Rounding for Surgery Level Time Charges
Our system has a new vendor that is helping with charge capture. We were discussing surgery level charges and a comment was made about rounding that surprised me a bit. We don't have to follow rounding rules to select the additional 15M after the 1st hour. The vendor acknowledged that Medicare does have rounding rules but because the rounding rules are not listed in or specifically tied to any surgery documentation, then the rounding rules don't apply to surgery. If the total surgery time was 61 minutes, then we would have 1 first hour charge and 1 add'l 15M charge. The vendor assured us that this was a common practice throughout all hospitals.
Is this true? No one follows rounding rules anymore?