Claim Rule: Treat Episode as Discharged

  • Updated

What claim change is needed?

Pair this claim rule behavior with other claim rule behaviors in order to view a treatment episode as discharged, even if the patient is not yet officially discharged. This behavior helps with the following claim rules:

This condition will write the discharge hour to the claim if the patient is discharged. It can also be used to ensure a claim rule will write other discharge information to the claim, i.e. discharge status, discharge hour.

Box Number

UB-04: n/a

CMS-1500: n/a

Steps

  1. Navigate to Management Center > Claim Rules
  2. Select Create Claim Form Rule, or edit an existing rule.
  3. Select the practice.
  4. Select conditions for the rule.
  5. Select Claim Type Institutional
  6. Select Available Behaviors "Treat Episode as Discharged"
  7. Toggle to yes.
  8. Click Create.

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