Pay per view: Implement the new ESA transmittals in your hospital
APCs Weekly Monitor, August 22, 2008
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In her presentation during HCPro?s April 10 audio conference, Angela Simmons, CPA, director of clinical revenue and reimbursement at the University of Texas, MD Anderson Cancer Center in Houston, described technical steps for implementation of the new ESA transmittals based on changes she had made at MD Anderson.
Her goals were to:
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Ensure a smooth transition. ?The No. 1 thing that I wanted to try to accomplish was to minimize the disruption to the patient flow for the clinicians,? she said. ?I wanted to make it as seamless as possible.?
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Submit an accurate bill to Medicare.
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Automate the process to avoid manual data entry. Simmons said she ?wanted to find every way that we could to automate every process that we wanted to put in place to avoid having to manually touch a claim,? a step made essential by the increased workload on the billing process.
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Prevent financial exposure by obtaining waivers for managed care commercial payers and ABNs for the Medicare population. Simmons said her facility recognized ?a need to prevent . . . or mitigate the financial exposure that has been created by these two coverage decisions, both the local one [and] the NCD.?
Click here to read more about implementing new ESA transmittals. Briefings on APCs subscribers have free access to this article in the August issue via their online subscriptions.
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