Specialty items

Looking for some advice. Currently, items ordered through Material Management are entered into Lawson, our Item Master. We have supply categories and tiers set up based on the price of like items. However, sometimes either Radiology or Surgery will have specialty items that are brought in directly from the Vendor. Perhaps, these items are brought in for an emergent procedure so there isn’t time to establish the item in the Item Master. These items are currently not accounted for in Lawson. 

Items that may be ordered once but never ordered again. We don’t want to clutter the CDM up with a supply tier for an item that is only used once. I can feasibly see where we could set up a generic charge code and provide the department with price override, but is that best practice?  

Comments

  • At our facility we have a generic charge code for 272, 275, and 278 items for just this purpose.  The clinical department has a mark-up process based on cost that they utilize when documenting a non-PAR/non-catalog/specialty item.  They then use the generic charge code, add in a description, add in the price and submit.  It then hits a work queue for Revenue integrity to review so that a HCPCS code can be added, if needed.

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