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Prior to Pulling Billing Export

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titleHow do I know if all appointments have been verified?

You can easily run a quick report in Rethink to check that all appointments for any given date range have been verified.

  • Rethink – Scheduling – Appointment List

  • Click the filter icon to view all filters available

  • Adjust your date range 

  • Client should read “ALL”

  • Staff should read “ALL”

  • Appointment Type – adjust according to what you want to pull (note: billing export only pulls BILLABLE appts) 

  • Appointment Status switch to “Needs Verification”

 

  • Click “Submit”

This will pull all appointments that will NOT be listed on the billing export for that given date range.

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titleWhat provider should be listed on my authorization?

This will all be dependent on your payor contracts. It’s important to remember that the provider you list here is who will pull into the claim in box 24J on the service line.

  1. Agency – only your group information will be listed on the claim in 24J and 31

  2. Specific Provider – only this provider will be listed on your claim in 24J and 31

  3. Provider Assigned to Appointment – whichever provider is assigned to the appointment will be listed on your claim in 24J and 31 (typically used for Medicaid & Tricare funders)

Billing Export

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titleHow do I fix appointments not attached to an authorization? 

Go into the appointment on the scheduler and under the “service” section, select the active/valid authorization. Within the billing export, if there is a valid authorization now attached to the appointment, you can manually enter the authorization number in the Authorization # column (V) on the export.

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titleHow do I fix clients missing a diagnosis? 

Diagnosis are listed within the client chart in Rethink. If a diagnosis is invalid or missing on the billing export, you will need to go into Rethink, into the client chart and find the “Diagnosis” section. Add the diagnosis here or update if necessary. Once that is completed, go into the client authorization and update the diagnosis attached to the active authorization for that client. Once this is complete, you can manually enter the diagnosis in the Diagnosis Code column on the export.

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