Super users can add and manage payers and configure rules to be enforced. These rules will help ensure that a claim complies and has the required information before it is sent to the payer.
- Unit calculation rule - SPM (AMA) or CMS or either
- Auth required - Not required; Yes, prior to eval; Yes, after eval
- Script required - Yes or no (to require a referring physician NPI on the claim)
- Certification period - # days
- Progress note count - # visits
- Visit time required - Yes or no
- Minimum units - # units
- Maximum units - # units
Watch how: