Pick one of the following service areas and create a CDM.
· Outpatient GI (Endoscopic Lab)
· Cardiac catheterization lab
· Pain management clinic
· Chemotherapy services (pick one type of cancer like breast, prostate, or colon)
Research the types of services and supplies included in the service area. After determining which services and supplies to include, create line items with all the required elements for hospital billing. Make sure you think about all the line items that are required for the service area (anesthesia, supplies, recovery room, drugs, etc.) and are captured by the CDM. For this assignment, no services will be soft-coded, all procedures are hard-coded and included in the CDM. Your final product will be the CDM in an Excel spreadsheet.
Table 10.1 | Sample CDM | ||||||
Department Code | Charge Code* | Charge Description | Revenue Code | HCPCS Code** | Charge*** | Charge Status Indicator | |
700 | 7008989 | Dermagraft (Synth skin graft) | 0252 | Q4106 | $1,525.00 | Active | |
700 | 7005202 | XR shoulder, complete | 0320 | 73030 | $350.00 | Active | |
700 | 7005203 | Regular OR-1st hour | 0360 | $4,687.00 | Active | ||
700 | 7005205 | Regular OR-1/2 hour | 0360 | $1,682.00 | Active | ||
715 | 7157059 | Open heart-1st hour | 0360 | $5,589.00 | Active | ||
715 | 7157060 | Open heart-1/2 hour | 0360 | $2,782.00 | Active | ||
465 | 7605161 | P.T. Eval | 0424 | 97001 | $295.00 | Active | |
800 | 8004557 | ED visit level 3 | 0450 | 99283 | $586.00 | Active | |
822 | 8224210 | Albumin 5% saline | 0250 | P9045 | $265.00 | Active | |
367 | 3675839 | Speech screening | 0440 | V5362 | $298.00 | Active | |
367 | 3675840 | Language screening | 0440 | V5363 | $298.00 | Active | |
367 | 3675841 | Dysphagia screening | 0440 | V5364 | $298.00 | Active | |
200 | 2578961 | Venipuncture | 0300 | G0001 | $18.00 | Inactive | |
200 | 2578989 | Venipuncture | 0300 | 36415 | $18.00 | Active | |
110 | 1478951 | MRI upper extremity without dye | 0610 | 73218 | $817.00 | Active | |
110 | 1478952 | MRI upper extremity with dye | 0610 | 73219 | $857.00 | Active | |
110 | 1478953 | MRI upper extremity without and with dye | 0610 | 73220 | $897.00 | Active | |
*Also called item number, charge number, item code, service code, and service number. | |||||||
**When blank, Healthcare Common Procedure Coding System (HCPCS) code is determined via coding in health information management (HIM) department for certain revenue codes. | |||||||
***Charge is fictitious and should not be used for rate setting. |
Your chart should be similar to this one above.
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