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Dream Factory by TruBridge Ideas Portal
Categories AR | Revenue Cycle
Created by Guest
Created on May 24, 2024

RHC claim form UB-04 Totals Line is incorrect and creates credits.

RHC claim form UB-04 Totals Line is incorrect and creates credits. It inflates the charges, and I cannot see how that is legal. This calculation error creates credits because the insurance company is using the total claims line as the total charges instead of the total CG modifier line this causes an extremely time-consuming process to avoid contractual credits for our 2 cashiers. We are told this is the only solution at this time and to put this on Dream Factory for votes to upgrades. We are a small hospital with limited staffing and many RHC's. We have 11 RHC's and more to come. Does anyone else have the same issue we are having? Has anyone else discovered a work around?

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