Q4 2022: MicroMD PM & EMR Tips and Tricks
There are a variety of interesting tricks when using any software program, and MicroMD is no exception. Some of the following useful tips could help save you time and improve your financial bottom line. Let’s learn more.
How to fix an out of balance COB Secondary Claim, CAS segment, rejection.
Issue: Claim is being rejected at either the Clearinghouse or the Secondary Payer for the Claim Adjustment Segment amounts, CAS Segments, being out of balance.
Cause / Information: CAS segment rejections happen when the paid amount and CAS segments do not equal the claim total.
Resolution: Use the following steps to fix a Secondary COB claim that the CAS segments are out of balance:
- Have the Primary EOB available to reference.
- In MicroMD PM go to Billing > Charges / Payments and pull up the patient that is receiving the rejection.
- Highlight and Edit the sequence that received the rejection.
- Highlight the Secondary Plan and then click the Accept button.
- Set the Status to Print and click the More button.
- On the Claim Modification window make sure all the columns and fields including the Totals fields and columns are filled in with the information that is on the Primary EOB
- Next click the Adj. Codes button and on the Claim Adjudication Information window make sure that the Send box is not checked and click the Cancel button.
- On the Claim Modification window highlight the first Procedure Code line and click on the paper grid at the end of the charge line.
- You will need to refer to the Primary EOB and make sure that the Group Codes, Reason Codes, Amount, Qty, and Payment Date are listed on the Claim Adjustment Information window and make sure that the Send box is checked then click the Accept button. You are going to want to watch because there may be a scroll if there are multiple Group Codes.
- Repeat steps 8 and 9 for each of the next Procedure Code charge line(s).
- Once you have reviewed the charge lines click the Close button and then the Save button to save any chances that you may have made during this process.
- The claim is now ready to resubmit to the Payer under Claims > Claims Processing EB.
Reassign User Tasks- Laboratory, Procedure and Referral orders
In version 19.0.3 you can now reassign more types of tasks for users. The new tasks you can reassign are Laboratory, Procedure and Referral orders. This is a nice feature for users that are going on vacation or have left the practice.
To access the Reassign User Tasks:
- On the Desktop Navigator select Administrative Panel
- Under Miscellaneous Tasks select Reassign User Tasks
