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Cash Management
Areas of Concern
• Billing Systems– Edits– Are they current– Does the hospital track• non-covered• Medical necessity• Contractual
Coding
1. Is the coding system and coder up to date on current rules2. Is the coding system current3. Is registration up to date on Medical necessity4. Is the registration system available to review eligibility
Physician Billing
1. How is the hospitals physician billing2. Method II billing3. CRNA billing
Billing
1. Lost charges2. Late charges
* IV’s and injections* observation
Chargemaster
1. Modifiers2. Audits
* who is responsible for reviewing charts that are being audited or reviewed?
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