Trying to understand the differences in revenue capture in a variety of procedures or if the USGIV, Midline, and PICC are pulled out of the DRG charges. I did a search on the site and the information was limited. The confusion lies where a faciliity may have a variety of personnel placing piccs or midlines which include nurses at bedside, nurses in procdure rooms, ANPs at bedside, ANPs in procedure room for outpatient issues. Does it matter who places them or where? I understand if IR is placing tunneled piccs during a procedure, that is a separate issue. My question is can the Vascular Access team be revenue generating or is their bread and butter reducing overall costs, shortening LOS, placing cost effective/more appropriate devices...not revenue. Some of the feedback I've seen might be anecdoctal. Can anyone provide links? Thanks!!!
The only groups that can receive direct payment for services are MD, NP, PA. An RN regardless of certification, specialty or experience can not bill directly. What you do for any inpatient is always under the capitated fee, DRG, etc. If the NP, PA, or MD is an employee their professional fees may be billed by the employing hospital and not the individual. Your team is a reveue generator for all outpatient services but not for inpatient as those are billed differently. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Thanks Lynn!!