Q: Our facility is evaluating the pros and cons of charge on dispense vs. charge on administration for medications. Are there any best practices or guidelines for medication charging and documentation?
Managing charges for physician fee schedules is a whole different reimbursement landscape, and revenue integrity professionals who know their way around hospital-based reimbursement will need to forge a new path.
Revenue integrity professionals often run across tough questions. On the NAHRI Forums, revenue integrity professionals can get advice from peers and experts and learn about solutions others have discovered. Here are the questions that have sparked the most conversation.
Sophisticated tools allow revenue integrity staff to sift through data, track trends, and pinpoint missing or inaccurate charges. But a revenue integrity department that simply focuses on identifying and addressing charge capture failures on the back end will find themselves repeating work. Instead, apply lessons learned from data analytics and back-end processes to help clinical staff capture the correct charges from the start.
Managing charge capture in a multi-hospital system that spans a variety of service lines and charges can prove to be a daunting task both in terms of ensuring claims are accurate and ensuring team members are well versed in each service line and charge type. While some health systems may train staff across all areas of charge capture, Saint Luke’s Health System in Kansas City, Missouri, opted to assign each team member a role in which they could become experts.