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Post by vaderkty on Jul 28, 2014 8:12:19 GMT -6
Can you make the edited insurance cms form add to e-claims automatically just as it does when first billing? We have to edit many of the insurance cms forms and we do not always remember to add to batch afterwards. We will not find the mistake until we run the insurance receivables reports delaying our ability to get paid.
Even if it's just a check box in the insurance options to add automatically the way uneditted ones do would help...
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Post by mark174 on Jul 28, 2014 15:12:34 GMT -6
Diddo...
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Post by mdeyedoc on Jul 29, 2014 20:14:08 GMT -6
Can you make the edited insurance cms form add to e-claims automatically just as it does when first billing? Darn. I didn't realize it didn't do that already. I had to edit some diagnosis codes on some claims last week. I regenerated the claim but didn't look to see if it was batched. I did notice that it didn't give me a warning to regenerate the claim after editing and invoice with insurance. I have gotten that warning before but thought maybe it only did that with added line items. It should occur with diagnosis code edits because those will effect the claim too. Marcia
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Post by mdeyedoc on Aug 7, 2014 22:47:51 GMT -6
Can you make the edited insurance cms form add to e-claims automatically just as it does when first billing? We have to edit many of the insurance cms forms and we do not always remember to add to batch afterwards. We will not find the mistake until we run the insurance receivables reports delaying our ability to get paid. I was just looking at this today and it did batch when we edited the claim. Are you sure the plan is set to auto batch? Go to the plan under Admin/Insurance/Information tab and make sure automatically add to batch is checked. It has to be done for each plan that you want batched. Also, I did see that warning about regenerating the claim when we edited an insurance line item however it didn't give the warning after editing diagnosis codes. Marcia
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Post by vaderkty on Aug 8, 2014 8:59:35 GMT -6
Can you make the edited insurance cms form add to e-claims automatically just as it does when first billing? We have to edit many of the insurance cms forms and we do not always remember to add to batch afterwards. We will not find the mistake until we run the insurance receivables reports delaying our ability to get paid. I was just looking at this today and it did batch when we edited the claim. Are you sure the plan is set to auto batch? Go to the plan under Admin/Insurance/Information tab and make sure automatically add to batch is checked. It has to be done for each plan that you want batched. Also, I did see that warning about regenerating the claim when we edited an insurance line item however it didn't give the warning after editing diagnosis codes. Marcia I am talking about the edited claims that have to be edited in the invoice itself. If, say, you have Aetna in the insurance field and it really needs to be BCBS (Someone assigned wrong insurance either due to front desk or optician error) and you have to edit claim and it turns "blue" in the invoice screen. That new BCBS invoice does NOT follow over automatically. You HAVE to hit the "add to batch" button and delete the "aetna" claim from the e-claims altogether. Of course you can edit simple things within the CMS form without it interfering because it is already in the e-claims file. I am strictly speaking of the ones that are not added due to the above mentioned scenarios...
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Post by mdeyedoc on Aug 8, 2014 23:36:04 GMT -6
I am talking about the edited claims that have to be edited in the invoice itself. If, say, you have Aetna in the insurance field and it really needs to be BCBS (Someone assigned wrong insurance either due to front desk or optician error) and you have to edit claim and it turns "blue" in the invoice screen. That new BCBS invoice does NOT follow over automatically. You HAVE to hit the "add to batch" button and delete the "aetna" claim from the e-claims altogether. Ahhh...you're talking about editing the insurance company. I only tried editing diagnosis codes and line items and they were still in the batch after regenerating the claim. But when I changed the insurance the original claim was still in the batch (under the old insurance) and the edited claim was not batched automatically. So... they not only need to batch the edited claim with the new insurance, but they also need to remove the claim that was batched under the original insurance. Aren't you getting rejections on those claims that are batched for the incorrect insurance? Marcia
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Post by vaderkty on Aug 11, 2014 7:56:14 GMT -6
No. they go through just fine. They just have to be manually batched. I figured this out when running reports for outstanding balances and notice they were never wrote to batch...
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Post by KizerOpt on Aug 11, 2014 8:23:38 GMT -6
We don't automatically add any to batch. That way we have to review and make sure it's ready to send. Do any of you find it really easier to set it for automatic?
Karen
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Post by vaderkty on Aug 11, 2014 8:59:39 GMT -6
It's MUCH easier to duel screen (open one crystal window to one and have another open crystal to the normal screen) the e-claims to the billing screen and check all the insurances before batching. I have to change ICD-9, Diag. and the pointers, etc. The set up for mod does not include the comas so they all have to be added separately anyway. I have opticians billing medical exams for insurance plans and vise versa. (I need to check demographics were added, etc. they are not always done before the invoice but are usually done by the time i need to bill)
It is also a great way to cross reference the schedule v. e-claims to make sure doctor, optician , etc. didn't get missed in billing out (That is also why I keep ALL patients signed in to make sure a patient gets billed even on the next day. I use the Open invoices as well but that is only as good as the doctor remembering to make an invoice/or adding the correct procedure codes...my doctor is not computer savvy...)
I like a great system of checks and balances to ensure NOTHING gets missed. I left my company for 3 months. by the time I came back they were 5 months from going under because of insurance billings. I take NOTHING for granted.
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Post by mdeyedoc on Aug 11, 2014 21:27:05 GMT -6
No. they go through just fine. They just have to be manually batched. So you are deleting the original claim to the incorrect insurance company? Because if it was batched and you change it, the original is still there. That is what I was thinking would be rejected. Marcia
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Post by mdeyedoc on Aug 11, 2014 21:45:00 GMT -6
We don't automatically add any to batch. That way we have to review and make sure it's ready to send. Do any of you find it really easier to set it for automatic? Karen That's just how we've always done it. It seems to me like it should prevent lost claims if it's automatically put there. They are highlighted red until we set it to "ready" and we can review whatever we want from thw eClaims page. When I was asking about it last week my office manager did say that she was running into a problem with editing on the eClaims page. She said that when editing a claim within eClaims, if she edits and marks as ready and then leaves screen before batching (hasn't moved them to the pending column to the To be saved column) all changes are gone gone when she returns. BUT we couldn't duplicate the problem so she's going to watch for it again and write down exactly what she did and what happened. Marcia
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Post by vaderkty on Aug 12, 2014 14:42:22 GMT -6
We don't automatically add any to batch. That way we have to review and make sure it's ready to send. Do any of you find it really easier to set it for automatic? Karen That's just how we've always done it. It seems to me like it should prevent lost claims if it's automatically put there. They are highlighted red until we set it to "ready" and we can review whatever we want from thw eClaims page. When I was asking about it last week my office manager did say that she was running into a problem with editing on the eClaims page. She said that when editing a claim within eClaims, if she edits and marks as ready and then leaves screen before batching (hasn't moved them to the pending column to the To be saved column) all changes are gone gone when she returns. BUT we couldn't duplicate the problem so she's going to watch for it again and write down exactly what she did and what happened. Marcia You can't really delete so much as remove from batch. I do the same thing with the "red" turn to green. my account is a bit more complicated then most due to doctor billing issues. autobatch is a lifesaver. it just needs to do the same thing with a claim that has to have insurance switch.
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Post by KizerOpt on Aug 13, 2014 7:10:25 GMT -6
That's just how we've always done it. It seems to me like it should prevent lost claims if it's automatically put there. They are highlighted red until we set it to "ready" and we can review whatever we want from thw eClaims page. When I was asking about it last week my office manager did say that she was running into a problem with editing on the eClaims page. She said that when editing a claim within eClaims, if she edits and marks as ready and then leaves screen before batching (hasn't moved them to the pending column to the To be saved column) all changes are gone gone when she returns. BUT we couldn't duplicate the problem so she's going to watch for it again and write down exactly what she did and what happened. Marcia You can't really delete so much as remove from batch. I do the same thing with the "red" turn to green. my account is a bit more complicated then most due to doctor billing issues. autobatch is a lifesaver. it just needs to do the same thing with a claim that has to have insurance switch. After the Monday I had, I tend to agree with you both. Our office manager usually submits the primary claims. Working through my receivables report, I found about a dozen claims from May and June that had not been filed yet. Think I'll turn the auto on and see if it helps.....
Karen
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lorie
New Member
Posts: 17
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Post by lorie on Aug 15, 2014 9:46:42 GMT -6
We don't automatically add any to batch. That way we have to review and make sure it's ready to send. Do any of you find it really easier to set it for automatic? Karen That's just how we've always done it. It seems to me like it should prevent lost claims if it's automatically put there. They are highlighted red until we set it to "ready" and we can review whatever we want from thw eClaims page. When I was asking about it last week my office manager did say that she was running into a problem with editing on the eClaims page. She said that when editing a claim within eClaims, if she edits and marks as ready and then leaves screen before batching (hasn't moved them to the pending column to the To be saved column) all changes are gone gone when she returns. BUT we couldn't duplicate the problem so she's going to watch for it again and write down exactly what she did and what happened. Marcia
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lorie
New Member
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Post by lorie on Aug 15, 2014 9:48:05 GMT -6
Marcia, from my experience this happens when you have more than one claim open at a time. They system gets confused and will not update either claim.
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