Charge Description Master Please note that this is a (2) part assignment. Part 1
ID: 3702828 • Letter: C
Question
Charge Description Master
Please note that this is a (2) part assignment.
Part 1
You are the CDM Coordinator at Anywhere Hospital. Answer the following questions about the IPPS new technology add-on payment items/devices for the new fiscal year.
1. When would these items/devices be incorporated into the CDM?
2. How would these items/devices be incorporated into the CDM?
3. Which departments/units within Anywhere Hospital would you provide educational sessions?
4. How would you explain the importance of the new technology add-on payment to various department/unit managers?
Part 2
Review the following excerpt from the charge description master file at Anywhere Hospital. Closely examine the line items and identify and correct the elements that need to be updated or revised.
ITEM CODE
SERVICE DESCRIPTION
REVENUE CODE
CPT CODE
PRICE
12345
BILIRUBIN TOTAL & DIRECT
310
82251
$25.00
12347
CHROMOSOME STUDY - AMNIOTIC FLUID
300
$0.00
12350
SKIN TEST CAND
300
86458
$20.00
12351
TRANSCATHETER PLACEMENT.IVSTENT VESSLE
320
95960
$1,125.00
12348
CT CHEST W/WO ABD&PELVIS W/CONTRAST
352
$1.00
12346
CATHETERIZATION URETHRA COMPLICATED
360
53675
$270.00
12349
OPERATING ROOM-III 1ST 30 MINUTES
360
$2,267.00
12352
HOT/COLD THERAPY PT
430
$75.00
12353
LEVEL 2 DRUG
250
$3,000.00
Note: The descriptions are correct in the CDM. Your focus will be to review the revenue codes and the CPT codes when revising the chargemaster.
ITEM CODE
SERVICE DESCRIPTION
REVENUE CODE
CPT CODE
PRICE
12345
BILIRUBIN TOTAL & DIRECT
310
82251
$25.00
12347
CHROMOSOME STUDY - AMNIOTIC FLUID
300
$0.00
12350
SKIN TEST CAND
300
86458
$20.00
12351
TRANSCATHETER PLACEMENT.IVSTENT VESSLE
320
95960
$1,125.00
12348
CT CHEST W/WO ABD&PELVIS W/CONTRAST
352
$1.00
12346
CATHETERIZATION URETHRA COMPLICATED
360
53675
$270.00
12349
OPERATING ROOM-III 1ST 30 MINUTES
360
$2,267.00
12352
HOT/COLD THERAPY PT
430
$75.00
12353
LEVEL 2 DRUG
250
$3,000.00
Explanation / Answer
PART-1
ANSWER FOR 1:
Here the new devices will be incorporated into the CDM in 2 phases.
The device is intents to enable timely payment of services under the new system and secondly, it will also improve spending in Medicare.
The IPPPS will allow for payment of a fixed and prospectively determined amount for every inpatient hospitalization based on the severity of the Medicare diagnosis-related groups.
The fixed and prospective payments improve the overall hospital spending.
Answer for 2
. The IPPS is implemented basing on the assigned weights and the average resources required in treating Medicare patients.
Answer for 3.:
Implementation of the new IPPS system at Anywhere Hospital will robust and will require educational sessions at the financial accounts department and the reception .
where admission of new patients takes place. This is because, to improve service delivery as primarily intended by the New Year system, the staff at the hospital serving at the admissions department need to fully trained to enable efficient and effective use of the system.
Answer for 4.
Thee new technology add-on payment will have a positive impact on all departments at the hospital.
The system speeds up payments processes in all departments and help unit managers in effectively managing processes.