Health Information Management

Bill and charge for supplies correctly to reduce risk and minimize lost revenue

APC Payment Insider, December 1, 2009

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Some items are used every time a procedure is performed. CMS considers these items to be integral to the procedure, meaning you can’t do the procedure without them. Such items usually are not separately payable. When a supply item is used 100% of the time for a procedure, the best practice is to bundle the supply charge into the charge for the procedure, Rinkle said. Bundling the supply cost into the procedure cost helps facilities more consistently capture those costs and reduce errors.
If the supply used for a procedure can vary with the circumstances, such as the age or size of the patient, the best practice is to charge separately for that item.

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