Difference between revisions of "Charge correction"
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| − | There are multiple occasions why a charge may be modified once it has been submitted from the EHR to the Practice Management system. Below is a list of what kinds of charge corrections occur and what | + | There are multiple occasions why a charge may be modified once it has been submitted from the EHR to the Practice Management system. Below is a list of what kinds of charge corrections occur and what in turn happens in the system. |
| − | 1. '''Provider adds ICD9''' – system creates an Adjust Charges task (delegated); comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log | + | 1. '''Provider adds ICD9''' – system creates an Adjust Charges task (delegated); comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log. |
| − | 2. '''Provider removes ICD9''' – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the ICD9 that was removed is crossed out with a status of “removed” | + | 2. '''Provider removes ICD9''' – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the ICD9 that was removed is crossed out with a status of “removed”. |
| − | 3. '''Provider replaces ICD9''' – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the ICD9 that was removed is crossed out and you cannot tell that a code was added unless you look at the Encounter Audit Log | + | 3. '''Provider replaces ICD9''' – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the ICD9 that was removed is crossed out and you cannot tell that a code was added unless you look at the Encounter Audit Log. |
| − | 4. '''Provider adds Modifier''' - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log | + | 4. '''Provider adds Modifier''' - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log. |
| − | 5. '''Provider adds CPT''' – newly added CPT either submits or goes to Review status and creates a new Review Enc Form task; once | + | 5. '''Provider adds CPT''' – newly added CPT either submits or goes to Review status and creates a new Review Enc Form task; once reviewer opens the encounter summary they can see that one task has the status of “submitted” and one has the status of “review”. |
| − | 6. '''Provider removes CPT''' -system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the CPT that was removed is crossed out with a status of “removed” | + | 6. '''Provider removes CPT''' -system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the CPT that was removed is crossed out with a status of “removed”. |
| − | 7. '''Provider replaces CPT''' - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the CPT that was removed is crossed out has a status of “removed” and the newly added CPT has a status of either “submitted” or “review” | + | 7. '''Provider replaces CPT''' - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the CPT that was removed is crossed out has a status of “removed” and the newly added CPT has a status of either “submitted” or “review”. |
| − | 8. '''Provider corrects encounter''' – a provider would need to remove the charges & diagnosis from the original encounter and submit | + | 8. '''Provider corrects encounter''' – a provider would need to remove the charges & diagnosis from the original encounter and submit a n/c code to clear the encounter, then create a new one with the correct encounter selected. |
| − | 9. '''Correction of location, division or area''' – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log | + | 9. '''Correction of location, division or area''' – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log. |
| − | 10. '''Incorrect Provider billed''' - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log | + | 10. '''Incorrect Provider billed''' - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log. |
Latest revision as of 21:54, 2 February 2012
There are multiple occasions why a charge may be modified once it has been submitted from the EHR to the Practice Management system. Below is a list of what kinds of charge corrections occur and what in turn happens in the system.
1. Provider adds ICD9 – system creates an Adjust Charges task (delegated); comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log.
2. Provider removes ICD9 – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the ICD9 that was removed is crossed out with a status of “removed”.
3. Provider replaces ICD9 – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the ICD9 that was removed is crossed out and you cannot tell that a code was added unless you look at the Encounter Audit Log.
4. Provider adds Modifier - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log.
5. Provider adds CPT – newly added CPT either submits or goes to Review status and creates a new Review Enc Form task; once reviewer opens the encounter summary they can see that one task has the status of “submitted” and one has the status of “review”.
6. Provider removes CPT -system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the CPT that was removed is crossed out with a status of “removed”.
7. Provider replaces CPT - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; however when you open the encounter the CPT that was removed is crossed out has a status of “removed” and the newly added CPT has a status of either “submitted” or “review”.
8. Provider corrects encounter – a provider would need to remove the charges & diagnosis from the original encounter and submit a n/c code to clear the encounter, then create a new one with the correct encounter selected.
9. Correction of location, division or area – system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log.
10. Incorrect Provider billed - system creates an Adjust Charges task; comments are “one or more charges for this encounter need to be adjusted in the billing system”; changes can be identified in the Encounter Audit Log.