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 rules 2. Is the coding system current 3. Is registration up to date on Medical necessity 4. Is the registration system available to review eligibility

Physician Billing 1.How is the hospitals physician billing 2.Method II billing 3.CRNA billing

Billing 1.Lost charges 2.Late charges * IV’s and injections * observation

Chargemaster 1.Modifiers 2.Audits * who is responsible for reviewing charts that are being audited or reviewed?