CHARGEMASTER

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CHARGEMASTER

• REVENUE RULES

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RULE 1

• CAPTURE ALL BILLABLE CPT/HCPCS CODES

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RULE 1

• 80101 Urine Drug Screen
• RC Description CPT Charge
• 300 UDS 80101 150.00

Fee Schedule 19.72
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RULE 1

• Urine Drug Screen
• 80101 Barbituates 19.72
• 80101 Opiates 19.72
• 80101 Cannabinol 19.72
• 80101 Amphetamines 19.72
• 80101 Cocaine 19.72
• 80101 Benzodiazepines 19.72
• 80101 Phencyclidine 19.72
• Reimbursement Total 138.04

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RULE 1

• 140 Urine drug Screens
• 80101 x 1 2760.80
• 80101 x 7 19,325.60
• Difference 16,564.80

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RULE 2

• BILL ACCORDING TO HCPCS/CPT CODE DESCRIPTION

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RULE 2

• J0885 Epoetin Alfa/Procrit 1000 units
• Dosage 10,000 units 1 Vial
• Must bill J0885 x 10 units

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Rule 2

• J0885 X 1 9.36
• J0885 X 10 90.36

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RULE 3

• CHARGES SHOULD BE MORE THAN MEDICARE
  REIMBURSEMENT
• (ADDENDUM B)

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RULE 3

• 16020 Burn Dressing
• Reimb. 86.98
• 45384 Colonoscopy
• Reimb. 515.38

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REMEMBER OBSERVATION!

• Direct Admit to Observation
• Injections and Infusions
• Foley Catheters
• Bedside Procedures