Transcript
![Page 1: Cash Management. Areas of Concern Billing Systems – Edits – Are they current – Does the hospital track non-covered Medical necessity Contractual](https://reader036.vdocument.in/reader036/viewer/2022072015/56649ecf5503460f94bdcfe0/html5/thumbnails/1.jpg)
Cash Management
![Page 2: Cash Management. Areas of Concern Billing Systems – Edits – Are they current – Does the hospital track non-covered Medical necessity Contractual](https://reader036.vdocument.in/reader036/viewer/2022072015/56649ecf5503460f94bdcfe0/html5/thumbnails/2.jpg)
Areas of Concern
• Billing Systems– Edits– Are they current– Does the hospital track• non-covered• Medical necessity• Contractual
![Page 3: Cash Management. Areas of Concern Billing Systems – Edits – Are they current – Does the hospital track non-covered Medical necessity Contractual](https://reader036.vdocument.in/reader036/viewer/2022072015/56649ecf5503460f94bdcfe0/html5/thumbnails/3.jpg)
Coding
1. Is the coding system and coder up to date on current rules2. Is the coding system current3. Is registration up to date on Medical necessity4. Is the registration system available to review eligibility
![Page 4: Cash Management. Areas of Concern Billing Systems – Edits – Are they current – Does the hospital track non-covered Medical necessity Contractual](https://reader036.vdocument.in/reader036/viewer/2022072015/56649ecf5503460f94bdcfe0/html5/thumbnails/4.jpg)
Physician Billing
1. How is the hospitals physician billing2. Method II billing3. CRNA billing
![Page 5: Cash Management. Areas of Concern Billing Systems – Edits – Are they current – Does the hospital track non-covered Medical necessity Contractual](https://reader036.vdocument.in/reader036/viewer/2022072015/56649ecf5503460f94bdcfe0/html5/thumbnails/5.jpg)
Billing
1. Lost charges2. Late charges
* IV’s and injections* observation
![Page 6: Cash Management. Areas of Concern Billing Systems – Edits – Are they current – Does the hospital track non-covered Medical necessity Contractual](https://reader036.vdocument.in/reader036/viewer/2022072015/56649ecf5503460f94bdcfe0/html5/thumbnails/6.jpg)
Chargemaster
1. Modifiers2. Audits
* who is responsible for reviewing charts that are being audited or reviewed?