Payer Version Only
The following updates are available with the 21.3.0 release of Knowledge Source.
Pricer Forms Update
Updated the Institutional and professional Pricer forms so that required fields display an asterisk ( * ).
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Custom Edit Updates
Added TOB (Type of Bill), Rev Code, and Condition Code fields to the Policy Rules > Associated Sections grid of the Custom Edits UI so users can create more accurate custom edits for their weekly Medical Necessity data file.
Procedure
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From the Custom Edits UI, double click a policy line item. The Policy Rules page opens in the User Defined tab.
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In the Associated Sections panel, click New Section or double click an existing line item. The Section Editor form opens.
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Enter up to 20 TOB or Rev Code values in the respective fields and up to 11 condition codes.
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Click OK. The values display in the line item.
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Click Save. The updates are saved to the policy and you are navigated back to the Custom Edits grid.
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Medical Necessity Edit Analyzer Report
Added a Medical Necessity Edit Analyzer report which compares LCD/NCD data allowing users to evaluate the edit and policy changes and obtain a report of the daily differences in LCD Policy information.
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