Splitting Claims
Posted: Thu Sep 29, 2016 12:35 pm
Hi all,
Was inquiring if there is a way to split claims to no more than 4 procedures per claim and store that as a permanent permission, or default. I need to find a way to do this because here in Florida with both PIP billing, as well as certain other managed plans, if more than 4 procedures show on a claim the overrun is
either disallowed/ignored, or counted as an additional visit that really wasn't.
We literally spend over 3 hours per week splitting claims before we can print, or send electronic because we have to run paper first!!! (Florida requires PIP claims go paper only with documentation attached.)
I figure that it shouldn't matter if all claims (paper and electronic) are split this way as the electronic should be able to "read" the date of service properly and apply the procedures (correctly) to a single date of service regardless.
This has really dragged the office and morale down big-time, so any direction on how to set this split as a default would be greatly appreciated!
Much thanks in advance,
Art
Was inquiring if there is a way to split claims to no more than 4 procedures per claim and store that as a permanent permission, or default. I need to find a way to do this because here in Florida with both PIP billing, as well as certain other managed plans, if more than 4 procedures show on a claim the overrun is
either disallowed/ignored, or counted as an additional visit that really wasn't.
We literally spend over 3 hours per week splitting claims before we can print, or send electronic because we have to run paper first!!! (Florida requires PIP claims go paper only with documentation attached.)
I figure that it shouldn't matter if all claims (paper and electronic) are split this way as the electronic should be able to "read" the date of service properly and apply the procedures (correctly) to a single date of service regardless.
This has really dragged the office and morale down big-time, so any direction on how to set this split as a default would be greatly appreciated!
Much thanks in advance,
Art