Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation...
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Transcript of Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation...
![Page 1: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/1.jpg)
Billing and Charges for CRRT
Andree V. GardnerPediatric Nephrology, Dialysis and Transplantation
DeVos Children’s HospitalGrand Rapids, MI
PCRRT ~ June 26, 2004
![Page 2: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/2.jpg)
Types of Charges • Physician (Current Procedural Terminology)
– Intensivist– Nephrologist
• Facility (Charge Description Master)
– Nursing Time– Support Staff Time– Supplies
Capturing both is the key!
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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
![Page 4: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/4.jpg)
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.
![Page 5: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/5.jpg)
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***
![Page 6: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/6.jpg)
Facility Billing Factors
• Nursing Time• Support Staff Time• Supplies Needed• Equipment Maintenance &
Depreciation
![Page 7: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/7.jpg)
Nursing
• Average time for machine set-up and initiation of therapy
• Straight time or overtime• Daily Bed Fees• Shift differentials• Additional bonuses
![Page 8: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/8.jpg)
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
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Supplies
• 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 $$$$$$$$$$$$$
![Page 10: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/10.jpg)
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
![Page 11: Billing and Charges for CRRT Andree V. Gardner Pediatric Nephrology, Dialysis and Transplantation DeVos Children’s Hospital Grand Rapids, MI PCRRT ~ June.](https://reader036.fdocuments.us/reader036/viewer/2022082816/56649cdc5503460f949a7c48/html5/thumbnails/11.jpg)
Facility Billing
• Line Item Billing Example
• 12345 CRRT Set-Up
• 56789 CRRT Filter
• 09876 CRRT Lines
• Bundled Billing Example
• 49546 Initiation of CRRT
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Facility Billing
• Either method works as long as you are diligent in determining your costs on an annual basis
And what ever you do……………….
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DO NOT Throw away YOUR revenue!
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Thank you!