IDENITIFICATION OF APPROPRIATE PATIENTS FOR THE RESPECTIVE CHARGES

DESCRIPTION OF THE ISSUE

Patient names mentioned in the superbill were not clear.  Search of the patient during charge entry pulled out several patient names.  Hence it was very difficult to find out the exact patient. Many claims were incorrectly billed for incorrect patients which resulted in wrong payments.

CONCEPT

Superbill images should contain exact patient details info.  Either patient account# or DOB or SSN should be mentioned for appropriate charge entry process.

SOLUTION

We intimated Dr’s office to mention DOB information in the superbill to avoid further incorrect billing process.  Previously paid incorrect payments were refunded voluntarily with the consent of the provider.