[MCOH-EH] Please Post

Shea, Joann jshea at tgh.org
Wed Mar 29 09:30:54 PDT 2017

We have a “special” code we use for basic xrays so the employee is not charged.  We pay the Radiology group $9 per xray from the EHS operating budget.      Labs and cultures for our acute care and Occupational health are done in EHS at no charge to the employee.  Lab accounts for our volume in their productivity report via a unique EHS field.   No billing is involved.     Employees must register in admissions and file with insurance  for MRI, Mammograms, CT, ultrasounds, and other diagnostic ordered by nurse practitioner.  If its related to a work injury, we use a code so that it is accounted for internally only and not sent to the WC TPA for payment.

We are trying to set up a “no bill” interface with our TPA so our A1Cs and other preventive screens can be accounted for in the TPA database so they can give accurate claims data to us on employees in compliance with preventive screenings.

[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health & Wellness
Work: 813-844-7692    Cell:  813-789-3441    FAX;  813-844-8144    Email:  jshea at tgh.org

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Janet Riese
Sent: Tuesday, March 28, 2017 4:03 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Please Post

I am curious how billing occurs for these.  Would you be willing to share with me?   Thanks in advance.

Thank you.  Have a great day!!


 Employee Health/Infection Prevention Manager


715 North St. Joseph Avenue

Hastings, NE 68901

O: 402/461-5341

F: 402/460-5734


Prevention starts with you!  Wash your hands!

From: "Terri Thrasher" <Terri.Thrasher at cchmc.org<mailto:Terri.Thrasher at cchmc.org>>
To: "MCOH/EH" <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Sent: Tuesday, March 28, 2017 10:41:23 AM
Subject: Re: [MCOH-EH] Please Post

We send out for our xrays (they are not done internally)
We send outside for labs
BBP labs done internal are coded without emp name
EH has their own medical records..we do not use the hospital system
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Palfrey, John
Sent: Tuesday, March 28, 2017 10:04 AM
To: 'mcoh-eh at mylist.net' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Please Post

Interested in knowing how other organizations handle Employee Health access to electronic medical records relating to treatment of employees for work-related injuries.  For example, employee is injured at work and Employee Health orders x-ray. Can Employee Health view radiologist’s report in employee’s EMR?  How about when an employee has a blood-body fluid exposure and has initial labs ordered by the ER.  Can Employee Health access those lab results in the EMR to determine appropriate follow-up?  Do other organizations require Employee Health to access records of medical testing for work-related injuries only through the Medical Records Department?

Thank you

John C. Palfrey, PA-C
Director, Occupational Health Services
jpalfrey at capecodhealth.org<mailto:jpalfrey at capecodhealth.org>

[Cape Cod Healthcare]
        Expert physicians. Quality hospitals. Superior care.

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