PMP Manual Manitoba - Jul. 2014 | Page 65

PATIENT MANAGEMENT PROGRAM   MH billing may be submitted daily, weekly or bi-weekly. The deadline date for submission varies each month. All cut-off dates are posted on the EPiCS message board and are also issued at the beginning of each calendar year. If you are unsure please check with your MH office. Understanding the process of billing and reconciliation will help you monitor your accounts accurately. Follow through with the step by step billing, handling rejections and reconciliation procedure to minimize your accounts receivable and maintain MH account control. Manitoba Health Billing Once activity has been processed in patient files where MH fees are applicable you will want to create a billing to Manitoba Health. Go to the Manitoba menu, Prepare MH Billing Exchange. Click the radio button next to the type of billing you wish to produce.    All Pending Claims will pull all MH claims that have not been previously billed or that have been marked back to pending for resubmission. Pending Claims by Period will pull all MH claims that have not been previously billed or that have been marked back to pending for resubmission between specified dates. Rebill Claims by Period will pick up all claims whether pending or billed between specified dates. Click Run. The next screen contains information and reports regarding your submission. • The View Draft Rejection Journal button, if enabled, will generate a draft report on your screen of all claims that are missing information and therefore will not be submitted. If the button is not enabled there are no rejected claims at this time. The rejection journal will show a box around a field to indicate the problem is with that field. When the patient number has a box around it then it means the patient demographics are incorrect or missing. For example the address is missing or Rural Route is spelled R R. The address field requires a minimum of three characters. • The View Draft Claim Journal button will generate a draft report on your screen of all claims being submitted. Click any of these buttons to produce the report for viewing or printing. Click Cancel to cancel this submission if you want to fix rejected claims or delay this billing. 65 | Manitoba Health Services Commission