Changing Payers In Careficient

CHANGING FROM PPS PAYER TO MEDICARE

  • Patient will need to be discharged and re-admitted

CHANGING FROM FFS TO MEDICARE

  • Patient will need to be discharged and re-admitted

CHANGING FROM MEDICARE TO FFS

  • Add new payer with date of payer is active
  • Click on profile tab for Medicare Payer on the patients encounter > Payer tab and add the end date for the date of the last billable service for Medicare
  • Any services that were verified under Medicare inaccurately will need to be adjusted by going to Patients > Verifications > Adjust Verified Services > Find Patient > Click on edit pencil of service that was verified and change payer to new payer.