Add or Remove Patient Discharge Status

  • Updated

This rule can add or remove the patient's discharge status on a claim.

Workflow

Let's review how to create a claim rule to manage the patient's discharge status on a claim!

    1. Navigate to Management Center > Claim Rules.

    2. Click Create Claim Claim Form Rule.
    3. Select the Practice.
    4. Next, give the rule a name.
    5. Update the Claim Type to Institutional.
    6. Select Conditions to create criteria a claim should meet before the rule will apply.
    7. Next, click on the Behaviors dropdown.
    8. Select Patient - Discharge Status.
    9. Next, click Add.
    10. Update the dropdown to the desire discharge status.  
    11. To create multiple behaviors, repeat steps 7-10.
    12. Click Save to complete the process.
       

Box Number(s)

Helpful Hints

  • If one of your conditions is payer-based, select Current Sequence Behavioral instead of the Primary Behavioral Payer. This will ensure the rule applies to secondary and tertiary claims when needed. 
  • To read more about how to set claim rule conditions and order, see the Claim Rule: Setting Claim Rule Conditions article.
  • To read more about how to set up a claim rule to be effective as of a certain date, see the Scheduled Change Sets article. 

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