MEPRS
and
EASIV
“all you didn’t want to know and then some”
LTC Robert L. Nace
Lab Manager
1LT Chih Huang
OIC, Anatomic Pathology
Eisenhower Army Medical Center
Fort Gordon, Georgia
Agenda
•
•
•
•
•
•
•
MEPRS
EASIV
MEPRS Source Data
MEPRS Account Structure (FCCs)
MEPRS Expense Allocation
MEPRS Data Quality
CHCS & WAM
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Objectives
• Gain a basic understanding of the MEPRS
workload reporting system, structure and
processes and how these relate to the lab's
bottom line for both productivity and costs
• Gain an understanding of the Expense
Assignment System IV (EASIV)
• Review the various reports available in EASIV and
other workload reporting applications/systems
• Review CHCS workload data quality processes
and reports
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Medical Expense & Performance
Reporting System
• MEPRS is the standardized cost accounting system for the Military
Health System (MHS), containing Tri-Service financial, personnel,
and workload data from reporting medical and dental treatment
facilities worldwide.
• Evolved from two historical systems
– Uniform Chart of Accounts (UCA)
– Uniform Staffing Methodologies (USM)
• The UCA focused on tracking expenses and the USM was
concerned with manpower resources
• In January 1985, the two systems were combined and MEPRS was
born
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
MEPRS Applications
Typical Uses include
•
•
•
•
•
•
•
•
Health Affairs / Services Performance
Contract “HA Instrument Panel”
Accrual Fund and TRICARE for Life (TFL)
rates, reconciliation and evaluation
Six Sigma MTF performance metrics
(S2M3)
Patient-level SIDR and SADR costs on
M2
Optimization and Continuous Process
Improvement implementation and
evaluation
Service Business Case Analyses and
MTF “make vs. buy” assessments
PB&E budgeting and execution
analyses
•
•
•
•
•
•
•
Prospective Payment System (PPS)
metrics and reconciliation
UBO billing rates (ASAs, APVs, TentCare, MAC, Inter-Agency, Anesthesia,
etc)
MILCON / Capital Project justification
MTF care Valuation and Efficiency
metrics
Next-Generation TRICARE contracts
benefit development and evaluation
DoD/VA and internal/external
partnership program reporting and
evaluation
HPA&E evaluation and analyses
initiatives
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Expense Assignment System IV
(EAS IV)
• The EAS IV Repository provides the ability to
query MEPRS data via Business Objects (a
web-based query tool) in order to access data
in detailed and aggregated form and to
formulate the data into a variety of reports
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
MEPRS Source Data
•
– Army: STANFINS (Standard Army
Financial System)
– Navy: STARS/FL (Standard Accounting
and Reporting System – Field Level)
– Air Force: CRIS PBAS (Commander’s
Resource Integration System Program
Budget Accounting System)
GFEBS
MEPRS Data:
DoD-Standardized,
Aggregated by FCC
Service specific Financial Data
•
DMHRSi
•
Service Specific Personnel data
– Army: UCAPERS (Uniform Chart of
Accounts Personnel Utilization System
“Crazy Eight”)
– Navy: SPMS (Standard Personnel
Management System)
– Air Force: AF Personnel Subsystem of
EAS
Workload
– CHCS / WAM
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
MEPRS Data Flow
**MDR
*EAS IV
Workload
(an extract
from EAS IV)
Repository
(CHCS)
**M2
(an extract
from MDR)
(Full MEPRS dataset)
Financial
(STANFINS, STARS/FL, CRIS)
Personnel
**MEWACS
(DMHRSi --UCAPERS,
SPMS, EAS)
(an extract from EAS IV; includes
a small extract from M2)
* Updated nightly
** Updated monthly
NOTE: The MDR & M2 updates refer to MEPRS data only
Important Note!!
CHCS
WAM
EASIV
M2
• Although source data is the same for the
various systems the data you retrieve MAY
NOT be the same!
• If the data doesn’t look right INVESTIGATE!
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Financial Data
Financial Data
• Kinds of Dollars (SEECs)
•Pay Data
• Military
• Civilian
•Contracts
•Supplies
•Equipment
•Base Operations
•Depreciation
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Financial Data
• DoD-standardized financial data
DoD
SEEC - Standard
Expense Element
Code
PEC - Program
Element Code
Air Force
Army
EEIC - Element of
Expense
EOR - Element of
Investment Code Resource
PEC - Program
Element Code
AMSCO - Army
Management
Structure Code
Navy
EE - Expense
Element
SAG - Subactivity
Group
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Personnel Data
Personnel Data
• Full Time Equivalent (FTE)
– Amount of labor available to the MTF work center if a person works 1 month
– 168 Man-Hours = 1 FTE
(Avg. 21 Days/Month x 8 Hours)
– 2080 Man-Hours/yr = 1 FTE??
• Assigned FTEs
– Time reported by Personnel assigned to specific positions/work centers on
MTF manning documents
• Available FTEs
– Time reported by any personnel in a given clinic for a given month. Includes
those who are Assigned, attached, borrowed, contracted, volunteers
• Non-Available FTEs
– Time reported by Assigned personnel in their Assigned work center that is
unrelated to the healthcare mission such as sick leave, disaster preparedness
training, etc.
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Personnel Data
Total FTEs (Assigned / Available)
Civilian
Personnel CE –– Enlisted
Red Cross
Category WL - -Local
National
O – Officer
T – Other
V – Volunteer
X - Contractor
Skill Type
1 – Clinician
2 - Direct Care Professional
3 - Registered Nurse
4 - Direct Care Para Professional
5 -Admin / Clerical
Skill Type
Suffix
P – Physicians
D – Dentist
N – Intern
F – Fellow
R – Resident
V - Veterinarians
Personnel Data
Physician
Dentist
Medical Resident
Medical Fellow
Medical Intern
Dental Intern
Dental Fellow
Dental Resident
Veterinarian
Registered Nurse
Physician Assistant
Nurse Practitioner
Other
Nurse Midwife
Nurse Anesthetist
Community Health
Occupat. Health Nurse
Clinical Laboratory Officers
Medical Technologists
CIV Cytotechs
Other DC Professionals
LPN or LVN
Nursing Assistant
MLT (CIV and MIL)
MIL Cytotechs
Health Techs
Other
Logistics
Clerical
Administrator
Lab IT?
Other
Workload Data
Workload Data
• The main source of MEPRS workload data is
CHCS
• The Workload Assignment Module (WAM)
of CHCS automates the interface with EAS
and allows beneficiary category and Current
Procedural Terminology (CPT) data
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Account Structure
Account Structure
• Functional Cost Codes (FCCs)
– 4-letter MTF-specific codes representing work centers or
reporting facilities; used to track costs, workload and
FTEs
–First 3 letters are DoD-standard
–The first letter identifies the type of service
provided:
A - Inpatient Care
B - Ambulatory Care
C - Dental Care
D - Ancillary Services
E - Support Services
F - Special Programs
G - Medical Readiness
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Account Structure
Functional Cost Codes (FCCs)
• The second letter identifies Summary Accounts
within MTF functional categories:
• D = ANCILLARY SERVICE
• DA = Pharmacy
• DB = Pathology
• DC = Radiology
• DD = Special Procedure Services
• DE = Central Sterile Supply
• DF = Surgical Services
• DG = Ambulatory Nursing Services
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Account Structure
Functional Cost Codes (FCCs)
• The third letter identifies particular work centers
within Summary Accounts:
• D = Ancillary Service
• DB = Pathology
–
–
–
–
–
–
–
DBA CLINICAL PATHOLOGY
DBB ANATOMICAL PATHOLOGY
DBD CYTOGENETIC LABORATORY
DBE MOLECULAR GENETIC LABORATORY
DBF BIOCHEMICAL GENETIC LABORATORY
DBX COST POOLS
DBZ PATHOLOGY NOT ELSEWHERE CLSFD
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Account Structure
Functional Cost Codes (FCCs)
• The fourth letter is MTF-unique and used to
identify specific types of costs and workload:
• D = Ancillary Service
• DB = Pathology
• DBA = Clinical Pathology
• DBAA = Clinical Pathology Main Lab
• DBA”X” = Clinical Pathology TMC Lab
• DBB = Anatomic Pathology
• DBAA = Anatomic Pathology Main Lab
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Other FCCs of Lab Interest
• FAA = Area Reference Lab
–
–
–
–
–
–
–
–
–
Brooke Army Medical Center, Fort Sam Houston, TX
Dwight David Eisenhower Army Medical Center,Fort Gordon, GA
Fitzsimons Army Medical Center, Denver, CO
Madigan Army Medical Center, Tacoma, WA
Tripler Army Medical Center, APO San Francisco, CA
Walter Reed Army Medical Center, Washington, DC
William Beaumont Army Medical Center, El Paso, TX
National Naval Medical Center, Bethesda, MD
USA Hospital, Landstuhl, APO New York 09180
• FAD = DoD Military Blood Program
• FCC = Support to Non-Federal External Providers (previously CHAMPUS
Beneficiary Support)
• FCD = Support to Other Military Medical Activities (if you provide
reference lab support to other MTFs)
• FCE = Support to Other Federal Agencies
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Expense Allocation
Expense Allocation
• Cost Pools
– Cost pools are identified with an “X” in the 3rd FCC
position
– Used when time and expense cannot be specifically
assigned because two or more work centers share
space, personnel or supplies. For example, mixed
wards.
– Expenses and FTEs in cost pools are reassigned
(purified) on the basis of workload.
– Cost pools are purified in alphabetical order before
allocation of support and ancillary expenses.
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Expense Allocation
Expense Allocation
• Intermediate (Stepdown) Accounts
– D - Ancillary Services (lab, rad, pharm)
– E - Support Services (e.g., admin, logistics, facilities, med maintenance)
• Ancillary and Support expenses are allocated (stepped-down)
across final accounts
• Final Operating Accounts
–
–
–
–
–
A - Inpatient Care
B - Ambulatory Care
C - Dental Care
F - Special Programs
G - Medical Readiness
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Expense Allocation
• Costs are allocated based on performance
factors established by DoD 6010.13M which
can be different from workload
– Weighted procedures performed
– Hours / Minutes of Service performed
– Square footage cleaned
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Expense Allocation
A
Inpatient
Care
First, Support Services
(“E” accounts) expenses
are allocated
E
Support
Services
B
Amb.
Care
C
Dental
Services
Other
E
Accnts
D
Ancillary
Services
Each Support Services FCC is
allocated until no expenses
remain
in “E” accounts
31
G
Med
Readiness
F
Special
Progs
Expense Allocation
A
Inpatient
Care
Then, Ancillary Services
(“D” accounts) expenses
are allocated
D
Ancillary
Services
B
Amb.
Care
Other
D
Accnts
C
Dental
Services
F
Special
Progs
Each Ancillary Services FCC is
allocated until no expenses
remain
in “D” accounts
32
G
Med
Readiness
Total Expenses
Total Expenses
Business Objects Formula
+
+
+
+
Direct Expense
Purified Expense
Stepdown Expense Contributed
Stepdown Expense from D
Stepdown Expense from E
= Total Expenses
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Data Quality
Data Quality
• Data quality issues in MEPRS generally result
from:
• Insufficient vigilance or attention to data quality
• Lack of effective education and training
• Inconsistent implementation of policies,
guidelines and business rules
• System-related issues - transmission or processing
errors
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Policy & Business Rules
• DoD 6010.13M (dated April 7, 2008)
– Provides Tri-Service MEPRS program policy and guidance to all
MEPRS reporting MTFs / DTFs
– Download from/access Online: www.meprs.info
Chapter 1:
General Information
Chapter 2:
Chart of Functional Cost Codes
Chapter 3:
Guidelines And Reporting Requirements
Chapter 4:
Issue Process
Appendices
Acronyms, Definitions, Guidelines for
reporting FTEs
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Data Surveillance
MEWACS provides monthly MEPRS
data quality feedback,
systematically highlighting potential
MTF data anomalies
Human Systems Interface (HSI)
provides expert data quality and
analysis assistance to field, serving
as the link between MEPRS
education and data quality
surveillance initiatives.
The Six Sigma MEPRS Management
Metrics (S2M3) workbook is an
interactive tool containing seven key
MEPRS-based performance metrics
Expense Assignment System IV
(EAS IV)
EAS Object Classes and Compatibility
•
X’s in the matrix indicate compatible classes – your queries can contain objects from
compatible classes only
• Y’s identify principal classes – you must select objects from the principal class first,
followed by other compatible classes
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Class 18 Ancillary CPT Workload
Objects
•
•
•
•
•
Fiscal Year
Parent DMIS ID
Fiscal Month
Providing DMIS ID,
Providing 4th Level
Functional Cost
• Beneficiary Category
Code
• Beneficiary Category
Description
• CPT Code
•
•
•
•
•
•
•
CPT Modifier
CPT Code Type
CPT AMA Short Name
CPT DoD Name
CPT Weight
Raw Statistical Amount
Weighted Statistical
Amount
• Cost Per Weighted
• Unit Total Procedure Cost
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Basic Query - Class 21
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Basic Query with Standard Calculations
Cost Per Weighted =
Total Expenses
Ancillary Weighted Procedures
Cost Per Raw
Total Expenses
Ancillary Procedures Count
=
Procedures Per FTE = Ancillary Procedures Count
Available FTE
Old Reports
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
New Reports
(Pivot Charts…YAY!)
Other Uses
– Business Case Analysis
(Class 18)
• Pull for your Region by
CPT, Modifier, Raw Count
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Other Uses
More available
than assigned??
• Staffing utilization (Class 7)
– Available vs Non-available
(Aggregate and Detailed)
– Other people coding to your
AO
1.15 FTE - 68K
Respiratory Specialist
coded to DBAA
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Other Uses
• Detailed analysis to
investigate data
anomalies
• Doesn’t pass the reality
check…this was a midsize MEDDAC
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Other Uses
11.70 READINESS LABOR
11.72 MILITARY PERSONNEL
COMPENSATION
11.10 CIVILIAN PERSONNEL
COMP
26.20 OTHER SUPPLIES
31.15 MED/DENT EQUIP
31.20 OTHER EQUIPMENT
25.15 PURCHASE MAINT
EQUIPMENT
25.30 EDUCATION &
TRAINING
25.50 CONTRACT HEALTH
CARE
25.65 OTHER MIS CONT
21.00 TRAVEL & TRANSPORT
OF PERSONS
22.00 TRANSPORTATION OF
THINGS
23.10 COMMUNICATION
43.00 INTEREST AND
DIVIDENDS
26.15 MED/DENT SUPPLIES
• Show me the money…
26.25 PHARM SUPPLIES
11.71 RESERVES PERSONNEL
COMPENSATION
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Other Uses
Surfing the web
Real work
100%
#N/A
SUPPORT TO RMC BRAC INTEGRATION OFF/TEAM
90%
SUPPORT TO REGIONAL MEDICAL COMMAND (RMC)
SUPPORT TO OTHER MILITARY ACTIVITIES (REGION)
80%
SUPPORT TO OTHER FEDERAL AGENCIES
READINESS TRAINING PEACETIME & WARTIME MEDICAL
70%
READINESS PHYSICAL TRAINING
PCS/ETS RELATED FUNCTIONS
60%
MEDICAL STAFF TRAINING
MEDICAL STAFF TEACHING
50%
MEDICAL MILITARY ORGANIZATIONAL ACTIVITIES (MORA)
MEDDAC ONLY - TEACHING NON-GME STUDENTS ONLY
40%
LOGISTICS DIVISION
DOD MILITARY BLOOD PROGRAM EAMC
30%
COMMAND STAFF EAMC
CLINICAL PATHOLOGY MCPHERSON
20%
CLINICAL PATHOLOGY EAMC
CLINICAL INVESTIGATION PROGRAM EAMC
10%
AREA REFERENCE LABORATORY EAMC
ANATOMICAL PATHOLOGY EAMC
0%
CLINICAL
LABORATORY
OFC/LAB MGR
LAB SCIENCE OFF MICROBIOLOGIST
Drinking Coffee
PATHOLOGIST
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Other Uses
• MHS/TMA reporting
Provider and Institutional Cost per RVU for Lab/Rad
Lab
FY Parent RVUs
Provider Cost Institutional Cost Prov Cost per RVU
2009 0124
794,142 $ 1,922,723 $
30,975,665 $
2
Rad
RVUs
Provider Cost Institutional Cost Prov Cost per RVU
844,513 $ 4,996,058 $
26,876,731 $
6
Inst Cost per RVU Total Cost per RVU
$
39 $
41
Inst Cost per RVU Total Cost per RVU
$
32 $
38
• Scenario from a recent
Quest/SRA workshop. Yes,
someone is actually looking
at this
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
What’s the Point?
The Point
• MEPRS data in EAS are used at the MHS/TMA level in a
number of ways:
• Currently, EAS is the only central source for
Tri-service Financial data.
• These data are used for:
–
–
–
–
–
–
Adjusted Standardized Amounts (ASAs)
Medicare Eligible Retiree Health Care Fund
MTF Valuation
Patient Level Cost Accounting (PLCA)
Congressional Inquiries
BRAC Analyses
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
The Point
• Currently, EAS is the only central source for
Tri-service Personnel data.
• These data are used for:
–
–
–
–
–
–
Expense Allocation
Business Planning Tool
MHS Balanced Scorecard
Productivity Metrics
Congressional Inquiries
Readiness Analyses
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
The Point
• Bottom line….
• People are looking at YOUR data and making
assumptions and decisions about YOUR organization
and laboratory
• This data will likely be briefed to your Command
during your TARA visit
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Performance-Based Adjustment Model
(PBAM)
• PBAM
– a budget adjustment methodology designed to
modify Medical Treatment Facility (MTF) funding
based on workload and/or outcomes generated as
compared to a performance goal and adjusted for
efficiency.
– Uses the red/amber/green targets on the
Command Management System
– Funding adjusted based upon actual performance
on specific indicators
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Performance-Based Adjustment Model
(PBAM)
PBAM Pathology??
•Formula will
probably be
comprised of a blend
of purchased care
costs, baseline
historical workload
data, etc
Other Sources For Data
•
•
•
•
Your RM and MEPRS folks
EASIV repository
S2M3
MEWACS
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
S2M3
•
•
We are (were?) being tracked via
S2M3 Initiative against the other
services
Six Sigma MEPRS Management
Metrics (S2M3) is a blend of Direct
Care and civilian industry benchmark
metrics presented in an interactive
Excel workbook containing seven key
MEPRS-based performance metrics:
Pharmacy Dispensing Costs
–
–
–
–
–
–
FTEs per occupied bed day
Ratio of support personnel to providers
Pharmacy workload per pharmacy FTE
Laboratory workload per lab FTE
Inpatient costs per RWP
Ambulatory costs per APG
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
S2M3
• Lab productivity tracked
via peer groups
–
–
–
–
–
–
–
–
Medical Centers
Large Hospitals
Small Hospitals
Large Clinics
Small Clinics
Large Hospital OCONUS
Small Hospital OCONUS
Clinics OCONUS
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
MEWACS
•
MEWACS is an interactive data
quality feedback tool developed by
the MEPRS Management
Improvement Group (MMIG) to
proactively identify, investigate, and
resolve MEPRS data anomalies in a
timely, systematic manner.
Updated monthly, MEWACS contains
numerous Tri-Service MTF activity
level metrics, including: EAS IV
Repository data load status and
compliance with 45-day reporting
suspense
– MTF-specific summary data outliers
– Interactive MTF MEPRS Data Profiles by
3rd level Functional Cost Code
– WWR vs. EAS IV Repository total
ambulatory visit comparison
– Ancillary and Support expense
allocation tests
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
MEWACS
• Limited functionality
applicable to the lab right
now
– Personnel Statistics
– Limited expense statistics
– Data load status
• Working with SRA to add
–
–
–
–
Total Workload
Expenses
Cost Per Raw/Weighted
Procedures Per FTE
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
So now what?
• How can you improve your performance?
– Know your data and it’s validity
– Improve data quality
• MEC workload (e.g., Anatomic)
• CHCS CPT Code reviews (proactive vs reactive)
– Correct CPT Code AND Modifier
• DMHRSi Coding (Just say NO to Straight 8s)
• Increase workload
– Recapture out-sourced labs if cost-effective
– Expand partnerships (VA, other services, etc)
• Decrease costs
– staffing, contracts, and supply
Dwight D. Eisenhower Army Medical Center
“Caring from the Heart”
Useful Links
http://www.meprs.info/
http://www.dmisid.com/cgi-dmis/default
CHCS Data Quality
CHCS and WAM
• Comparing WAM with MEPRS summary report every month
• Make sure discrepancies are resolved before the monthly “deadline”
WAM Reporting Options
• Other Reports to
periodically check
– Lab Test CPT Exception
– Lab Method CPT
Exception
– Lab Workload Exception
Report (WEX)
Workload Exception Report (WEX)
• Displays workload not
reported through WAM to
EAS by data discrepancies
category
– CPT Code: Inactive CPT Code
– Lab Section: No Lab Section
Defined for this test
– Performing Location:
MEPRS/DMIS ID Mismatch or
Inappropriate Code
– Requesting Location: Inactive
or Invalid MEPRS codes
• Corrected via MEC option in
CHCS
Workload Manual Entry (MEC)
• Three options
– Edit Workload
– Add New Workload
– Resolve an exception
• What can you edit?
–
–
–
–
–
CPT Code
CPT Modifier
Requesting Location
Workload Type
Workload Counts
CPT Code Modifiers
90: For results obtained from outside reference labs (Send-outs tests) ie. Quest or
CDD
32: When performing lab receives & performs tests for other submitting labs ie. Ft.
Stewart sends Pap Smears to Eisenhower, Eisenhower will receive 32 modifiers/test
26: For Pathology Consult cases (in Lab File and Table Build, Pathology Consult = Yes)
00: In-house tests and for tests receives within the same group/division
Cascading order of how CHCS
Captures CPT Codes in CHCS
1) Lab Method: Defined for specific Site/Specimen
2) Lab Work Element
3) MTF CPT Code (first page of Lab File & Table Build)
Note: It is highly recommended that CPT code(s) be build at only one place
in order to avoid wrong CPT codes being capture by CHCS
MEC COPATH CPT Codes
Additional procedures performed for
Anatomic Pathology tests
When do you MEC AP workload?
• Histology cases: Special stains, IHC, or any
additional procedures done that is capturable
under the CPT handbook
• Cytology cases: QC cases (10% random QC and
high risk QC), abnormal cases reviewed by
pathologist, or any additional procedures
done that is capturable under the CPT
handbook
Questions?