Standalone Services: Changes in the Attendance Calendar

Most claims involving standalone services can be adjusted without creating a new service or establishing a claim rule if the needed changes pertain to: Facility, Rendering Provider, Referring Rendering Provider*, Referring Rendering Provider Role*, Service, Billing Provider, Diagnoses, Units, Modifiers, or Present on Admission Indicator.

Please note that the Referring Rendering Provider and Role fields only appear if the related setting is turned on. Please contact support at [e-mail] if this option should be enabled. 

Workflow

Let's review how to modify standalone services after claim submission and generate claim corrections.

1. To start, navigate to the Attendance Calendar and click the carrot icon to select the correct week.
   
2. Locate the service date and click the lock icon.
   
3. A warning will populate to verify if the service needs to be unsubmitted and will list the associated claim number. Ensure that this claim number matches the claim that needs corrections. Click Unsubmit once confirmed.
4. Next, click the pencil icon to edit the recorded service. 
   
5. Make the necessary changes to any of the following fields:
   • Facility: Switch between facilities under the same practice.
   • Rendering Provider: Change the rendering physician on the claim.
   • Referring Rendering Provider: Only appears if the setting is turned on.
   • Referring Rendering Provider Role: Only appears if the setting is turned on.
   • Service: The service on the claim can only be switched to another standalone service.
   • Billing Provider: Choose between Practice and, if applicable, Rendering Provider.
   • Diagnoses: Add, change, or remove diagnosis codes.
   • Present on Admission Indicator
   • Units: Change the number of units rendered.
   • Treatment Modifiers: Add, change, or remove a treatment modifier.
6. Click Save to update the service.
7. Repeat this process for each date of service on the claim that requires edits.
8. Once you have updated all affected dates of service, click Submit For Billing. It's important to note that unsubmitted attendance on existing claims will prompt corrections for claim splits and voids if not submitted.
   
9. If the claim spans multiple weeks, navigate to the Unsubmitted Attendance tab and Submit For Billing from there.
   
10. Once the attendance has been resubmitted, corrections should be flagged overnight. If you'd like to check for immediate corrections, click on the arrow icon next to the patient's name.
    
11. In the treatment episode, click the Insurance Billing tab.
    
12. Next, select the Review Corrections subtab and click Check For Corrections.
13. Finally, refer to this article on how to create a corrected claim to complete the process.