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To review and correct R&B billing errors, we must review the patient’s LOC/Facility record. We will follow the steps below to review the record, make changes, and the refresh the claim to capture those changes.

    1. Verify the Room and Board Insurance
      1. Open the patient record and verify that the Room and Board Insurance Carrier has been added
      2. Verify that the “Bill for R&B” checkbox has been checked on the correct carrier
        Picture1
      3. If the carrier is not present, you can add it by typing in the red “POLICY” box and using the Blue plus to add the carrier and Policy Information
        Picture2
    2. Verify the LOC/Facility Entries
      1. Go to the LOC/FACILITY tab and review the entry for the Nursing Home entry by choosing the “Edit” option using the blue gear
        Picture3
      2. Verify that the “Bill R&B” Yes option has been selected
      3. Verify that the “Rate” & “Patient Portion” entries
      4. Verify that the Insurance Carrier has been selected from the dropdown list
      5. Then click OK to save the updated entries
        Picture4
    3. Refresh the claim
      1. Open the Claims Management Widget on the Home screen and Go to the “NOT SENT” tab.
      2. Fill in the fields to match the Payer Type, Date Range, Patient, select the “Room and Board Only” checkbox, and the OK to Refresh the Claim
      3. You can verify that the claim properly created by searching this same “NOT SENT” tab after Refreshing the claim.
        Picture5

 

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