Difference between revisions of "DuxWare Release Note - 12/10/2023"
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==Claims/Expansion Codes== | ==Claims/Expansion Codes== | ||
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| + | '''Expansion Code Manager: * New Feature*''' | ||
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| + | * The ability to swap a CPT code for other codes by carrier has been added to the Expansion Code Manager. | ||
| + | The expansion code feature has been updated with new functionality to allow a code swap that is Payer Specific. | ||
| + | To access this feature, you must have Level 5 user access. Go to Support tab>Procedure/Diagnosis> Procedure Expansion Manager, and select, [+Add]. | ||
| + | You will be presented with three configuration controls: | ||
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| + | * Provider | ||
| + | * Location | ||
| + | * Carrier | ||
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| + | This expansion will be exclusively applied when the current charge aligns with the assigned Locations/Providers/Carriers. If no assignment is made, the fee will be used as the default. | ||
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| + | For example, you have claims with CPT code 99387, but Anthem Medicaid requires the equivalent G Code(s), you can add the configuration to swap that code to accommodate that carrier’s billing requirements for that service. | ||
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| + | [[File:Expswap1.png]] | ||
==Reports:== | ==Reports:== | ||
Revision as of 21:41, 7 December 2023
Contents
Claims/Expansion Codes
Expansion Code Manager: * New Feature*
- The ability to swap a CPT code for other codes by carrier has been added to the Expansion Code Manager.
The expansion code feature has been updated with new functionality to allow a code swap that is Payer Specific. To access this feature, you must have Level 5 user access. Go to Support tab>Procedure/Diagnosis> Procedure Expansion Manager, and select, [+Add]. You will be presented with three configuration controls:
- Provider
- Location
- Carrier
This expansion will be exclusively applied when the current charge aligns with the assigned Locations/Providers/Carriers. If no assignment is made, the fee will be used as the default.
For example, you have claims with CPT code 99387, but Anthem Medicaid requires the equivalent G Code(s), you can add the configuration to swap that code to accommodate that carrier’s billing requirements for that service.
