We created an ADM report which has a huge-mongous macro for all fields we've 
had problems with, as well as checks for location/service matches, subscriber 
data  .. and the ADM clerks are responsible for running this near the end of 
their shift, for themselves, to find out what data is missing or not matching 
an internal requirement.
 
Cindy Bodnar-Anderson 
Senior Programmer/Analyst
IS, Regional Health
Rapid City  SD  57701

 -----Original Message-----
From: Gary Ring [mailto:[EMAIL PROTECTED]
Sent: Thursday, June 07, 2007 5:57 AM
To: Wiltshire, Sandi; meditech-l@mtusers.com
Subject: Re: [MEDITECH-L] B/AR question



Sandi:
 
First, you'd have to be utilizing Meditech standard Claim Checks on your claims 
to edit for the data requirements you desire.  In addition, you'd need to 
develop and request custom Claim Checks from Meditech for any other type of 
data requirement/condition that you know your payers edit for, and attach those 
Claim Checks to your Claims.
 
Then, you could write an NPR Report to replicate the standard Master Claim 
Rejection List, and sort and page break by Service/Location.  This would allow 
you to easily send a report back to the user department, listing problems with 
their patients that are preventing a claim from being created and sent.  I've 
had much success with this simple method for many of my clients.

Gary J. Ring 
Strategic Resource Group, Inc. 
11 Jones Road, Peabody, MA 01960 
978-807-1573
 

-------------- Original message -------------- 
From: "Wiltshire, Sandi" <[EMAIL PROTECTED]> 

> Hi, I am posting this for our Director of Pt Financial 
> Services....Thanks for your help, Sandi 
> 
> To B/AR module users: 
> 
> What if any program is being utilized to identify claims that will deny 
> processing either thru MT or the payer systems due to missing 
> information, wrong information etc. I currently have a process when the 
> claim denies for payment once it has made it thru the payer claim edits. 
> What I am looking for is pre submission to the payer. 
> 
> I am interested in collection of the data so that the information can be 
> fed back to the department managers responsible for patient 
> registration. 
> 
> Thanks 
> 
> 
> Terry Hibbert > Director, Patient Financial Services 
> Heywood Hospital 
> 978-630-6209 
> 978-630-6153 Fax 
> [EMAIL PROTECTED] 
> 
> 
> 
> 
> Sandi Wiltshire, MT(ASCP),MBA 
> IS Applications Manager 
> Heywood Hospital 
> 242 Green Street 
> Gardner,Ma. 01440 
> 978-630-6112 
> [EMAIL PROTECTED] 
> 
> 
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