Charge Management Rules Show & Tell

Charge Management Rules Show & Tell

Welcome to Show and Tell, where you can share and learn ways users are utilizing certain features in the system. Our software is highly customizable, and our users come up with new and exciting ways to make their day-to-day workflows more efficient.

SHOW us all the fun and creative ways you are using a feature, and in the next quarter, we will TELL you what we've learned. We hope that you can implement some of these ideas into your workflows!

Charge Management Overview

Charge Management Rules help catch common errors before Claims are sent to the Payer to reduce denials and rejections.

  • Set and forget Charge Management Rules to reduce manual errors in Charge Entry and Claim Submission.
  • Use a Validation Warning, Validation Error, or Batch Validation to warn you of errors as they happen.
  • Charge Management Actions enable you to correct common errors automatically (4.8).

Results    

Charge Management Rule

Use Case(s)

Confirm Consent for Medical Records

If an Insurance requires consent for medical records for a specific Procedure Code, set up a Charge Management Rule to give a Validation Warning reminding the User working the Charge to upload the consent as soon as the ICN number is received.

Print Claim for Specific Procedures

If a Procedure needs to be a Print Claim, set up a Charge Management Rule to validate on the Procedure.

Excluded Diagnosis Codes

Some Diagnosis Codes cannot be submitted together. Set up a Charge Management Rule to give a Validation Warning or Error when these Diagnosis Codes are used on the same Charge.

Procedure Code Conflicts

Some Procedure Codes cannot be submitted together. Set up a Charge Management Rule to throw a Validation Warning or Error when these Procedure Codes are used on the same Charge.


Coming Up Next: Scheduling Rules

Use Scheduling Rules to control every aspect of your calendar, ensuring that you can get your Patients scheduled accurately and quickly.

SHOW us how you are using Scheduling Rules to improve your workflow, and we will TELL you what we have discovered in November 2024.



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