User Guide — Charge Capture for Hospital Medications

For medication administration events for single dose vials, athenaOne adds one of these modifiers when automated medication billing applies:

• JZ — The system recognizes no wastage in the amount of medication in the vial compared to the amount administered to the patient.
• JW — The system recognizes wastage in the amount of medication in the vial compared to the amount administered to the patient.

Note: This automation applies only to single dose vials in hospital contexts for customers who bill on administration. It does not apply when customers bill on dispense. The Disable Automated Medication Billing practice setting must be off for athenaOne to add these modifiers automatically. If you have questions about this setting, contact the Client Support Center.

CMS requires a JW or JZ modifier on claims for applicable single dose vial drug billing.

Manual charge capture only.

If the nurse can select/scan the product being administered in the MAR and if the charge code is configured for the product, the athenaOne system attempts to submit the charge automatically.

For IV medication with the Dilution option selected, the Pharmacy Medication Preparation task is required in order for athenaOne to submit the charge automatically.

For the following IV medication types, the medication preparation task is not required and nurses can select/scan the actual product being administered. If the charge code is configured, the athenaOne system attempts to submit the charge automatically:

• IV medication order administered via Push option (injectables, syringes, reconstituted).
• IV medication order administered using the No Dilution option (mainly premix).
• IV Fluid order (NS, lactated ringers, etc.)

IV medication charge capture requires the completion of the Pharmacy Medication Preparation task.

If the hospital does not complete the Pharmacy Medication Preparation task, all IV medication charges must be submitted manually.

Compounded medication charge capture requires the completion of the Pharmacy Medication Preparation task.

If the hospital does not complete the Pharmacy Medication Preparation task, all IV medication charges must be submitted manually.