05-01-19
From AMH and CMH TCM month claiming, when they are on a
managed health care plan (such as South Country and Blue Plus). Is
everyone doing Do Not Claims on these clients and putting in the plan and then
entering information on the “Plan Prior Authorzation”
If you are, then how are you pulling your manual claims?
I know the rules for Do Not Claims and you are “supposed” to
do it this way, but then you don’t get all the information that you need to
manually claim without going into each client on the Do Not Claim Report and
viewing each monthly contact.
A total pain and time waster.
We were not putting them in the Do Not Claims and then
letting them deny on our SSIS claim batches so we at least got the information
needed to manually claim, but that sounds also like a waste of time and
efficiency.
Gwen Resech
SOCIAL SERVICES FISCAL SUPERVISOR
WABASHA COUNTY
1 comment:
I always put in do not claims, when you run your batch in SSIS if you go to the time proofing you can select just do not claim as the only thing that pulls up, you can then filter your graph to show you all the information you need to bill the claim in whichever system you need. Let me know if you have questions, I can see some screen shots with the client names blacked out.
taylor.holzer@co.norman.mn.us
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