Changelog

What you will see

Your facility processing rules can create an alert. When a rule creates an alert and does not set an alert type, the autocoder now picks the type from what the rule does to the claim.

• The rule removes billed time or a billed line. The alert is Financial and asks a coder. This covers three rule types: a procedure with no times (the line moves to the bundled list), a nerve block that bills as anesthesia time instead of a flat fee, and discontinuous anesthesia times (the gap minutes leave the billed units).
• Every other rule. The alert is Informational and nobody is pulled.

A rule that sets its own alert type always keeps it. The autocoder's shipped rules already set their type, so their alerts do not change.

Alert changes

• Processing-rule alerts with no alert type. Reviewer: a coder, unless the rule names another reviewer. Type: Financial on the three rule types above, Informational on every other rule. In HANK Claim Maker, a Financial alert for a coder stops the case until a coder reviews it, and an Informational alert does not stop the case.

What to look out for

• If one of your rules on these three types must not stop the case, set its alert type to Informational.
• If a rule of another type must stop the case, set its alert type to Hardstop, Compliance or Financial.
• When your configuration loads, the autocoder logs each rule that creates an alert without a type. Ask your Hank representative to review those rules with you and to set the type you want.