Allow me to set-up a fee schedule in Fusion with amounts that should be paid for each billing code and have Fusion flag the ERAs that are adjudicated less than the amount.
Having the ability to review a payer fee schedule while posting can allow the biller to easily see if reimbursement may have changed or has been effected. This could be a sign of a potential issue and could impact revenue. Screens could then also be color coded as a sign or matching, unmatched or zero pay amounts by line item.
Seeing fee schedules of all insurers plus private pay rate is pretty standard in most EMRs. It might be difficult given the way Fusion is setup, but it would definitely be helpful.
I don't need auto finalizing- we tried this with another EMR and it was a nightmare. Being able to enter reimbursement per payer, per CPT code WITH modifier differential allowances would be a game changer for A/R reporting.
