Released Charges (B)

The Released Charges Queue shows charges with a “B” status which means they are awaiting the final edit process that occurs nightly, ending with the claim being billed. Charges with this status may require additional automated scrubbing such as applying NC (No Claim) modifiers to the CPT codes. You can also make any final changes or corrections to charges released from Pended Charges.

Working the Released Charges Queue

  1. Open the Charges menu and select Charge Audit.
  2. This queue is run individually for each company that your user has access to. To view the Released Charges worklist, use the scroll bar at the bottom of the window to scroll to the right. Click the Charge Count under the Released Charges (B) column.
  3. You can filter this worklist by Company, Insurance Class, Insurance, Provider, Location, Patient, and/or Procedure Code. After you’ve made your selections, click Search.
  4. Charge lines are grouped by Patient and Date of Service. If you notice anything that is incorrect or potentially needs further review, you can Pend the charges using the Release or Pend drop-down. Any charges you pend will automatically be placed in Delayed Claims 
    Note: Any charges you do not pend or edit will remain in the Released Charges worklist and will continue through the scrubbing process to bill during the nightly billing cycle.
    1. Pend: Any charges that you pend will automatically be placed in Delayed Claims.
    2. Release: Any charges you release are sent through the scrubbing process to bill. 
  5. If Pend is selected, you must also select a Pend Reason for each Date of Service.
  6. Click Save at the bottom of the window to process your selections.  
    Important: If you are working through multiple charges, make sure to Save your changes on each page before moving on to the next. All changes will be lost if you do not save. 

Edit Charges

Charges can be edited directly from the Released Charges (B) worklist. For example, if a Member has guidelines to change a specific CPT code or to bundle codes together, those edits can be made here. Please reference your billing guidelines for each contracted carrier. 

  1. On the Charge Audit page, select the Charge Coununder Charge Review to work this queue.
  2. For low-level audits, utilize this main screen to make edits to CPT Codes, Units, or Modifiers. For high-level audits like editing or adding charges, click Edit Visit.
     Important: A Payment Icon ( $) will display next to the Date of Service once a payment has been posted on one or more charges. On the main screen, the NC - NO CLAIM modifier will not be available. When you go into Edit Visit, the row itself will be grayed out and you will not be able to make any changes.
  3. Under Charge Detail in the Edit Visit page, enter the corrected charge into the Amount field. Once you have made your changes, click Save and you will return to the Charge Review worklist.
    1. If you need to add a charge, stay on the Edit Visit page and click the Add Charge button to fill out the new line. We recommend that the therapist add an addendum to the patient’s documentation if new charges need to be added. This ensures the documentation supports the charges billed.
    2. To remove a charge, select the checkbox under Status and click Remove Charge.
    3. Once you’ve made your changes on the Charge Detail screen, click Save.
  4. Back in the Charge Review worklist, click Add Account Note to document your actions and the note will appear on the patient’s home page under Account Notes
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