Mileage Authorization
When a Contract has a Service Code set up for Mileage, the service bypasses the Patient Discipline Accepted Services and is made available for all Patients under that Contract’s Authorizations.
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If only Skilled services are accepted for the Patient, then only applicable Disciplines to include Other (Skilled) are displayed in the dropdown menu.
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If only Non-Skilled services are accepted for the Patient, then only applicable Disciplines to include Other (Non-Skilled) are displayed in the dropdown menu.
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If both Skilled and Non-Skilled services are accepted for the Patient, then both are included in the menu. If the Mileage Code is only applied for Other (Skilled) on the contract, then only that option displays in the menu.
When the Mileage Service Code is selected as the Service Code for an Authorization, the Display and Period fields are locked with Hours and Entire Period pre-selected for respective fields.
When creating a Mileage Event, the Authorization Number is displayed in the dropdown field if an Authorization(s) exists for the selected Patient, Contract, Service Code and Mileage Date.
The pre-selected Authorization Number is the one which the mileage is applied based on the selected Patient, Contract, Service Code, and Mileage Date.
If an Authorization Number is manually selected from the dropdown, then that Authorization is selected for mileage. However, if the selected Authorization does not have remaining Hours (Total Units – Used Units in mileage), then the mileage is not Authorized (and highlighted pink on the Patient and Caregiver Calendars).
If the Hours are available for multiple matching Authorizations, then the system applies the mileage to the first created Authorization.
In the Patient Auth/Orders page, click the Authorization Number link for the Contract to access the Patient Mileage Authorization window. Herein view a summary of all mileage-related information such as Allocated (Units/Hours) and Units (Hours) Left for the selected Contract.
When an Authorization or Mileage is edited, the system recalculates the Authorization as follows:
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Action (If)… |
System Behavior (Then…) |
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Add/Edit Authorizations |
The system recalculates all mileage that applies to the added/edited Authorization accordingly. |
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Delete Authorization |
All mileage associated with the deleted Authorization becomes Unauthorized. |
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Click Update Link (List of Authorizations) |
The system to recalculates all unauthorized mileage. |