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Overview

The Collections Admin pages are comprised of seven tabs:

The Denial Collections tab is used to create denial code groups that can be assigned to collectors or collector groups.

How to Get Here?

To open the Denial Collections tab:

From the Home Page:
From the Menus:
  1. Click Collections Admin from the Admin list.
  2. Click the Denial Collections tab.
  1. Open the Admin menu and select Collections Admin.
  2. Click the Denial Collections tab.

(Click an image below to enlarge.)

Denial Collections Tab / Denial Groups Sub-tab

Denial Collections Tab / Denial Assignment Sub-tab


 

Field Definitions

Field

Type

Required

Description

Denial Groups Sub-tab

Group Name Table   
Group Name

Display Only

(Pulled from created/updated Denial Groups)

YesTable containing list of all denial groups, listed by name. Each group, upon being selected, can be associated with practices and denial codes, which are then used to define Denial Assignment Rules.
Associated Practices Table   
Associated Practices

Multi-select checkboxes

YesThe practices associated with the denial group.
Associated Denial Codes Table   
Group Code

Display Only

(Pulled from created/updated Denial Code)

YesThe group code(s) associated with the denial group.
Reason Code

Display Only

(Pulled from created/updated Denial Code)

YesThe reason code associated with the denial code and the denial group.
Description

Read-only

(Pulled from system Description for selected Reason Code)

YesThe description associated with the selected reason code.
Denial Assignment Sub-tab
Filters Section   
PracticeDrop DownNo

Allows the list of Denial Assignment Rules to be filtered by Practice.

Denial Code GroupDrop DownNo

Allows the list of Denial Assignment Rules to be filtered by Denial Code Group.

Denial Assignment Rules Section    
Practice

Display Only

(Pulled from created/updated Denial Group Assignment)

YesThe practice by which payment denials are identified for assignment.
Denial Group

Display Only

(Pulled from created/updated Denial Group Assignment)

Yes

The denial group by which payment denials are identified for assignment. Denial Groups are defined via the Collections Admin > Denial Collections > Denial Groups sub-tab. A Denial Group consists of assigned users from a practice(s) and associated with specific denial code(s).

Payer

Display Only

(Pulled from created/updated Denial Group Assignment)

NoThe payer by which payment denials are identified for assignment.
Plan

Display Only

(Pulled from created/updated Denial Group Assignment)

NoThe plan by which payment denials are identified for assignment.
Collector/Group

Display Only

(Pulled from created/updated Denial Group Assignment)

YesThe Collector or Collector Group to which the collections task is assigned if the payment denial meets the defined criteria (practice, denial group, payer, and/or plan).
Action/Series

Display Only

(Pulled from created/updated Denial Group Assignment)

NoThe Action or Action Series assigned to the Collector/Group if the payment denial meets the defined criteria (practice, denial group, payer, and or plan).

Button Descriptions

Field

Shortcut Keys

Description

Step-by-Step Guides

Denial Groups Sub-tab

Group Name Table   
Create[Alt] + [C]To create a new denial group.
  1. From the Collections Admin / Denial Collections Tab / Denial Groups Sub-tab, click Create in the Group Name table. The Create Denial Group window opens.
  2. Enter the Name for the denial group.
  3. Click Save (or Save & Add Next to add additional groups).
Update[Alt] + [U]To update the name of a denial group.
  1. From the Collections Admin / Denial Collections Tab / Denial Groups Sub-tab, select a group from the Group Name table.
  2. Click Update. The Create Denial Group window opens.
  3. Enter the updated Name for the denial group.
  4. Click Save.
Delete[Alt] + [E]To delete a denial group.
  1. Select a group from the Group Name table.
  2. Click Delete. The Delete Confirmation window opens.
  3. Click Yes to delete the denial group.
Associated Denial Codes Table   
Ad[Alt] + [D]

To associate a denial code with the denial group.

  1. Click Add. The Add Group/Reason Code window opens.

  2. Open the Group Code drop down list and select the group code.
  3. Open the Reason Code drop down list and select the reason code.
  4. Click Save (or Save & Add Next to add additional codes to the group).

Remove

[Alt] + [R]

To remove an associated denial code from a denial group.
  1. Select the denial code to be removed.
  2. Click Remove. The code's association is removed from the denial group.

Denial Assignment Sub-tab

Add[Alt] + [D]To create a denial assignment rule.

Creating Denial Assignment Rules

 

Update[Alt] + [U]To update a denial assignment rule.Updating Denial Assignment Rules
Remove[Alt] + [R]To remove an assignment rule.
  1. Select the denial assignment rule to be removed.
  2. Click Remove. The rule is removed.

 

 

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