Charge reconciliation is typically the responsibility of the clinical departments that perform the services. EHR configurations and the logistical challenges of centralizing charge reconciliation under revenue integrity at multifacility organizations further support clinical departments owning the function.
Q: If an anesthesiologist performs a presurgical or postsurgical block for pain control and it is performed in a holding area rather than in the operating room (OR), can we bill a separate facility (technical) fee for that? Or would this be bundled with OR services?
CMS recently released new hospital price transparency sample formats. The formats, which come in wide, tall, and plain, may be used by hospitals to meet the requirement to make standard charges publicly available in a machine-readable file.
