Health Information Management

Tip: Determine what your room rate includes

APCs Insider, April 6, 2012

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Before deciding which ancillary bedside services can be billed separately to inpatients, facilities must understand and define what their room rates include. Generally, the room rate includes:

  • Housekeeping and maintenance services
  • Electricity
  • Water
  • Trash and biohazard disposal
  • Administrative services

Consider avoiding the term "overhead" because this is a generic word that is open to interpretation.
Facilities must also define their standard nursing services. Consider whether any nurse can provide a particular service within his or her scope of practice.

Other nursing services, such as specialized wound care, fall outside this definition. Specialized wound care is not a service that every nurse may perform, and it is not a service provided to all patients.
Also, determine whether you charge for a service separately to all patients regardless of whether they are inpatients or outpatients. Remember that you must apply charges uniformly to every patient.

The tip is adapted from “Correctly bill ancillary bedside procedures in addition to the room rate” in the March issue of Briefings on APCs.



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