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Title: Blood billing
Kelly, we have the same problem; the charges for the units fall out in our billing error batch because the dates of service don't correspond to the registration dates. This is our heads-up to manually move the charges for the blood and the transfusion to the account under which the patient was actually transfused. The type, screen, and crossmatch charges are left on the original account. This has worked for us so far (we are in New York).
 

Janet Myers
LIS Supervisor
Adirondack Medical Center
Saranac Lake NY, 12983
518-897-2242
[EMAIL PROTECTED]
 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kelly Hilton
Sent: Thursday, February 23, 2006 5:29 PM
To: [email protected]
Subject: [MEDITECH-L] Blood billing[Scanned]

Hi All,

When we have a blood transfusion order for a patient we do the type and cross, order the blood and charge for the blood product on that date of service.  According to our lab department they must place the charge for the blood on this account due to regulatory record keeping rules.  The patient returns on a later date for the actual transfusion.  Therefore the charge for the blood and for the transfusion service are on 2 different dates of service, 2 separate accounts, 2 separate insurance claims.  This creates a problem when the patient is Medicare as Medicare requires the charge for the blood to be on the claim with the charge for the transfusion.  Has anyone else had this problem and how have you resolved it?

I appreciate your help.

Kelly Hilton

Information Services

Silverton Hospital

503-873-1766

503-873-1621 (fax)

 

We always have choices and sometimes it's only a choice of attitude.

--Judith M. Knowlton





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