Table of Contents

Release Highlights

RCM Enhancements

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Add Flag to Remove Billing Facility Name from UB04, Box 2

What’s New: A new feature has been added allowing Inpatient Facility Billers to automatically populate the "Through" field in Box 6 of the UB04 form with the discharge date instead of the last service date, which was previously used. This feature streamlines billing processes by accurately reflecting the discharge date, even though Inpatient Services, in most cases, cannot be billed on that specific dateflag, "Exclude Facility Name (Box 2)", has been added under the Service Business Rules section. This flag gives billers the ability to exclude the billing facility name from the first line of Box 2 on the UB04 form. When this option is enabled, only the billing facility address will appear, starting on the second line of Box 2, leaving the first line blank.

Why It Matters: This update aligns with certain Insurance Payer requirements to pay the claim, reducing denials and eliminating the need for billers to manually adjust the Through Date, as they have been doing. The feature helps ensure claims are processed accurately and efficientlyenhancement provides greater flexibility for billers who need to customize the information displayed on the UB04 form. By allowing the facility name to be excluded, users can now comply with specific formatting requirements from insurance payers or other regulatory guidelines, ensuring proper claim submission.

Who It’s For: This feature update is specifically designed for Inpatient Facility Billers who utilize the UB04 form for submitting claims to Payers that require the "Through" Date to reflect the discharge date.

How To Use It: To activate this feature:

1. Go to Manage Services > Service Business Rules.

2. Enable the feature flag titled "Use Discharge Date in Box 6".

3. A tooltip will appear providing guidance: "Enable this setting to automatically set Box 6 'Through' date to the patient’s discharge date, when available. If no discharge date is provided, the system defaults to the last date of service on the claim. If this setting is disabled, Box 6 will consistently use the last date of service as the 'Through' date."

4. When enabled, the system will automatically use the discharge date for Box 6, if available. If no discharge date is provided, the last date of service will be used instead.

Testing has confirmed compatibility with the Consolidate Claim Lines flagbeneficial for billers and financial administrators who handle UB04 form submissions and need precise control over the form's content.

How to Use It: In Service Business Rules, navigate to the "Include Pay to Address (Box 2)" section. Below this, you’ll find the new "Exclude Facility Name (Box 2)" flag. Enable the flag, and the billing facility name will be removed from the first line of Box 2, with the address starting from the second line.

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Implement "Exclude Service Date from Claim" Flag in UB04 Service Business Rules for Box 45

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How to Use It: Navigate through CRM → Master Census report and reference the Download CSV button below the FROM date field.

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Ticket Summary Table