slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Service Month PowerPoint Presentation
Download Presentation
Service Month

Loading in 2 Seconds...

  share
play fullscreen
1 / 1
vilmos

Service Month - PowerPoint PPT Presentation

228 Views
Download Presentation
Service Month
An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

  1. Provider Direct Billing Workflow **DRAFT** Service Month 1st 5th 6th 15th 16th 20th 21st EOM Finalize Monthly Authos & ensure all data entry is complete before generating Service Orders Generate Serv Orders and inform Provider Run Service Delivery Rpts to ID Provider billing status Adjust SAMS data to reflect additional authorizations Finalize Bill Generate Agency Invoices Verbal Service Authos Suspensions Schedule Changes Data Entry ASAP Confirm Final Bill Amount Sync Serv Plan Remediation Activity Resubmit fixed items Second pass remediation if needed Provide ASAP with the finalized billed amount Verbal updates to ASAP Suspensions Schedule Changes Retrieve PD Authos Discrepancy Review* Perform Services Adjust for post month authos Prepare Deliveries Provide ASAP w/ Monthly Billing Coversheet before upload PD Service Delivery Due Issue Log Generation Issue remediation due Run Delivery Rpts to finalize anticipated payment PROVIDER *Discrepancies in service plan data between provider and ASAP need to be identified, communicated and fixed throughout the service month. ** Billing Disputes – Depending on the complexity of the billing dispute, resolution may or may not happen during the billing period.