Our hospital wants us to test for type and screens and crossmatches on a preadmission billing number. During an inpatient's stay, though, any blood products or crossmatching that is needed has to be billed on their inpatient finance number. Since testing and products have to be on the same finance billing number for our computer system, this has caused a big issue of billing charges being manually moved all the time. 

Does anyone have an answer for this? 

 

 

 

Our preadmission visit is merged with the inpatient visit by billing or admitting (not sure which) when the patient is admitted. All the charges for the preadmission work are then automatically billed to the inpatient visit so we have no billing issues. Our problem is with preadmission testing for outpatient infusion. With those patients we have to make sure that we manually bill the blood product on the OIC visit, not the lab preadmission visit.

Edited August 15, 201311 yr by AMcCord

Our preadmission testing become the inpatient account also

If you have Sunquest:  We do the type and screen and antibody workup on the pre admit billing number.  On the day of surgery, crossmatches are done.  Before they are entered , you can go into GENLAB under the accn number for the TYSC and change the billing number to the new inpatient number.  All subsequent charges will go on that number now.