Claims | Claims generated for Funder with a mm/dd/yy date of service are generating the wrong amounts for some.

Question 

Claims generated for Funder with a 2/28/23 date of service are generating the wrong amounts for some. For example, claim ID 11111 and claim ID 11121 both contain 1 hour of S5263, however are generating the incorrect claim amount. The correct amount is $XX.

 

 

Answer

To use BIM to change the bill rate please do the following:

• Navigate to the affected claims and void them (visits need to be unbilled in order to change the bill rate in BIM)
• Navigate to BIM and filter by the following:
  1. Source dates affected (I've attached a screenshot of example using 2/28/23 to 3/1/23)
  2. Bill code HC:S5263 and scroll through the list until you find the correct one named HC:S5263-Funder-FUND
  3. Leave the Status option as Ready
  4. Visits will start to populate in the listing
  5. You can look for the visits that are showing the rate of $YYY
  6. To change the rate on a visit, click on the Edit button to the far right of the visit (next to the word Ready)
  7. This will allow you to edit the bill rate by typing the new rate over the incorrect rate
  8. Click the Save button, this visit is now ready to be billed
  9. Complete the same steps from #6 to 8 to correct all affected visits
  10. Once you corrected all of the visits, navigate to claims and generate claims as per your normal practice

 
I hope these instructions are helpful for providing an alternate solution in the interim.  Once I have some news on this unexpected behaviour and resolution timeline I'll be in touch.