Trauma Performance Improvement

Trauma Reimbursement Project

The Trauma Reimbursement project is a joint collaboration between MT Flex/PIN and the Department of Public Health and Human Services, EMS and Trauma Systems.  The project is primarily focused on improving trauma reimbursement for Trauma Designated MT CAHs through the use of lean performance improvement methodologies and networking opportunities with subject matter experts.

The goals of the project are:

• Assist facilities with Trauma Team Activation (TTA) fee and reimbursement from cases meeting appropriate criteria (i.e. pre-hospital activation).
• Assist facilities with reimbursement for critical care provided to trauma team activation that arrived by private vehicle (POV) or walk-in and and/or any trauma patient that meets appropriate critical care billing requirements.

ADDITIONAL RESOURCES:

Trauma Activation & Critical Care

Developing a Trauma Team Activation Fee [MT DPHHS]

Trauma Response (068x) [MT DPHHS]

Critical Care Documentation & Billing (2018)

Critical Care Fact Sheet [CGS/CMS]

Critical Care Frequently Asked Questions [American College of Emergency Physicians]