1 / 3

Advanced MEPRS and Financial Reconciliation

Advanced MEPRS and Financial Reconciliation. RECONCILIATION OF INPATIENT WORKLOAD. Burma Barfield. 2 March 2010. UNCLASSIFIED. IMPORTANCE OF STANDARDIZED MEPRS REPORTING – INPATIENT DATA.

austin-rosales
Download Presentation

Advanced MEPRS and Financial Reconciliation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Advanced MEPRS and Financial Reconciliation RECONCILIATION OF INPATIENT WORKLOAD Burma Barfield 2 March 2010 UNCLASSIFIED

  2. IMPORTANCE OF STANDARDIZED MEPRS REPORTING –INPATIENT DATA • THE WWR HAS 4,849 OBDs, AND THE CHCS MEPRS MONTHLY ACTIVITY REPORT SHOWS 4,847 OBDs AFTER ICU OBDS ARE SUBTRACTED. THIS IS A DIFFERENCE OF 2 OBDs. • THE DIFFERENCE OF 2 OBDS IS DUE TO 2 OB/GYN PATIENTS (ACBA) PLACED ON AN ICU UNIT, BUT NOT REPORTED IN SPECIAL, DESIGNATED ICU MEPRS CODES USED FOR BILLING. • THE 2 OBDs IN ACBA ON AN ICU HAVE TO RECONCILED AND WERE NOT REPORTED AS OBDs IN EASIV SINCE THE PATIENT WAS PLACED ON AN ICU. THESE 2 OBDs IN ACBA WILL BE REPORTED AS HOURS OF SERVICE IN DJ** MEPRS CODE IN EASIV. • WWR = 4849 OBDs LESS 814 ICU OBDS = 4,033 EASIV OBDS

  3. IMPORTANCE OF STANDARDIZED MEPRS REPORTING –INPATIENT DATA • The workload on the WWR, the CHCS Monthly Activity Report, and WAM for inpatient care should be reconciled on a monthly basis for accurate processing in EASIV. • With the exception of DDEAMC, sites are not authorized to report inpatient admissions, OBDs, or dispositions for external workload performed in a civilian institution or VA. • Only IBWA ward rounds which are reported as workload in an ‘A’ MEPRS code on an outpatient SADR are authorized for external workload agreements. • All inpatient admission, OBDs, dispositions, and IBWA ward rounds should have credentialed provider man-hours reported in DMHRSi in the same 4th level MEPRS code. Workload and man-hours should be reconciled before DMHRSi is closed and interfaced into EASIV.

More Related