持续性肾脏替代治疗CRRT英文精品课件Billing and Charges for .pptVIP

Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s 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 CPT’s More than 25 to choose from Common CPT’s are: 99221-99223, 99231-99233, 99238-99239, 99251-99255, 99356-99357, 99261-99263, 99291-99297 *A detailed list will be available at Physician ~ Nephrologist CPT’s 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 Support Staff Time 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 CDM’s to reflect your facilities billing protocols In those CDM’s 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