C/S Reimbursement Management Users:

I am submitting an enhancement request for a batch reorder/reprorate
routine that would allow you to reorder/reprorate a selection file, and
I wanted to get a feel as to whether or not other sites have felt the
need for this routine.  We recently have had several cases where payors
have completed bulk reprocessing of claims resulting in a change in the
contractual adjustment.  On our last couple of remittances our Medicare
Intermediary reprocessed all claims from 1-1-2006 forward because of a
reimbursement issue, and instead of just reprocessing the impacted
claims, the intermediary reprocessed all claims.  To make matters worse,
Medicaid went back and reprocessed claims from 6-1-2006 forward.  We
ended up running a selection and scripting the reorder/reprorate of the
last remittance because of the volume and repetition.  Have other sites
experienced this type of issue?

Thanks,
Kim Tilley
IS Specialist
Citizens Memorial Healthcare
Phone: 417.328.6718
Fax: 417.777.7157
[EMAIL PROTECTED]



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