Barnestorm Boost: How Do You Track Your Outstanding Claims?

Your Current Processes:

·         Handwritten notes

·         Sticky Notes

·         No process at all

Benefits If You Change Your Process:

·         You will maintain a steady flow of revenue

·         Missed episodes/claims will be caught sooner, instead of later

·         RAP Autocancels will be eliminated or greatly decreased

·         You will be more organized and informed of what claims are pending; what claims have not been billed; and why those claims have not been billed

New Process Details:

·         Utilize Barnestorm Reports

·         Be more organized in your work practices

·         Maintain a close relationship with clinical staff and the intake dept

One of the key things to consider before you start this process is establishing/maintaining a close relationship with clinical staff and the intake dept, as their data input is key in the billing creation process.  Please view this article:  Key Points On Entering Your Referral.  

You will also need to establish a routine to pull various reports weekly, to keep you up-to-date in what claims are outstanding.

We have several reports (See Related Reports) that allow you to track episode status and claim status.

Suggestion on how to start this process:

•Set a reminder, (using Barnestorm Messaging), to print reports on a certain day of each week, until you get into the habit of pulling reports.

•Review all the suggested reports and see which reports best suit your needs. (See Related Reports)

Checks and Balances:

These reports can be used to catch problems after a RAP or EOE has been submitted:

14.16 Visits after EOE 

14.17 OASIS after RAP

Related Reports:

05.22 30/60/90 by Patient

05.23 30/60/90 by Payer

14.03 PPS Tracking Report 

14.13 RAP Auto-Cancel Episodes 

14.33 Claims Sent, But Not Paid 

Billing>Other>Track Unpaid Billing:  This is a special tracking screen, where you can input notes, enter any follow –up dates, and select a status for the claim.  Article: 

Helpful Resources:

MEDICAID WEBSITE:

(Claims and Billing, Denials, Forms, Checkwrite Schedule, Monthly Bulletins, and More)

Barnestorm Article:  Important Contact Information For Billing Staff

Contact Information:

Medicaid:  1-800-688-6696

Medicare:  1-866-749-4301

Medicare Website

Barnestorm Article:  Billing Instructions For Various Payers

Barnestorm Article:  Tips To Prevent Billing Errors And/Or Denials

Barnestorm Knowledgebase