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Hi,
I'm posting this for a co-worker.
I am looking for any Illinois Hospital that has set-up their Medicaid Inpatient Adjustments using Reimbursement Management. I have Reimbursement magic code that I have written but I do not know of any coding that will look at the HCPCs code of charges in Reimbursement Management. Following is the coding I have created. Where the NN exists in the coding is were I would like the system to look at the charges and see if there is a charge with the HCPC code I have specified. I opened a task with Meditech many months ago. They have looked at the task but I haven’t received a resolution. If there is anyone out there willing to share what they have done or has any suggestions, I would greatly appreciate any feedback. Coding: 2 T1-/CHG["995PC"]-/CHG["996PC"]-/CHG["997PC"]-/CHG["998PC"]- /CHG["999PC"]-/CHG["3 51CTSP"]^INS1 3 IF{TOT>20000 TOT^/FLG["MDIPOVER20"]} 4 DAYS*535.35^T2 5 INS1-/CHG["981ERDR"]^T3 6 IF{NN="99282" 24.20;0^T4} 7 IF{NN="99283" 32.20;0^T5} 8 IF{NN="99284" 44.00;0^T6} 9 IF{NN="99285" 69.25;0^T7} 10 /CHG["981ERDR"]-(T4+T5+T6+T7)^ADJ2 11 IF{NN="99284"!"99285" 181.00^T8} 12 IF{NN="99283"!"99282" 67.00^T9} 13 T3-(T2+T8+T9)^ADJ1 Line Item Description: 1 PATIENT CONVENIENCE CHARGES TO SP 2 PATIENT CONVENIENCE CHARGES TO SP 3 FLAG CONCURRENT REVIEW IF TOT OVER 20000 4 $535.35 PER DAY OF STAY 5 REMOVE ER DR CHARGES FROM INS1 6 HCPC 99282 $24.20 7 HCPC 99283 $32.20 8 HCPC 99284 $44.00 9 HCPC 99285 $69.25 10 ERDR CHARGES - (HCPC TOTALS) TO ADJ2 11 HCPC 99284 OR 99285 $181.00 12 HCPC 99283 OR 99282 $67.00 13 (TOTAL CHGS - ERDR)-($535.35/DAY+HCPCS)TO ADJ 1
Any help would be appreciated. Thanks. Janet Duback
MIS Clinical Coordinator Community Hospital of Ottawa Ottawa, IL 61350 815-431-5504 Confidentiality Notice This e-mail may contain confidential information. The information is intended only for the use of the intended recipient named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information, except its direct delivery to the intended recipient named above, is strictly prohibited. If you have received this e-mail in error, please notify the sender of this and delete the e-mail from your system.
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