As hospitals integrate physician groups and specialties into their networks they are faced with the challenge implementing more complaint outpatient charging practices. Prior to their acquisition by the hospital network, physician and specialty groups did not need to concern themselves with facility and professional services charging because they employed  fee-based billing. When required to integrate facility and professional charging into their daily workflow, there is the tendency to simply “cross-walk” professional charges to the facility charges, creating a non-compliant situation.

LYNX C/Point^® accurately captures the more detailed facets of facility care based on an algorithm that calculates the evaluation and management (E/M) visit levels for patients in hospital-owned outpatient clinics. Its presenting problem-based methodology complies with OPPS guidelines and produces a visit level distribution that accurately reflects patient acuity mix and resource use. Services are easily recorded by hospital staff on C/Point’s user-friendly screens to calculate E/M visit levels. The result: a standardized, consistent and reproducible charging methodology that complies with the 11 OPPS Guidelines outlined by CMS.