Solution:
This error means there are unbilled visits on the same date(s) with the same authorization # and payor as the service dates on the listed claims that have not been cancelled or put on hold and a prior claim already contains billed visits for the same date(s). All same day visits with the same payor and authorization # can only be billed on one claim and a new claim cannot be generated for these additional visits. Prior claim(s) needs to be voided and a new claim(s) generated to pick up ALL same day visits once corrections are made.
Check the following items:
- Confirm that all visits on the same date of service (DOS) with the same payor and authorization number are approved, cancelled or on-hold.
- Vacant visits need to be cancelled or on-hold: if a vacant visit exists on the same day as other visits with the same payor and authorization number, the vacant visit needs to have a non-billable cancel code on it or set to on-hold, then claims can be generated.
- To find any same day visits that may be blocking billing you can use the Scheduled Visits function to find all visits that are not approved, not cancelled, or not on-hold.
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- Navigate to Schedules > Scheduled Visits.
- Filter by the client's name, service code (if applicable) and visit dates that appear in the claims to be void.
- Any visits that are not approved, cancelled or on-hold will need to have the status changed to one of these three statuses by clicking on the Visit ID link to bring up the visit details then choosing the required status (for EVV (Electronic Visit Verification) use Visit Verification if the visit is to be approved).
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- Once corrections are made to the visit status you will need to void the claims listed in the error message and generate claims again to pick up all the expected visits on that DOS.
- It is recommended to run the Unbilled Visits Report accounting export each billing cycle to find all approved unbilled visits. Please note this export does not report unapproved visits.
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