Billing

To log into the EZClaim program:
 a. Double click on the EZClaim server icon on your PC's desktop  b. Click on your username  c. Type in your password, hit Enter  d. Double cli...
Wed, 11 Oct, 2017 at 8:54 AM
To log into a client's QEMR database (v7 &v8):
v7 a. Double click on the appropriate server icon (see Client List) b. Type in your password, hit Enter c. Right click on Start button d. Choose 'E...
Tue, 19 Dec, 2017 at 9:54 AM
Logging off a server:
a. Close all programs b. Click 'Start' c. Click 'Log Off'  *NEVER NEVER NEVER click 'Shut Down' **NEVER use the 'X&...
Wed, 11 Oct, 2017 at 8:55 AM
Auto primary
When auto carrier is primary payer and it is exhausted, you NEVER delete the auto carrier. Always post the auto exhaust (PR-119) with a zero payment amount...
Thu, 16 Nov, 2017 at 8:22 PM
Medicare Therapy Cap
When a claim denies for benefits maxed. Go to the claim, flip all lines back to Medicare. Do not submit any new claims for this patient as they will den...
Thu, 15 Feb, 2018 at 7:33 AM
No Auth Denials
If a claim denies for no authorization, check the patients case in QEMR to see if an authorization is either in the Attachments or if there is an authorizat...
Wed, 11 Oct, 2017 at 8:55 AM
Patient paid after account sent to Collection Agency
1. Do NOT post the payment. 2. Make a note next to the payment on the log "Not posted". 3. Type new balance of batch without the amount of payme...
Wed, 11 Oct, 2017 at 8:38 AM
Medicare Part B denial with an MA130 Remark Code
When a claim denies & they also report the MA130 Remark Code, make the necessary corrections and submit as a new claim. Note: This is also called a...
Wed, 11 Oct, 2017 at 8:54 AM
Interest payment
When a payer pays interest on a claim, before applying the payment; 1. Open the claim. 2. Add a service line of 'Interest' for the amount they a...
Tue, 19 Dec, 2017 at 9:20 AM
ERA posting (RAFFAA)
**If an ERA has a payment method of check, you must wait until check is received to post the remit** R - Review ERA (on TriZetto portal) A - Apply Pymt...
Tue, 13 Feb, 2018 at 7:35 PM