Billing Rules for less errors
Allow there to be flags or billing rules built into the back end of eR that trigger flags or shut down users from billing incorrectly. For example, if a user tries to bill Therapy (30 mins) and Family Therapy (30 mins) in the same day, then it would either say NO or it would trigger an administrator to review before generating a claim, because it is not allowed to be billed. Same thing for not allowing claims to be generated for case notes that are dated 2 weeks late, allowing it to do the documentation, but not necessarily billing it out because I have that rule put into place so that it is not messing up my revenue cycle. This would lead to a lot less denials and issues in the future.
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Tricia Maus commented
More examples...If there are no units billed from the entry for whatever reason, flag the worker "are you sure?' It might be 0 time entered or a service that's not billable...for whatever reason, it could be corrected if they are flagged to review before completed.