Practice Management

Work On Unpaid Claims

After your practice submits claims, you must address claims that could not be submitted, post incoming adjudication that appears on ERAs and EOBs, and followup on unpaid claims. While many of these functions are performed in PCC EHR, a few of these tools still utilize the previous Practice Management interface.

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  • Post Insurance Payments and Adjustments

    With PCC, you can automatically post most payments and adjustments sent to your practice as an ERA. If a response requires manual attention or you receive a paper EOB, you can manually post the payments and adjustments.

  • Work on Claim Errors and Rejections

    After you prepare and submit claims, you must deal with claims that could not be submitted or were rejected.

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  • Print Paper HCFA Claim Forms

    While most claims are transmitted to payors electronically, sometimes you may need to generate a paper 1500 HCFA form.

  • Follow Up on Unpaid Claims and Insurance A/R

    You can use PCC's tools to work on claims with errors, rejections, and denials. But what if a problem is fixed, but the claim wasn't resubmitted? Or what if an insurance payor simply never responds? Are some insurance payers regularly failing to pay you in a timely fashion? You may need specialized tools to track and work down your practice’s insurance A/R.
  • Edit and Resubmit Claims

    • Resubmit Batches of Claims (maketags)

      Use Resubmit Claim Forms (maketags) to find and rebatch large groups of claims based on customizable criteria.

    • Add an Attachment Code to a Claim

      If a secondary insurance requires the EOB from the primary, or any claim requires a certificate of medical necessity, discharge summary, or other clinical documentation, you can add attachment codes to a visit’s charges, generate a unique attachment ID, and specify the attachment type and method.

    • Correct a Claim: How to Fix and Resubmit an Insurance Claim

      When you receive a rejection, or you have a claim or billing problem, how do you correct the encounter information and then resubmit the corrected claim? Read this article to learn how to update and resubmit a claim.

    • Change an Encounter’s Billing Place of Service After Posting Charges

      You can adjust an encounter’s place of service when you Post Charges in PCC EHR. Sometimes you need to change the billing place of service of an encounter after the charges have already been posted. Read below to learn how to change the billing place of service of a phone note, portal message, or visit […]
  • Review EDI Reports

    • Read EDI Responses

      Your practices receives many different electronic responses to claim submissions and billing. Read this article to learn the different EDI responses, which responses require attention, and how to use PCC's tools to review and respond.

    • Read ERA 835s from Payers

      When an insurance company sends your practice 835s, also known as ERAs or “electronic remittance advice”, you can automatically post the payments and adjustments, and then review only those claims that require manual attention. Later, you can review an archive of responses in the ERA Reports (erareports) program. Use erareports to search for remittance history for a claim, review manual reports that could not be posted, or find a remittance advice from a particular carrier.

    • Review Archived Claim Response Files and Other EDI Reports

      The EDI Reports (ecsreports) program stores and displays claim and transmission related messages and reports. You can quickly search, review, and print the reports, as well as track which reports you have printed in the past.