What does the charge review workqueue primarily perform?

What does the charge review workqueue primarily perform?

• A. Confirming patient eligibility
• B. Temporary hold for charge sessions
• C. Final billing for processed claims
• D. Cutting off sessions for insurance claims

Answer: (B)

The charge review workqueue primarily serves the function of placing charges on a temporary hold for review and validation before they are finalized. This process allows billing staff to scrutinize charges for accuracy, compliance, and appropriateness, ensuring that all necessary information is accounted for before the charges are released for billing. By using a workqueue, staff can efficiently manage and prioritize the review process, addressing any discrepancies or additional documentation needed related to charge sessions. This role is critical as it helps to minimize errors that could delay claims processing or lead to denials from payers. Each charge that is put on hold can be reviewed and corrected as necessary, ensuring that the billing department submits the most accurate and complete claims possible. The other choices don't align with the primary function of the charge review workqueue. While confirming patient eligibility is a vital aspect of billing, it typically occurs earlier in the revenue cycle. Final billing pertains to the steps taken after charges have been reviewed and approved, while cutting off sessions for insurance claims represents a separate operational area, focusing on management of billing cycles rather than the review itself.

The charge review workqueue primarily serves the function of placing charges on a temporary hold for review and validation before they are finalized. This process allows billing staff to scrutinize charges for accuracy, compliance, and appropriateness, ensuring that all necessary information is accounted for before the charges are released for billing. By using a workqueue, staff can efficiently manage and prioritize the review process, addressing any discrepancies or additional documentation needed related to charge sessions.

This role is critical as it helps to minimize errors that could delay claims processing or lead to denials from payers. Each charge that is put on hold can be reviewed and corrected as necessary, ensuring that the billing department submits the most accurate and complete claims possible.

The other choices don't align with the primary function of the charge review workqueue. While confirming patient eligibility is a vital aspect of billing, it typically occurs earlier in the revenue cycle. Final billing pertains to the steps taken after charges have been reviewed and approved, while cutting off sessions for insurance claims represents a separate operational area, focusing on management of billing cycles rather than the review itself.