HHAeXchange Lunch-and-Learn WebinarRebilling in HHAeXchange

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Agenda

• Review the current challenges • Review the new Rebilling Module• Review the processes and workflow of Rebilling• Review the most common causes for Rebilling

Current Challenges

Process• Submit a spreadsheet via ticket to support with the shifts to Rebill • Submit a ticket to support with shifts to void and delete• Submit a spreadsheet via ticket with corrected hours to Rebill

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Solution: Rebilling Module

Rebilling Module Benefits

• The Rebilling Module allows you to resubmit a claim without having to submit a request to the HHAeXchange Support Team.

• Better control over who, what, and when a resubmission occurs.

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Where Do I Go to Resubmit?

2 New Menu items have been added to support this feature under the Billing Tab(Billing > Electronic Billing)• Resumbit Claims• Batch SearchThe Rebilling Module will allow you to resubmit Adjustment and Void claims

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Steps for Rebilling1. Select the Payer from the

Payer field (required) 2. Select Add Claims3. Use filters to search for claims

Steps for Rebilling (Cont’d.)4. Click the Pencil icon ( ) to access the Claim Adjustment screen

5. Select Submission Type (Adjustment or Void) 6. Update and Save the Adjustment/Void7. Click the Export and Download button on the Resubmit Claims

screen

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When is Rebilling Necessary?

Adjustment / Void

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Adjustment

• Also referred to as a “Corrected Claim”

• Used when the Provider wants to make a correction from the original claim

• Requires a TRN

Void

• Used when the Provider want to negate (void) the original claim entirely

• Must be submitted as an original claim after the void is submitted.

• Requires a TRN

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NOTE: If you have billing questions and are unsure whether to select adjustment or void, please contact your Payer (MCO) for additional assistance.

TRN: Required when Rebilling

The TRN is the Payer’s TRANSACTION REFERENCE NUMBER

It can be referred to as many different names.

EXAMPLES:• Form Number • Claim ID• Claim Number

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Where is the TRN located?

• Imported with the Electronic Remittance Advice (ERA)• Can be found on the paper remittance• Payer portal• Contacting the Payer (MCO)

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Most Common Reasons for Rebilling

Reason #1: Split Shifts

• Split shifts are the most common reason for rebilling(often due to late time sheets)

• In these cases:• 1st Shift has been billed • 2nd Shift (same day) is entered into HHAeXchange after st Shift already billed

• Result: The 2nd Shift is held in Billing Review for Pending additional Shift

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Reason #2: Billing to the Wrong Payer/MCO

Steps to Address (VOID)• Send a void claim to that wrong payer• Delete the shift(s) from the Patient• Rebill an original claim with the correct Payer

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Reason #3: Need to Update Visit Information

ADJUSTMENT• Change of hours• Units • Rate• Export Code/Procedure Code

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