Cath Lab Level Charging vs. Hard Coded Charges
I am looking for ideas for moving from a hardcoded charging methodology to a level charge as it relates to Cath Lab procedure charge capture. We would like to align our Cath Lab charge capture workflow process as we do for the OR and MDU areas. With those areas we have dedicated Charge Capture Specialists that review to ensure the correct procedure is selected by the OR/MDU staff as what was actually performed (since they were in the OR room at the time performed). Our Revenue Integrity team verifies the procedure based on the documentation and reviews the supplies and implant charges to ensure all is captured. If issues arise, the OR/MDU staff is followed up with to correct issues. For Cath Lab we have 2 people in Revenue Integrity who are manually reviewing and coding each procedure, along with review of the supplies and implants. We are coding both Hospital charges and Provider charges for the Cath Lab procedures. The charges are hardcoded. What I would like to see is our Charge Capture verify the procedure performed based on a level charge, verify supplies & implants, and post the charges. It would then go to HIM to code the actual procedure performed.
Has this type of Cath Lab Level Charging Methodology worked well for any other organization?