Question

Develop a CDM

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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