How To
 
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HOW TO CORRECT CLAIMS (SOUTHPORT)


PROCEDURE CODES THAT CAN'T BE USED WITH A PROVIDER
 
bulletPrint out the data integrity report
bulletGo into TRANSACTION / FIND CHART NUMBER / CASE / VISIT DATE for the patient visit on the report
bulletWrite down CLAIM NUMBER, VISIT DATE, PROCEDURE CODE, DIAGNOSIS, ATTENDING PROVIDER, UNITS, MODIFIER
bulletWrite down PAYMENTS such as co-pays
bulletDelete PAYMENTS as follow
  1. Delete payment by clicking on DELETE icon at bottom of transaction screen
  2. Click on ACTIVITIES / ENTER DEPOSIT PAYMENTS. Click on SHOW UNAPPLIED ONLY. Find the unapplied deposit for the payment amount you just deleted (It should highlighted in white)
bulletDelete TRANSACTION as follows
  1. A. Click on VISIT to delete on click on DELETE icon in the middle of the Transaction screen
bulletDelete CLAIM as follows:
  1. Click on ACTIVITIES / CLAIM MANAGEMENT
  2. In the white box on top of the screen that says SORT BY click on down arrow and select CLAIM NUMBER
  3. On the white box on top that says SEARCH, enter the CLAIM NUMBER
  4. The system finds the claim number you entered by pointing the black arrow next to it.
  5. RIGHT CLICK on top of the claim you want to delete
  6. Click on DELETE ITEM
bulletGo back to the TRANSACTION SCREEN
bulletFind the CORRECT CASE for the patient
bulletEnter transaction and payments as you would normally would
bulletClick on PRINT CLAIM to create the electronic claim
bulletDone!!!!
bulletSue, will submit claim next time she is doing the electronic claim submission

 

REFER PROV, PCP AND LAST SEEN

bullet(Due to the high level of complexity of this matter, the following is to be completed)
bulletPrint REFER PROV, PCP AND LAST SEEN report
bulletMake a note on the report: "Sue correct PCP Last Visit Date and submit immediately"
bulletDone!!!
bulletNote to Sue: PCP Last Visit DATE can be obtained from Office Hours scheduling system

 

VISITS OVER TREATMENT AUTHORIZATION DATE

bulletMake a note on superbills requesting the correct TREATMENT AUTHORIZED THROUGH and  AUTHORIZATION NUMBERr
bulletSend superbills back to the office (Southport)
bulletCorrections have to be done by office (Southport) under CASE / ACCOUNT for TREATMENT AUTHORIZED THROUGH and AUTHORIZATION NUMBER
bulletDone!!!
 
 

 

 

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