Service Code Validation Bypass
Service Codes can be setup to bypass most Prebilling validations and/or all validations on the Billing Review page. Therefore, visits scheduled with certain Service Codes can be billed without fulfilling requirements specified by the Agency or by the authorizing Contract.
Complete the following steps to setup Service Codes to bypass Prebilling and/or Billing Review validations.
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Go to Admin > Reference Table Management.
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Select Contract Service Code from the Reference Table field.
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Click the Add button to add a new Service Code or click the existing Service Code link to edit.
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The Contract Service Code window opens. Select the Bypass Prebilling Validations and/or Bypass Billing Review Validations checkbox(es).
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Click Save.
Visits setup to bypass Prebilling are still held for the following validations:
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Incomplete Confirmation
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With TEMP Caregiver
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OT/TT Not Approved
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Restricted Caregiver
On the Patient Calendar page, any scheduled visit with a Service Code set up to ignore Prebilling validations display in white to indicate it is not governed by any Authorizations.
