Cost Center Verification

Hi Shannon,

In less robust EHR systems I have seen CDM items tied directly to a cost center.  These usually results in multiple items being built in order to direct the revenue to the appropriate cost center (think of similar nursing services that are performed in multiple cost centers).  The more robust EHR systems that I have worked in usually use a combination of various parameters or algorithms to capture charges in the correct cost center.  Sometimes it is by revenue code, other times it is by service location.  There is some background mapping that has to occur and of course it requires fine turning.

I'm not sure if I answered your question, but I hope this was helpful in part.

Zac

I think it did.  I have not worked in Epic before, so I wasn't sure if there was something specific to that EMR or not.  Thanks!

You're welcome.  We are on EPIC as a hosted site through the Community Connect platform.  It took a little while to make sure revenue was routing to the right cost centers, but there are a number of ways to get it the way you want it.  It's largely handled in the background by our host so I don't have any more specifics than offered.  Good luck!

Zac

Building on Zachary's answer. We went through consolidation of our CDM as a result of this change. The CDM is cost-center agnostic and there's a separate table (Cost Center Assignment Table or CCAT) that I think of like a coin-sorting machine, dynamically routing charges to cost centers based on performing department or login department combined with billing categories and increasingly specific rules. However, we did just walk through the process of cost center associations which essentially tells the system whether that real cost center assignment is "expected" or "not expected" to identify gaps in the CCAT. These associations are linked to specific charges but drive errors - not assignments.

Building on Zachary's answer. We went through consolidation of our CDM as a result of this change. The CDM is cost-center agnostic and there's a separate table (Cost Center Assignment Table or CCAT) that I think of like a coin-sorting machine, dynamically routing charges to cost centers based on performing department or login department combined with billing categories and increasingly specific rules. However, we did just walk through the process of cost center associations which essentially tells the system whether that real cost center assignment is "expected" or "not expected" to identify gaps in the CCAT. These associations are linked to specific charges but drive errors - not assignments.