OR/Surgery Case Leveling

Case Leveling in OR /Surgery is the grouping of cases into levels to reflect acuity of procedure or procedures performed with staff involvement and resources required. Basically a small hospital with minor surgical procedures will usually be Case Levels 1 to 3 while a large hospital with a full spectrum of surgical procedures will have Case Levels 1 to 6.

Our OR/Surgical Case Leveling Project Goal:

Classify every surgical procedure into 1 to 6 Case Levels and establish a time based charge for each Case Level. Next, implement Case Leveling program with full OR staff acceptance.

Our OR/Surgical Case Leveling project will accomplish the following objectives:

• Decide if Case Leveling program will be utilized in OR and GI or just in OR.
• Decide if Case Leveling will be a mirror image for Anesthesia time charging.
• Decide if Case Leveling will be a mirror image for PACU/Recovery Room time charging.
• Obtain full listing of all procedures performed in OR for past two years with usage by Inpatient and Outpatient
• List top 100 procedures by usage
• Assignment of all surgical procedures to a case level
• Group all procedures by Case Level
• Obtain approval of OR Department of all Case Level assignments
• Design form of each Case Level group for charging assistance
• Establish time based charges for each Case Level in OR, Anesthesia and PACU. If Case Leveling is not utilized in Anesthesia and PACU then review current charge method and make recommendations as needed.
• Design the educational materials with testing material as needed and obtain hospital approval of materials
• Provide educational sessions for OR staff of program and insure all required staff attends sessions, pass written and oral test
• Test OR staff on selection of Case Level and Time Based charging
• Implement program, MedCompliance staff member will be on site to assist and guide
• Review 100% of first 100 patients if Case Level was accurately selected and charge is correct
• Schedule follow-up webinars or classroom sessions as needed
• Provide re-occurring educational sessions for staff that are new employees or missed initial session or failed the written and oral test

All instructors are employees of MedCompliance Services, Inc. under the direct supervision of Jessy Huebner, MAT, CHFP

Number of years offering OR/Surgery Case Leveling programs and related education:

• Fifteen years

Education/Training Experience:

• Mr. Huebner holds a Master's Degree in Teaching and has personally performed hundreds of OR/Surgery Case Leveling Programs. Continually staying in the trenches helping and teaching Healthcare staff members how to maintain compliance in documentation, charging and coding correctly. Fifty percent of his time is spent teaching reimbursement education with over 5,000 hours logged at the podium.

MedCompliance Services hours of operation are: Monday - Friday 8AM to 8PM EST to answer any related question the client may have.

• MedCompliance Services provides a written report at the end of each engagement.
• We track performance by auditing a sample of patient charts on a monthly basis to insure data integrity and compliance as related to OR/Surgery Case Leveling.
• We have a high customer satisfaction by responding to each and every question and/or request in a timely manner not to exceed 24 hours.

The result from implementing the OR/Surgery Case Level Program benefits staff work analysis reports and reimbursement enhancement opportunities.

It is strongly recommended establishing proper oversight and control and to maintain a high level of employee understanding of this program.

If you have questions, please contact:

MedCompliance Services, Inc.
Jessy Huebner, MAT, CHFP, CEO
800 West Avenue #1001
Miami Beach, Florida 33139