February 2008 Rule of the Month
In January we described the benefits of athenahealth’s Behind-the-Scenes Calculator and how it helps clients save time by calculating age based procedure codes. This month, we discuss how athenahealth’s Rules EngineSM notifies clients if an inappropriate place of service is entered on a claim – helping submit cleaner claims the first time around.
Anyone who manages charge entry knows your fingers can sometimes betray you! With one incorrect keystroke it’s possible to enter the wrong place of service for a procedure code, which causes major headaches down the road. It can happen to anyone, it’s just two digits after all!
Entering the wrong place of service code is a simple mistake that causes time consuming corrections when the claim is then denied. Once again, athenahealth’s Rules Engine to the rescue!
athenahealth’s Rules Engine assists clients in submitting appropriate places of service for evaluation and management codes. If an inappropriate place of service is entered, the rule notifies you of this mistake before the claim is submitted, saving you time in the long run.
athenahealth clients love this rule and appreciate the notification if by chance they input the wrong place of service code. Some clients have even pointed out additional place of service rules we needed to build into the system. We love client recommendations like this because it helps make the rule more beneficial for everyone.
Keep in mind, there are so many roles you can play in athenaNet® because of athenahealth’s built in rules engine! You can be a passenger, enjoying the help. You can be a conductor, sharing your documented knowledge for everyone’s benefit. You can be an engineer, writing custom rules to help your office workflow.