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Retriggering Charges Procedure (HL-015-PRO)

Retriggering Charges Procedure (HL-015-PRO) - Policies, Administrative, UWMF, UWMF-wide, Health Link, Health Link Procedures

HL-015-PRO


Administrative Departmental Procedure
This department-specific procedure applies to the operations and staff of the Information Services
Department of the University of Wisconsin Hospitals and Clinics Authority as integrated effective July 1,
2015.

Policy Title: Retriggering Charges
Policy Number: HL-015-POL
Effective Date: 10/26/16
Chapter: NA
Version: Revision

I. PURPOSE
This procedure describes the process for resubmitting orders that have potential charging
implications in Health Link.


II. DEFINITIONS (optional)
NA


III. POLICY ELEMENTS
This procedure supports the following policy:

Health Link Retriggering Charges Policy (HL-015-POL)


IV. PROCEDURE

1. After a resubmission is performed, an email must be sent to the following HR titles:
• UWMF Director of Coding and Charge Capture
• UW Health, Director for Revenue Cycle
• UWHC Charge Router Charge Analyst
2. The email should include:
• Patient MRN
• DOS
• ORD ID
• Procedure name
3. Batch order resubmission requires pre-approval from the following HR titles:
• UWMF Director of Coding and Charge Capture
• UW Health, Director for Revenue CycleUWHC Charge Router Charge Analyst
4. An email must be sent at a minimum of 48 hours prior to the resubmission of batch
orders to allow Fiscal adequate time to respond with any objections or to request more
time to review. For batch orders, the email should contain a spreadsheet attachment and
include:

• Patient MRN
• DOS
• ORD ID
• Procedure names for all orders
5. Approval by the UWMF Director of Coding and Charge Capture and theUW Health,
Director for Revenue Cycleis needed for more than 50 charges resubmitted and/or
charge(s) that are greater than 90 days past date of service.


V. FORMS (optional)
NA


VI. REFERENCES (optional)
NA


VII. COORDINATION

Sr. Management Sponsor: VP – Revenue Cycle
Author: Director – Revenue Cycle
Reviewer(s): HealthLink Technical Leaders

Approval Committee: HealthLink Technical Leaders

SIGNED BY:
UW Health CIO

VIII. REVISION HISTORY

Effective Date Next Review Summary of Changes Change Authors
10/26/2016 10/26/2017 Annual review/revision.
A. Armstrong, J. McClain, A. Gasser, J.
Leonard
1/8/2015 1/8/2016 Minor content changes. A. Armstrong, J. McClain, J. Leonard
6/8/2010 6/8/2011 Original release. J. McClain, A. Gasser, A. Hollis