New Billing Process

Sent on behalf of Lynne McClure, Business Services Coordinator, Emory Medical Lab

Effective September 1, 2013, there is a new billing process in place for clinical research at Emory Hospitals and Emory Clinics.  For the laboratory, this means we will no longer use Client 1400 for Emory Clinic outpatients or require an EML Grant Request form for orders.  Emory Healthcare patients (hospital and clinic) will have their laboratory work performed and billed under their existing hospital (HealthQuest) or clinic (IDX) medical record number and encounter. This should eliminate any additional PathNet registration and these orders should come to us like any other lab orders from the respective locations on routine requisitions, not grant requisitions (see attached).  This process does require a diagnosis code.  In-patients are already handled in this fashion, but effective Sept 1, outpatients will be the same.  This will be much more efficient and less error prone for both the clinical research coordinators and the laboratory.  All of the billing will be done on the back-end via Power Trials using “Visit Tracking” performed by the clinical research coordinators and reviewed by the Clinical Trial Billing Department (CTBD).

Please note:  This will not change the current use of Client code 6400 for grant patients that fall under the following categories:

  1. Emory patients whose results are to be EXCLUDED from PowerChart.
  2. Non-Emory Healthcare patients
  3. Animal specimens
  4. Specimens that are stored and arrive in bulk, results to be EXCLUDED from    PowerChart.

These specimens will still require an EML Grant Requisition form, which is available on the OCR website at http://www.ocr.emory.edu/forms/index.html.

If you have any questions, please contact Lynne McClure at (404) 712-7373 or lynne.mcclure@emoryhealthcare.org.

 

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