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On the Claim Worklist, the pencil icon has been added back to the Billable Units & Billable Amount fields so that these values can be edited for visits for all payers except Nebraska Department of Health and Human Services (NE DHHS).
On the Claims Worklist, only the Calculated Units and Calculated Amount fields will be updated when the
'Recalculate' icon is selected. If Billable Units and Billable Amount are provided on the Rendered Services feed, these values will not be overwritten during claims matching or if the user selects to Recalculate Amount for all payers except NE DHHS. For visits for ND NE DHSS, the system will overwrite the Billable Units and Billable Amount as it currently does today.On the Claims Worklist, if Billable Units and Billable Amount are entered manually in the Claims Worklist, these values will not be overwritten during claims matching or if the user selects to Recalculate Amount for all payers except NE DHHS. For visits for ND NE DHSS, the system will overwrite the Billable Units and Billable Amount as it currently does today.
On the Claim Adjust screen, the pencil icon has been added back to the Billable Units & Billable Amount fields so that these values can be edited for visits for all payers except NE DHHS.
On the Claim Adjust screen, the pencil icon will be displayed for the Prior Authorization, Procedure Code, Billable Service Start, and Billable Service End fields for all payers except NE DHHS. For NE DHHS, provider admins will continue to update the Billable Start Time and Billable End Time fields via the Adjust Billable Time screen accessible via the snowman menu as currently working in Production. Any changes made will update the Billable Units and Billable Amount fields as it currently does today.
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