Tracking Services Without an Authorization
There may be times when you are waiting for a service authorization to be approved in HCSIS. You are still providing the service but waiting on the authorization to submit billing.
In these situations, you can still enter services in the system and then when you receive the authorization, process that billing.
- Setup the new service plan with the anticipated service code with ZERO units.
- This will allow staff to complete documentation.
- When the authorization is received, update the consumer's service plan with the correct service code and authorized number of units.
- If the authorized service is different than the anticipated code initially setup, use the Switch Service Codes process to update the service codes (i.e., U7 was setup but the actual authorization is for U8).
- Once the services are updated, follow the Billing Process and Checklist
2/2023