02.34 Match Charges To Active Patients/EVV Validation Process

This report matches charges to active patients, based on the option(s) you choose below. To get to this report, go to Reports > Billing > 02.34 Match Charges To Active Patients.

This is a great checks/balances report to make sure billing charges are accurate.

Electronic Visit Verification (EVV): You can also use this report to do the EVV Process for Ohio customers. Ohio Medicaid started using this feature on 1/1/2018. North Carolina Department of Health and Human Services (DHHS) will be implemented for Personal Care Services (PCS) by January 2019 and for Home Health Care Services (HHS) by January 2023.

How to Run the Report

02.34 Report Match Charges To Active Patients

From / Thru= Enter the dates of charges to include.
Program(s) / Payer(s) = Filter report by entering program and payer numbers. Or leave blank to select all.

Select all to apply to report:

A - Charges Outside Admit/DC Dates - This option will generate a list of patients who have charges before admit date or after discharge date.

B - Patients With No Chargeable Visits - This option will generate a list of patients that have no chargeable visits during the from/thru dates you have entered.

C - Patients With Chargeable Visits < 8 minutes long - This option will generate a list of patients with chargeable visits < 8 minutes.

This will cause an issue with billing. Please view the following link: https://www.barnestorm.biz/kbart?id=50841

D - Patients With Visits With Overlapping Times - This option will generate a list of patients with overlapping visits.

Additional option to check Assessments instead of visits. Additional option to skip supe visits. You must add part of a description to skip. Additional option to skip if overlapping time is less than 8 minutes.

E - Patient Charges With Missing Payers - This will find charges that have been entered with one payer but that payer does not exist on the patient's referral.

F - Patients With < 30 minutes charged (This will only show up for an CAP/PCS agency) Finds all charges that are less than 30 minutes.

G - Patients With Mismatched JobCode and PayerCode - (This will only show up for an CAP/PCS agency) This option is only to be used by agencies that purposely setup their payer codes and job codes to match. Example: A CAP/PCS agency would setup the payer code 001 for PersonalCare and also setup the job code 001 for personal care services. If they only need to use the one job code 001 for all patients that use payer code 001 then this report will let them know if there are any unmatched visits – where both payer and job codes do not match. This report should be ran after all visits are entered for the week/month but before billing batches are created.

H - Match Visits to M0150

I - Mismatched EVV Visits - This will only show up for CAP/PCS agency. This option will only work on entries that have been imported for billing. It will compare the time in and out from the EVV Visits to Visit Entry and pull any with mismatched time or missing EVV Visit.

After you've made your selections hit Print.

Validate Visits vs. Sandata EVV spreadsheet - Ohio customers only

This feature is used to verify visits that are keyed into the Barnestorm system to the Electronic Visit Verification (EVV) system to check that visit times and types are accurate.

After the agency has verified and downloaded the spreadsheet, use this feature to compare the EVV system to the Barnestorm system to verify required data is correct.
Use the browse box (at File Name) to locate the folder where you saved the EVV spreadsheet.
You have the option to "Auto Adjust times if they are within __ minutes." Fill in accordingly. This will adjust the times (in Barnestorm) vs what shows up on the spreadsheet.
You have the option to "Show Validated EVV Visits." If checked, the report will show all visits, even those without errors.
Click Validate Charge Visits vs EVV. The report will show errors, entries that have no problems (if Show Validated EVV Visits is checked), and changes that were made.
Any errors will appear in column Problems. Fix errors as needed.

Problem Column

OK = No issues found with the entry

Times changed from = The Barnestorm system updated the starting or ending time to match the spreadsheet (if within the Aud to adjust time).

No matching visit found = Barnestorm does not have a matching visit to the EVV system. Research to see if an entry needs added.

Client Name not found / Employee Name not found = The names (employee or patient) on the spreadsheet must match what you have listed in Barnestorm in order for the visits to match up.

HCPCS Mismatch = The HCPCS in EVV does not match with Barnestorm.

EVV_Visits

This option is used to validate all visits with the following HCPCS Codes: G0156, G0299, G0300, T1001 and T1002. Follow instructions at bottom of the screen: Fill in the From/Thru dates, the Program (s) and Payer(s) --or leave blank to select All. Then click Print, at the bottom of the screen. Any errors will appear under the Problems column. Fix accordingly.