291-99297 *A detailed list will be available at ,Physician Nephrologist CPTs,90945 Single Evaluation of hemofiltration or other continuous renal replacement therapies 90947 Multiple Evaluation of hemofiltration or other continuous renal replacement therapies.,Physician Billing Tool,Billing Cards Able to customize for each division Size of a shirt or coat pocket With the CPT Codes and abbreviated description Patient Name, Date of Visit and Diagnosis Boxes Example will be at *DOCUMENTATION*,Facility Billing Factors,Nursing Time Support Staff Time Supplies Needed Equipment Maintenance & Depreciation,Nursing,Average time for machine set-up and initiation of therapy Straight time or overtime Daily Bed Fees Shift differentials Additional bonuses,Clerical & Stock-keeper What do these people contribute to the facility charge? Small tasks that add up to dollars that drive the cost per treatment! Input charges Process physician and pharmacy orders Order & Maintain stock,Supplies,Filters Lines Or sets with both items Gloves Masks Needles Syringes,Saline Heparin Gauze What else do you use? Office Supplies Forms Account for all the items that cost you $,Facility Billing (Charge Description Master),Create CDMs to reflect your facilities billing protocols In those CDMs capture what you are really using in your treatments Be sure the billing office is using the proper revenue codes,Facility Billing,Line Item Billing Example 12345 CRRT Set-Up 56789 CRRT Filter 09876 CRRT Lines,Bundled Billing Example 49546 Initiation of CRRT,Facility Billing,Either method works as long as you are diligent