Revenue Tips of the Month

How do you properly report multiple venipunctures for the same encounter? If reporting more than one unit of CPT code 36415 for the same encounter, should a modifier be used? If so, which modifier? March's Revenue Tip provides more information

October's Revenue Tip highlights discharge dispositions and transfer DRGs and how they can cost hospitals money. Included is a case study from St. Joseph Regional Health Center (SJRHC) in Bryan, Texas, discussing their success at ensuring the accuracy of discharge dispositions in their facility. Click to read more!

Read September's Revenue Tip that discusses the forward-thinking initiatives regarding PFS claim edits as offered by the University Health Care System's Revenue Management Department. Click to learn more!

Read August's Revenue Tip to discover a great example of how clinical departments can do all the right things and yet reimbursement is reduced because of a broken business process. Click here for more information!

With a written physician order for admission, if a patient is discharged or dies prior to a room assignment/occupation an appropriate room and board charge may be entered on the claim. Read July's Revenue Tip for more information!

June's Revenue Tip discusses identifying and capturing missed charges on registered accounts with no charges having been applied to the account. Read here to learn more!

An IRM client recently identified over $510,000 in additional net revenue related to Epogen injections that were provided, but did not meet medical necessity per Medicare Part A. Read May's Revenue Tip for the full story!

High cost supplies may be missed without vigorous audit reconciliation controls. Read April's Revenue Tip for more information!

Your facility's Dermabond (G0168) costs can be recovered by appropriately packaging the APC. Read March's Revenue Tip to learn more!