FINANCIAL - Billing - Invoice Processing: [Cycle other than Medicare PPS Episode cycle]
Click the [View / Print Details] button in the PENDED CLAIMS section. A second browser will open and display a PDF report. The report is intended as a follow-up document to assist you in resolving conditions that caused a FINAL CLAIM to be pended (placed on-hold).
The report contains Patient Name, Patient ID#, Claim 'From' Date, Claim 'To' Date, Type of Bill (applicable to UB-92), Charge Amount, and three columns indicating specific follow-up.
POC Needed: If YES, then a Plan of Treatment (485) needs to be entered into patient clinical record.
POC MD Sign Needed: If YES, then the Plan of Treatment (485) is outstanding; awaiting the physician signature.
VO MD Sign Needed: If YES, then a Supplemental (Verbal) Order is outstanding; awaiting the physician signature.
The report footer includes Patient Count, Claim Count and Charge Amount Total.
Please click Preview Attachment link at the right to view a sample FINAL CLAIM Pended Claim Report.