Question: How do I resolve the billing integrity grid Error "Actual Discipline discipline utilization units for [discipline] exceeds authorized quantity of “nn” for payer, auth #”"?
Answer: You will need to adjust the authorization period and its covered discipline limits for the reported visit discipline in the specified payer authorization period in CLINICAL – Patient Profile – Demographics – Payer / Policy Assignment – Authorized Discipline or you should set the reported visit to non-billable in CLINICAL – Patient Profile – Visit Notes.