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?