ABN Follow-up

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When the Enterprise Preference is set to Yes and a combination of diagnosis code and CPT code do not meet medical necessity then the system will display a red face & underlined Needs Info

ABN1.jpg


If the provider does not select the appropriate ABN status before he or she clicks Submit then a Mng Charge Edits task is generated and the team receiving the task will be required to select the appropriate ABN status:

ABN2.jpg


HOWEVER, if the Enterprise Preference setting is set to No the provider will now receive a yellow face

ABN3.jpg

That when you click on it you receive the following message:

ABN3a.jpg

ABN3b.jpg


If the provider clicks Submit without selecting a covered diagnosis the system will generate an ABN Follow-Up task. The charge can be submitted to the Practice Management system without this being resolved.

Links

Back to V11 Tasks