weehabilitate wrote on Thursday, December 11, 2014:
But did I already post something in here about Prior Authorizations. Such as, inputting each and having the authorization number show up in Loop 2300 REF?
I thought I did in the Wee early morning hours, but this data center move has consumed most of my ability to remember anything as of recently.
Thank you
fsgl wrote on Thursday, December 11, 2014:
When in doubt, one can do a search regarding one’s posts.
In anticipation of your questions, see attachments.
weehabilitate wrote on Thursday, December 11, 2014:
I thought I tried that and to no avail. I’ll try again to see if it’ll work.
But I also wanted to see if there is, or perhaps currently being developed, a way to input the authorizations for the insurance carrier and attach the approved number of visits/units. Then, for each visit, include it in the billing and have it decrement the approved value by each visit/unit billed for tracking of the authorization.
I’ll post a picture of something similar in a program we currently use called TherapistPRO so you can get an idea of what I am talking about.
If nothing else, I can’t imagine this being that complex, just have to really want to do it to accomplish it. Now, just FYI, this only matters with the North Carolina Infant Toddler program, which requires us to send not just the prior authorization number, but also a 2420 (or is it 2320?) PWK defined as EOB and “Available ON-DEMAND” when submitting for payment to the ITP program.
None-the-less, even for Medicaid and certain insurances, we get authorizations for a certain period of time and visits/units; thus, it is vital we keep track of that in a dynamic fashion so we know when to anticipate submitting the patient for reauthorization to their services can continue without disruption, since there is a small window of time to resubmit before there is a gap in coverage which not just stops treatment for the children, but also means I pay therapists for services I can’t get paid for, a lose-lose situation 
fsgl wrote on Thursday, December 11, 2014:
Misc Billing Options for Box 23 has worked well in our office.
At present there is no module for decrementing the number of referrals/prior authorizations. The Eligibility tab would be a good place for it, but this tab is not yet functional.
One possibility is to create a new Issue, Prior Authorization, see attachment. Issues are linked to the Encounter Form, therefore a mechanism for decrementing may be facilitated by this linkage. Code modification will be needed.
Non-techie solution is to enter the date of the authorization in User Defined (in Demographics) & assign to the billing clerk the responsibility of manual subtraction.
The great thing about submission of secondary claims electronically is the fact that the EOB from the primary insurer is included automatically. No more gluing of strips or attaching an entire sheet with other patients’ info redacted.