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Void and replacement billing

Path: Claims > Process > Process a Cycle

Void and replacement billing involves modifying claims after a cycle is closed.

Only certain changes trigger:

  • void
  • replacement
  • late charge

How a claim is handled when a change is made is determined by the billing method for late specified for a particular pay source.

Once a cycle is closed, changes to the following items cause the generation of a void, replacement, or late charge for the benefit claims, based on the late billing method specified:

Method Description

Acuity

Located on the Status subtab in Patient > General > Admissions & Status.

Pay Control

Located in the lower section in Patient > General > Payers.

Status

Located on the Status subtab in Patient > General > Admissions & Status.

Once a cycle is closed, changes to the following items cause the generation of a void, replacement, or late charge for the fee-for service claims, based on the late billing method specified:

Method Description

Pay Control

Located in the bottom section in Patient > General > Payers.

Status

Located on the Status subtab in Patient > General > Admissions & Status.

Deletion of a Service

Deleting a service through the Transactions or Schedule components.

Addition of a Service

Adding a service through the Transactions or Schedule components.

Note: A change to the acuity level for the fee-for-service claims and any nonfinancial changes, such as patient's address or insurance ID, do not trigger a void, replacement, or late charge.

For episodic claims, voids and replacements are not automatically generated in the application. If you make a change to an episodic claim, you must manually void and replace this claim in Transactions > General > Episodic Claims Void and Replace.

You can generate the Voids/Replacements report to show all the voids and replacements queued up for a specific claim cycle. The format of the report is the same as that of the Billing Register, with an additional column added to show the reason for generating the void or replacement claim.

 

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