• Generate Logs
  • Review Logs, thoroughly, previous to billing
  • Contact Facility for corrections in missing Initials and/or Signatures
  • Bill, Monthly or Bi-Monthly
  • Check Claim confirmations for errors.
  • Replace claim/check error codes/place calls to state if needed.
  • Review Remittance Advice/make any corrections.
  • Maintain a current spreadsheet re: Resident’s upcoming expired authorizations.
  • Check/Call Cyberaccess if new prior authorization has not been updated in a timely manner.
  • Submit new Referrals as new residents move into facility.
  • Submit Change of Provider forms, Requests for increase in units, Advanced Personal
  • Care, Need of RN
  • Follow up with state for authorization.
  • Notify facility monthly of Claim End Date per cycle.
  • Check with facility periodically for any changes in care plans that need to be submitted to the state.