Billing for Research Patient Care Cost

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Billing for Research Patient Care Cost

• Technical and Professional Services
• Presented by Gianna Luper
• 08/19/2005

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Overview

• Request for discounted service
• Patient Load form beginning study
• Billing
• Payment
• Patient load form closing study

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Research Patient Care Cost

• Routine and ancillary services, not considered
  standard care or billable to an insurance
  provider.

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(No Transcript)
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Request for Discounted Research Services Form

• Provide study and billing information
• Identify department providing services
• separate form needed when using multiple dept.
• Identify charges (hosp code and CPT code)
• Billing Dept. will assist in providing discounts
• Obtain signatures from department performing
  services and Hospital CFO
• Send final copy to Patient Finance RT 1076
  Faculty Group Practice RT 1022

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Research Discounts

• Technical Services
• Current Federal Research Patient Rate Agreement.
  
• Professional Services
• 30 discount.

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Prior to a study appointment, a PATIENT LOAD FORM
must be filled out and faxed to the Precert
Office at X77725 or X77713.
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Study Case

• Precert Office creates a study case on the same
  day fax is received.
• All study cases are set up as a 6 month recurring
  case.
• Precert Office should be the only department to
  create study cases.
• The case should be used for study related
  services ONLY.

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Registration helpful hints

• Notify OSA of Study Visit
• Pre-print study labels

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Charge Document

• Study label must be placed on charge document
• Services rendered should be identified on the
  charge document consistently with any other
  non-study patient
• Charges are entered through Charge Automation or
  sent to Patient Charge

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Billing Departments

• Office of Patient Finance
• Technical Charges
• Contact
• Cindy Pritchard X71055
• Gianna Luper X71063

• Faculty Group Practice
• Professional Charges
• Contact
• Tamie Chatterton X70884
• Lori Perry X70891

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Research Discounts

• Charges are discounted by the billing departments
• Technical services Current Federal Research
  Rate agreement. (4/12/05)
• Professional Services 30 discount
• Billing is submitted to the Study Coordinator or
  designated personnel for review

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Billing for Technical Services
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(No Transcript)
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Billing for Physician Services
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Review Billing

• Study coordinator or designated personnel reviews
  charges
• Promptly notify billing office of any non-study
  related services
• Email payment request to billing departments

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PeopleSoft Journal Voucher (JV) Transfer

• Know your departments PeopleSoft account
  information.
• Provide all CHARTFIELD STRING
• information on form.
• Verify your project balance will cover expenses.

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Email request for payment to Patient Finance
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Email request for payment to Faculty Group
Practice
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Study Completed

• Fill out the completion portion of the original
  Study Load Form
• Fax to Precert
• Precert will close study case

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When patient has completed or withdrawn from
study, fill out bottom portion of original
PATIENT LOAD FORM and faxed to the Precert Office
at X77725 or X77713 to close study case.
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Questions??