I would love to be able to CUSTOMIZE the claims statuses. Most frequently, I find myself wanting one for Medical Records Requests, Insurance follow-up, Appeals, Reprocessing, etc.
Is there anyway we can have another bucket for claims that are denied that we need to work? Doesn't make sense to leave them in Not Paid or Reviewing. There needs to be a bucket for claims that were denied that need follow-up etc
There needs to be another status for claims that we have called the insurance company about reprocessing with updated information due to a denial. Perhaps name it "Reprocessing". Tricare doesn't let us resubmit claims electronically or it will deny as a duplicate. Instead we have to call them to have a rep reprocess the claim or we have to fax them information. Currently these claims have a status of "Not Paid", but it would helpful with tracking for them to have another status that we could manually switch them to.
Add an "Appeals" option to the claim status that can be manually selected by the user. This would be included as a Billing Category between Paid and Completed claims. It would help track claims that have received ERA/EOBs but have been incorrectly processed by the payer and need to be appealed.
i would love to have a claim status of "appealed" or something like that to have a place to put claims that are being investigated/worked for incorrect denials. Then we could run reports and have a snapshot of claims that have issues!! Is this a possibility?
Is it possible to create an additional folder in the billing cycle that can be used to separate claims that did not process correctly and need to be worked? That folder would not be part of the normal billing cycle but users would have the ability to manually move a claim into it if necessary. We would love for this to work because it would allow our office staff a one-stop location to keep all the claims that have issues and would significantly improve their workflow. Currently, we are just keeping a separate list of the problem claims outside of Fusion and the staff the has then go find that claim in Fusion to address it.
Can I vote for this more than once please? I REALLY want to be able to have "Holding tanks" for claims that have been looked at but need additional handling. If I can't make different queues, may I please assign different colors and then sort by color to separate things that have known issues from things that are new in a list (this would be relevant in Reviewing, Paid, Not Paid...). I also want to be able to put a note that I can view by hovering over it from the list level to quickly see why the claim is holding. AND (not that I'm greedy), I want to be able to set some of these things from a claim rule so that I don't even have to review some claims to get them into the holding queue they need to be in... THANKS!
Add a section under billing>claims that would be titled "loss". I would like to move rejected and not paid items to this once I have tried everything to get the items resolved.
I wish there was a billing folder "problems" or "hold" where the biller could move claims that need some investigation or are waiting on something (new insurance # or parent to call insurance with an update)---to unclutter the reviewing folder. Mistakes get made when you have to skip the same claims over and over---things get sent in before they are ready because they look ok and some one (me ) is on autopilot!
Please create a bin for claims that have been paid but need corrected because reimbursement was not as expected (eg., the claim was paid but only one of the two service lines paid fully/correctly or maybe the claim paid for an incorrect code and a new corrected claim would be resent). Maybe it could be called "Partial Payment" or "Incorrect Payment"
