Efficient Batch Payment Processing and Documentation

Insight Billing Margy Foody| Solution Architect 1 Confidential

Batch Payments 2 Confidential

Batch Payments An easy way to post payments 3 Confidential

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 4 Confidential

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 5 Confidential

Batch Payment - Batch 6 Confidential

Batch Payments Patient Ledger 7 Confidential

Secondary Billing Getting the payment codes on the next billing round 8 Confidential

Posting the payments If the payments aren t posted by the AR835 Post on the Patient Ledger screen Post via Batch Payments 9 Confidential

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 10 Confidential

Transfer the payment to the new payor 11 Confidential

Update the Original Claim 12 Confidential

Update the Original Claim These reasons are from the PAY/ADJ screen and are not reported in secondary billing 13 Confidential

Update the Original Claim 14 Confidential

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) 15 Confidential

Updating the Original Claim 16 Confidential

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 17 Confidential

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 18 Confidential

Billing the Transferred Charges To report the secondary billing Update the report parameter: SUPPORT 2nd BILLING to Y Run the billing batches as usual 19 Confidential

Billing the Secondary Charges 20 Confidential

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 21 Confidential

Other Questions Questions? 22 Confidential