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Question re processing charge tickets and encounter lists - MaggieMT

Posted: May 16, 2012

Could someone explain to me the job description of "Process clinic, hospital and lab charge tickets upon completion by providers prior to forwarding to department coder" and "work outstanding encounter list and notify coding/billing staff of open encounters so a new charge ticket can be generated." This job is in a large teaching hospital. What needs to be done to charge tickets before going to the coder? What is an outstanding encounter list? Thanks.

charge - tickets

[ In Reply To ..]
Are the documents generated when a patient presents for care. For example, the patient goes to the lab to get blood drawn. Maybe the code for the particular test was already printed out the night before, or was printed upon the patient's arrival. Maybe it is handwritten. But the lab tech (provider) verifies the information on the charge ticket and initials or writes what test was sent off (documents performing the service) and any other services s/he provided. The patient then goes to check out. The person who checks him/her out verifies the information on the charge ticket, maybe collects any outstanding copay, makes sure the computer is set up with correct information to bill either the patient or insurance company, and where to send statements to the patient. Then the the charge ticket is routed out for the coder. It may be that the coder actually enters the final codes and fees into the computer.

It goes like that. The provider has to document what service was done. Someone has to handle the charge ticket in some way and then the coder handles it after that.

Outstanding list encounter. Patient no shows, cancelled tests, aborted tests, etc., that have to be accounted for in lieu of revenue producing charge tickets. You start your day expecting x number of patients, add on y number of patients during the day, and you have to end up with z number of charge tickets. You must account for all scheduled services.

Take that job - Coder

[ In Reply To ..]
Open encounters would be those that were still . . . open . . . for some reason. Perhaps the patient was seen, but something is missing on the form. The provider might not have completed all the information or there might be no form at all. You might need to generate a new one to get it completed.

Processing encounters might include verifying that there was an encounter form for every scheduled service, that it is complete, and that the provider's documentation is in the record and signed so that the coder has everything they need. The encounter would remain outstanding until it has been completed and coded. You also might be assigning the work to the coders.

This process varies from facility to facility. Regardless of what it is, it is a good job. If you are studying coding or are a recent graduate, you should make every effort to get hired for this. This type of job is great stepping-stone into coding. You will learn a lot about the process of coding and billing that is not taught in schools. Once you are ready to apply for an actual coding job, this might be seen as partial experience. This facility might let you do some of the easier coding and eventually promote you into coding. Other facilities would recognize that you did have some background and skills.

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