Billing and Charges for CRRT
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Billing and Charges for CRRT







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Billing and Charges for CRRT. Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June 26, 2004 . Types of Charges . Physician (Current Procedural Terminology) Intensivist Nephrologist
Billing and Charges for CRRT

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Slide 1

Billing and Charges for CRRT

Andree V. Gardner

Pediatric Nephrology, Dialysis and Transplantation

DeVos Children’s Hospital

Grand Rapids, MI

PCRRT ~ June 26, 2004

Slide 2

Types of Charges

  • Physician (Current Procedural Terminology)

    • Intensivist

    • Nephrologist

  • Facility (Charge Description Master)

    • Nursing Time

    • Support Staff Time

    • Supplies

      Capturing both is the key!

Slide 3

Physician ~ Intensivist CPT’s

  • More than 25 to choose from

  • Common CPT’s are:

    • 99221-99223, 99231-99233, 99238-99239, 99251-99255, 99356-99357, 99261-99263, 99291-99297

      *A detailed list will be available at www.pcrrt.com

Slide 4

Physician ~ Nephrologist CPT’s

  • 90945 Single Evaluation of hemofiltration or other continuous renal replacement therapies

  • 90947 Multiple Evaluation of hemofiltration or other continuous renal replacement therapies.

Slide 5

Physician Billing Tool

  • Billing Cards

    • Able to customize for each division

    • Size of a shirt or coat pocket

    • With the CPT Codes and abbreviated description

    • Patient Name, Date of Visit and Diagnosis Boxes

      • Example will be at www.pcrrt.com

        ***DOCUMENTATION***

Slide 6

Facility Billing Factors

  • Nursing Time

  • Support Staff Time

  • Supplies Needed

  • Equipment Maintenance & Depreciation

Slide 7

Nursing

  • Average time for machine set-up and initiation of therapy

  • Straight time or overtime

  • Daily Bed Fees

  • Shift differentials

  • Additional bonuses

Slide 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 charges

      • Process physician and pharmacy orders

      • Order & Maintain stock

Slide 9

Filters

Lines

Or sets with both items

Gloves

Masks

Needles

Syringes

Saline

Heparin

Gauze

What else do you use?

Office Supplies

Forms

Account for all the items that cost you $$$$$$$$$$$$$

Supplies

Slide 10

Facility Billing (Charge Description Master)

  • Create CDM’s to reflect your facilities' billing protocols

  • In those CDM’s capture what you are really using in your treatments

  • Be sure the billing office is using the proper revenue codes

Slide 11

Line Item Billing Example

12345 CRRT Set-Up

56789 CRRT Filter

09876 CRRT Lines

Bundled Billing Example

49546 Initiation of CRRT

Facility Billing

Slide 12

Facility Billing

  • Either method works as long as you are diligent in determining your costs on an annual basis

    And what ever you do……………….

Slide 13

DO NOT Throw away YOUR revenue!

Slide 14

Thank you!


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