Billing & Connectivity Meeting Recap
The North Carolina Point of Care Network
held its second meeting at Western Wake Medical Center in Cary, North
Carolina on October 17, 2003. The
featured topic was “Billing and Connectivity”, with Chris Fetters
speaking to us about POC Billing and several speakers discussing
Connectivity ideas. Point of Care coordinators Nancy Smith, Pam Smith, Suzanne
Miller and Patti Hawkins hosted the October meeting.
Attendance for this meeting was approximately 75 people, so it
was a full house!
Nancy Smith held a short business meeting prior to our speaker presentations. She discussed future leadership for the NC group, as well as topics such as election of officers, collection of dues and future meeting ideas. A survey was distributed to all members in order to get feedback.
Guest Speaker was Chris Fetters
Nextivity is a point-of-care consulting firm specializing in CIC vendor compliance, POC billing integration, data management planning and regulatory and efficiency assessments. Chris provided a most informative and timely presentation to a charged group of POCC’s, finance reps, compliance officers and vendors on August 14th at the Riverside Conference Center in Newport News, VA. Chris defined the most common billing terms and explained the most typical payor mixes. The requirements to bill lab tests are: CLIA number, MD order, medical necessity, information must be used to manage the patient and the result must be relayed to the physician promptly.
right, explained that POCT can be billed since these tests are covered
laboratory services subject to the fee
schedule. Billing should follow Section
450 (1450) and use revenue code 30x. The
lab testing must be reflected on the cost report.
Reasons for denial may be: absence
of signs or symptoms, routine physical, failure to provide medical
necessity, no MD order, no CLIA number, or testing performed on a device
that is not FDA approved.
Chris was able to show the impact on POC billing as attendees listed volumes for their facilities. To view a Powerpoint presentation of this topic, visit the Nextivity website at www.nextivity.net.
from Several Companies
Karkantas, Marketing Director
from Abbott presented Precision NET Web Services. Precision NET Web
provides hospitals with a robust and easy to use POC testing and
management tools. This
system incorporates the freedom to monitor, review and share POC testing
information anywhere, anytime throughout the health system.
Howard, Regional Business Manager, from Medical Automation Systems
presented the evolution of the RALS product line and demonstrated the
RALS-Plus "vendor independent" data management system. This
presentation demonstrated a product that is designed to meet the
Laboratory's needs for a POCT data manager that will interface to the
LIS and can be used for multiple POCT devices.
Seaton, TELCOR Regional Account Manager
presented QML (Quick-Multi-Linc), TELCOR's open POCT data management and
interfacing solution. The dawning of a new Information System generation
specifically designed for POCT has arrived. No longer are the data and
interface management solutions offered by device manufacturers and often
given to customers, capable of satisfying the POCT information
requirements in today's industry.
the day, Deb Norkett, Point of Care Coordinator for Northeast Medical
Center, raffled off numerous items donated by our many wonderful