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Insight Billing. Margy Foody| Solution Architect. Batch Payments. Batch Payments. An easy way to post payments. Batch Payments. Allows easier posting of remittances Select Charges To Be Paid to show a list of patients with outstanding balances that have been billed to that payor
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Insight Billing Margy Foody| Solution Architect
Batch Payments An easy way to post payments
Batch Payments • Allows easier posting of remittances • Select Charges To Be Paid to show a list of patients with outstanding balances that have been billed to that payor • Change the adjust codes to match the transaction needed
Posting Debit Transactions in a Batch • Chargebacks, debits and other adjustments • When posting debit transactions note that the DO_NOT_NEGATE option in the Table Adjust must not be set to Y • Enter a negative amount on the Batch Pay screen to debit the patient account
Secondary Billing Getting the payment codes on the next billing round
Posting the payments • If the payments aren’t posted by the AR835 • Post on the Patient Ledger screen • Post via Batch Payments
Posting Payments • Batch Payments • Adjudication Codes need to be posted on the CLAIM screen • Payments on the PAY/ADJ screen: • Adjudication codes must be updated from the CLAIM screen • Adjudication codes entered on the Pay/Adj screen must still be entered in the CLAIM screen
Update the Original Claim These reasons are from the PAY/ADJ screen and are not reported in secondary billing
Updating the Original Claim • On the REASONS tab – • Enter one or more reasons reported for the claim • Charge Number – Select the charge to apply the reason. This will create the CAS segment at the detail level • Enter the Reason Code and Group codes • Enter the adjudicated amount for this claim (the difference between the amount billed and amount paid)
Updating the Original Claim • To create the AMT segment in loop 2320 • Enter for the first procedure only • Leave the Charge Number field blank • This can be set to be the default action in the OPTBIL table – DONT_DEFAULT_CHARGE field
Updating the Original Claim • Enter the Qualifier Code • Typically set to D – Payor Paid Amount • Enter the total payment received for the claim • This will be the sum of the SVD-02 segments • Because only one AMT segment is created, the amount is typically entered on the first procedure • If you decide to post the amounts for each procedure, these amounts are summed into one AMT*D segment
Billing the Transferred Charges • To report the secondary billing • Update the report parameter: SUPPORT 2nd BILLING to Y • Run the billing batches as usual
Billing the Secondary Charge • CLM*9149.1*35***11>B>1*Y*A*Y************10 • REF*EA*9149 • HI*BK>V254*BF>V72 • ------------------------------------------------- • SBR*P*18*******MC • AMT*D*10 • OI***Y • -------------------------------------------------------- • LX*1 • SV1*HC>99213*35*UN*1***1 • DTP*472*D8*20140601 • REF*6R*1989-RGen • SVD*12345678*10*HC>99213**1 • CAS*OA*B10*25
Other Questions • Questions?