Links: Help in navigating to other pages such as patient demographics, case, insurance, Charge Master, ledger, eligibility, and document management.Ĥ. Encounter lines and their details: Encounter line details can be found here.ģ. Patient and Claim details: Patient demographics and claim details can be found in this section.Ģ. The different sections of the Next Action Screen are numbered (as highlighted in Image 5) and explained below.ġ. In the Work Queue screen, any of the assigned claims will also show up in a separate “Need More Info Queue” list.Ĭlick anywhere on the claim line in Image 4 to open the Next Action screen with details of the invoked encounter see Image 5. These claims will show up in the assignee user’s “Need More Info Queue” in the Interoffice messaging screen. Users can push claims from the WorkQueue screen to the “Need More Info Queue” using the “Next Action” option. Changes made would then be reflected in all the selected items. Check the boxes corresponding to the items required, and then click on button. Note: The button at the bottom of the main screen (see Image 4) is a convenient way to edit or assign tasks related to multiple items in the work queue list in one go. Click on any other field to move to the Next Action screen. Patient Name is a hyperlink to the Patient demographics, and DOS is a hyperlink to the Charge Master. Image 4 displays the claims related to the Payer Reject category. Type in the first few letters and select an appropriate Payer Name from the drop-down that appears.Ĭlaims can be filtered according to days from DOS, LCD(Last Claim Date), and Last Follow-up Date.įilter the tasksaccording to whether their DOS and/or claim date fall in the given date range.Ĭlick on any category on the left to list the corresponding items on the right. Select a Rendering provider to filter based on the rendering Provider Select a legal entity from the drop-down to display tasksin that LE. All items first fall in the NEW status.ĭrop-down includes values such as Incorrect Patient information, Incorrect Insurance Info, etc. Click here to view fields in the WorkQueue CSV.Īll/NEW/Pending. WorkQueue has a CSV export option to export all worklists and their claims. Click on button to view all search parameters refer to Image 3. The Work Queue has various search fields that help filter the tasks. Patients with balances and no statement sent over 60 days Need More Info Queue and all the sub categories are pulled from the Collection ManagerĪll lines in Status BILL_TO_PT, BILL_TO_GR and IN_COLLECTIONĬlaims that are 45 days away from response limit threshold Rank 1, Rank 2, Rank 3, Rank 4 and Rank 5ĭenial codes, No-response categories, etc. Closed lines that are underpaid are also included Some Important Categories in Work Queue CategoryĪll paid claims where the amount is less than the fee schedule rate. If a category is assigned to a user, all claims and items for that category will automatically fall into the user’s worklist or ownership, and the users can view their tasks when they open the work queue. The H2 Report setup screen can also be used to assign specific items in the Work Queue to users. To access the H2 setup, click the icon on the top right part of the H2 report. To add a new status, go to All Lookups->Billing Lookups, select WORKQUEUE_STATUS, click on and enter the required info, and hit save to have the new status added to the list.Ĭategories in the Work Queue screen are pulled from the H2 Operational (Drill Down) Dashboard setup screen (Image 2). New work queue statuses can be added from the billing lookup screen. For this, the Follow-up Hx tab of Collections Manager is brought into the Next Action screen beside the Action Hx tab.Į. Collection Manager activity can be tracked from within the Work Queue module without the user having to move out of the Work Queue screen. The dashboard screen will show the categories on the left pane and a pie-chart representation of the categories on the right see Image 1.ĭ. The enhanced Work Queue screen has a dashboard section for a quick view of the various KPIs and displays the count of items under each KPI.Ĭ. When Work Queue opens, it will load only claims that have been allocated to the user’s team(s).ī. This assignment can either be manual or automated through RCM workflow configuration (to learn more on RCM Workflow configuration and its benefits, click here)Ī. The claims are categorized and assigned to user teams. The work queue is primarily used as a workflow management tool to follow up on claims and charges.
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