Presentation on theme: "Billing and Charges for CRRT"— Presentation transcript:
1 Billing and Charges for CRRT Andree V. GardnerPediatric Nephrology, Dialysis and TransplantationDeVos Children’s HospitalGrand Rapids, MIPCRRT ~ June 26, 2004
2 Capturing both is the key! Types of ChargesPhysician (Current Procedural Terminology)IntensivistNephrologistFacility (Charge Description Master)Nursing TimeSupport Staff TimeSuppliesCapturing both is the key!
3 Physician ~ Intensivist CPT’s More than 25 to choose fromCommon CPT’s are:, , , , , ,*A detailed list will be available atCurrent Procedural Terminology = CPT
4 Physician ~ Nephrologist CPT’s 90945 Single Evaluation of hemofiltration or other continuous renal replacement therapies90947 Multiple Evaluation of hemofiltration or other continuous renal replacement therapies.
5 Physician Billing Tool Billing CardsAble to customize for each divisionSize of a shirt or coat pocketWith the CPT Codes and abbreviated descriptionPatient Name, Date of Visit and Diagnosis BoxesExample will be at***DOCUMENTATION***
7 Nursing Average time for machine set-up and initiation of therapy Straight time or overtimeDaily Bed FeesShift differentialsAdditional bonuses
8 Support Staff Time Clerical & Stock-keeper What do these people contribute to the facility charge? Small tasks that add up to dollars that drive the cost per treatment!Input chargesProcess physician and pharmacy ordersOrder & Maintain stock
9 Supplies Filters Lines Gloves Masks Needles Syringes Saline Heparin Or sets with both itemsGlovesMasksNeedlesSyringesSalineHeparinGauzeWhat else do you use?Office SuppliesFormsAccount for all the items that cost you $$$$$$$$$$$$$
10 Facility Billing (Charge Description Master) Create CDM’s to reflect your facilities' billing protocolsIn those CDM’s capture what you are really using in your treatmentsBe sure the billing office is using the proper revenue codes
11 Facility Billing Line Item Billing Example Bundled Billing Example CRRT Set-UpCRRT Filter09876 CRRT LinesBundled Billing Example49546 Initiation of CRRT
12 Facility BillingEither method works as long as you are diligent in determining your costs on an annual basisAnd what ever you do……………….