Difference between revisions of "DuxWare Release Note - 01/27/2019"

From DuxWare Manual
Jump to navigationJump to search
Line 1: Line 1:
==Patient Demographics==
+
===Patient Demographics===
  
'''Patient Authorizations'''
+
'''Patient Authorizations'''<br>
  
 
The authorizations area of the Patient Information Screen has been updated to perform more efficiently with the ability to:
 
The authorizations area of the Patient Information Screen has been updated to perform more efficiently with the ability to:
  
Produce a report of the patient’s authorizations
+
* Produce a report of the patient’s authorizations
List claims associated with an authorization
+
* List claims associated with an authorization
  
 
Patient Authorizations is located on the Patient Information Screen as illustrated below:
 
Patient Authorizations is located on the Patient Information Screen as illustrated below:
Line 17: Line 17:
 
[[File:Authorization2.png]]
 
[[File:Authorization2.png]]
  
==Claims==
+
 
 +
===Claims===
  
 
The "Review Electronic Remit Files" will now display multiple check information fields with the ability to filter and sort.
 
The "Review Electronic Remit Files" will now display multiple check information fields with the ability to filter and sort.
Line 30: Line 31:
  
  
Claims>Claim Manager  
+
Claims>Claim Manager<br>
Claims Manager (Ansi 837) Setup - Providers and Locations
+
 
 +
Claims Manager (Ansi 837) Setup - Providers and Locations <br>
 
To access, Claims>Claim Manager>select the edit icon to the left of the clearinghouse setup that you wish to edit>Providers and Locations tab.
 
To access, Claims>Claim Manager>select the edit icon to the left of the clearinghouse setup that you wish to edit>Providers and Locations tab.
 
Exclude/Include Providers in clearinghouse setup.  In this area, the user has the ability to Exclude providers in their database from being sent to the clearinghouse.  If there have been no specifications made for exclude or include, then they will see the following screen.  If you have no providers to be excluded, then there is no need to [+Create Physician and Location Group].
 
Exclude/Include Providers in clearinghouse setup.  In this area, the user has the ability to Exclude providers in their database from being sent to the clearinghouse.  If there have been no specifications made for exclude or include, then they will see the following screen.  If you have no providers to be excluded, then there is no need to [+Create Physician and Location Group].

Revision as of 16:48, 28 January 2019

Patient Demographics

Patient Authorizations

The authorizations area of the Patient Information Screen has been updated to perform more efficiently with the ability to:

  • Produce a report of the patient’s authorizations
  • List claims associated with an authorization

Patient Authorizations is located on the Patient Information Screen as illustrated below:


Authoriziation1.png


Authorization2.png


Claims

The "Review Electronic Remit Files" will now display multiple check information fields with the ability to filter and sort.

To access, go to Claims tab>Electronic Remit>Review Electronic Remit Files

  • Multiple filtering options are now available as seen in the illustration below.


Remitview1.png


Claims>Claim Manager

Claims Manager (Ansi 837) Setup - Providers and Locations
To access, Claims>Claim Manager>select the edit icon to the left of the clearinghouse setup that you wish to edit>Providers and Locations tab. Exclude/Include Providers in clearinghouse setup.  In this area, the user has the ability to Exclude providers in their database from being sent to the clearinghouse.  If there have been no specifications made for exclude or include, then they will see the following screen.  If you have no providers to be excluded, then there is no need to [+Create Physician and Location Group].


Providerexclude1.png


If all providers are to be included in the clearinghouse or claim scrubber submissions, then nothing needs to be done.  All providers in your database are defaulted to be included in your submission batches.

NOTE: Please do not hesitate to call PM Support if you need assistance.


Providerexclude2.png


Auto-post Users - Reminder: If you have qualified for MIPS Value Based Payments, there are settings that are available in your Auto-post Setup and Reason Code Setups to accommodate these type adjustments. Please refer to the previous release note. NOTE: Please do not hesitate to call PM Support if you need assistance.

Example Medicare Auto-post Setup to accommodate MIPS adjustment: To access this area, go to Claims tab>Electronic Remit>Reason Code Setup.


Erasetup1.png


Example Reason Code Setup for MIPS Adjustment:

To access, go to Claims tab>Electronic Remit>Reason Code Setup:


ReasoncodeVBP.png


If you need assistance or clarification regarding any of the above updates, please do not hesitate to contact PM Support.



Previous Release Note - 01/27/2019