3 rd party suspense report county of san diego. who should run this report? o all programs. when...

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3 3 rd rd Party Party Suspense Suspense Report Report County of San Diego

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Page 1: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

33rdrd Party Party Suspense Suspense

ReportReportCounty of San Diego

Page 2: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

• Who should run this report?oAll programs.

• When should this report be run?oThis report should be run every

month for services with-in 12 months. Typically towards the end of the month, once the mass recalculation has been performed by the MHBU.

Page 3: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

This report tells you:This report tells you:• When services are in suspense. Suspense means

your services cannot bill until the issues are corrected.

• The main reason for the suspense action. Each suspense code is defined at the bottom or on the next page of the report.

• The amount of money that the County is not being reimbursed for due to services being in suspense.

Page 4: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

How do I run it?How do I run it?

Page 5: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

Load your templateLoad your template

Click on Load to view the available

templates.

Page 6: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

Choose the correct Choose the correct templatetemplate

Page 7: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

Tailor to your needsTailor to your needs

Enter YOUR Unit/SubUnit

Select a date range

Page 8: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

Sor/Subtotal/TitleSor/Subtotal/Title

You can rename it as you wish or just

print as is.

You can choose to sort the information by any of these

fields. Add them to the field on the right and select your priority

order by moving them up or down

Page 9: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

PrintPrint

Page 10: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

Your reportYour report

Page 11: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

The legend to the The legend to the codescodes

Page 12: 3 rd Party Suspense Report County of San Diego. Who should run this report? o All programs. When should this report be run? o This report should be run

What do I do now?What do I do now?• Now that you can identify what services are

in suspense and what the suspense codes are; o You can refer to the “Correcting Items in Suspense” sheet that has

been provided. (it can also be found in the updated Financial Billing Manual at the Optum Website)

o The majority of the suspense reasons you can fix yourself if you have questions or can not fix, you may need to contact either Optum, MHBU, QI Matters or MHMIS.