Blog

The Claim Error tab displays claim rejection information returned after the claim was submitted. The error can be resolved, ignored (if allowed), or deleted, and the claim agent can be updated. The Error field lists the error description, the Status dropdown lists the error’s current status, and the Claim Agent dropdown lists the assigned claim agent. The Claim Error tab is used to review andRead more

The EOB/Denials tab lists all insurance payments that have been posted on the visit. The child tabs allow the user to view, add, update, and delete denial codes and create payment and denial overrides. This is used to bill secondary claims properly. The tabs allow you to work with claim-level denials (typically for inpatient claims) and serviceRead more

Change OP Location Label The OP Location field label can be changed to custom text using the Location or Global Registry key OP_LOCATION_LABEL. When the key is enabled, the OP Location label is replaced by text entered into Value 2 of the key. This applies to the Visit tabs in Registration, Billing, Collections, Scheduling, and Payment Posting.   Configuration For this configuration, useRead more

The Visit tab displays a variety of visit-specific information and allows the user to update visit and accident information. Its child tabs allow the user to manage notes, diagnoses, procedures, physicians, and surgical HCPCS information. To update visit information, follow these steps: Service – Displays the service associated with the visit. Patient Type – Displays the patient type associated with theRead more

Assign Guarantor ID A unique guarantor ID can be assigned to a guarantor for use in guarantor statements by enabling the Global Registry key GUAR_UNIQUE_ID. When enabled, the guarantor ID is assigned to the guarantor upon saving the visit, and the Guar ID field displays in the common Guarantor tab. There is also a Search button enabled to allow the user to searchRead more

The Guarantor tab is used to indicate who is responsible for paying any charges accrued during the visit. The guarantor can be a patient, relative, or company/group. A guarantor is required in order to register a patient. A Payment Plan can be set up for the guarantor through this option as well. To complete guarantor information, follow these steps:Read more

Activate Medicare Lifetime Reserve Fields The Lifetime Reserve and Psych Lifetime Reserve fields and authorization options on the Insurance > Coverages tab can be activated by enabling Location Registry keys. These fields allow lifetime reserve information, and the patient’s accompanying authorization or denial to use those reserve days, to be stored in RCM Cloud®. This is informational, and the application does not enforce any limits. TheRead more

The Insurance tab lists all insurances associated with the selected visit and allows the user to add, update, delete or re-rank the insurances assigned to a visit. It allows insurances to be verified, while subscriber, bill code, coverage, and exclusion information can also be managed. A visit can have multiple insurances with the same or different rankings,Read more

Display All Images All image files that are part of the patient or visit record can be listed in the Patient Images tab even if a user does not have access to view them by enabling the Global Registry key DISPLAY_ALL_IMG_FILES. User access to specific image form types is determined in Imaging Security Maintenance. Although the image file isRead more

Patient The Patient tab is used to add or update the patient’s name, address/contact, demographic, and special designation (smoker, diabetic, etc.) information. Most patient demographic information is patient-level information, meaning it is carried forward automatically to future visits. The Publish designation is at the visit level. Information entered here can be used for reporting purposes, for booking people withRead more