Find and Fix Rolled-Up Payments 

It is not uncommon for a payer to return an ERA with reimbursements for individual dates of service rolled up to one line. These rolled-up payments still automatically post to the claim because the total amounts add up to balance the claim. 

However, rolled-up payments negatively impact reimbursement reporting and revenue cognition efforts.

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Finding Rolled-Up Payments

To locate Rolled-Up Payments (e.g., payments that have been posted with line items spanning more than one date of service), use the Claim Payments Report. 

  1. Navigate to Reporting and choose the Claim Payments Report.
  2. Set the Report Display Type to Detail.
  3. Choose the preferred Date Type and Date Range.
  4. Update the Show Multiday Payments Only toggle to Yes.
  5. Under the Payment Matching Status drop-down, choose Matched Claim Payments.
  6. Click Run Report.
  7. The report run using the above settings will only show payments that have been posted with line items spanning more than one date of service.

Fixing Rolled-Up Payments

  1. Using the report results, locate the Check Number or Claim ID.
  2. Copy and paste the Check Number or Claim ID in the AveaOffice search bar.
  3. Open the Payments tab.
  4. Click on the blue hyperlink ICN or Check # to open the payment.
  5. Click the Edit button.
  6. Delete the rolled-up Line 1 from the table by clicking the X button on the far right.
  7. The option to Import appears. Use the Import Services from Claim drop-down to select One Row per Service per Date, then click Import.
  8. The system will ensure each date is separated out as it's own line item. Next, break out the payments total for each column to the line items below.
  9. Once balanced, click Save.

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