Posted by Peggy on February 19, 1998 at 16:53:12:
In Reply to: Re: ER Problem posted by Marilyn Lawrence on February 19, 1998 at 16:46:21:
: : :
: : : : : Now that we have a goal, what process needs to be implemented to acheive that goal, and what tools are needed?
: : : : We need to determine what percent of charges are being lost.
: : : : TO do this you would need to pull a precent of ER charts
: : : : and review the chart for what was charged and what was not charged.
: : : : After this data is collected you can determine the percent of lost charges and set a more specific target.
: : : : I would then investigate the common charges for all patients and explore options to
: : : : bundle charge all patients a flat rate and then use a charge sheet or sticker charge option to capture the extra items
: : : : you could also look at it according to DRG's and come up with bundle charges according to specific DRG codes
: : : I like the bundle code idea. This is much better for the overall workload of the nurse.
: : I like it too. Sounds like this process will yield good results.
: We find it works pretty well. Where you can lose is Medicare and DRG's will only cover so much and thats where coding becomes so critical to capture as many charges as possible.
I agree you can also bundle charges for some of the managed care plans. Thats why it is important to do an assessment of the most commonly used supplies and procedures according to
diagnosis