[MT-L] Medical Necessity--Coding Reflex Testing

[Arthur, Jerri]

CS 5.64 PP11
What are other sites doing for coding reflex testing, since the medical
necessity doesn't come up when a test is reflexed?
Thanks.
Scott Hubbard
Clinical/Tech Analyst
Stillwater Medical Center I.T.
1323 W. 6th Ave.
Stillwater, OK 74074
shub...@stillwater-medical.org
(405)742-5957

Thank you,

Jerri Arthur, MS
IT Applications Analyst
Stillwater Medical Center
1323 W 6th, Box 2408
Stillwater, OK 74076
405.742.5269 voice

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[Dyer, Duffy]

Our Business Office uses a claim scrubber and returns a form to the
ordering physician's office for additional diagnoses. Account is placed
on hold. The physician's office is instructed to return the form to
Medical Records where the account is re-abstracted. MR then sends the
form back to the Business Office to complete the cycle. Initially we
received some kick back. However, when we pointed out how much work
reflex testing saved and the benefits to the patient by not missing
things, the offices were a bit happier about this process. If anyone has
ideas to streamline this process, please post.

Duffy Dyer

St. Luke's Hospital

Duluth, MN

From: Arthur, Jerri [mailto:JAr...@Stillwater-Medical.org]
Sent: Monday, February 08, 2010 3:39 PM
To: medit...@MTUsers.com; _SISU - Clinical Systems Users Group
Subject: Medical Necessity--Coding Reflex Testing

CS 5.64 PP11
What are other sites doing for coding reflex testing, since the medical
necessity doesn't come up when a test is reflexed?

Thanks.
Scott Hubbard
Clinical/Tech Analyst
Stillwater Medical Center I.T.
1323 W. 6th Ave.
Stillwater, OK 74074

shub...@stillwater-medical.org <mailto:shub...@stillwater-medical.org>

(405)742-5957

Thank you,

Jerri Arthur, MS
IT Applications Analyst
Stillwater Medical Center
1323 W 6th, Box 2408
Stillwater, OK 74076
405.742.5269 voice

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