To override an issue or value
suggested by the software
- Right-click on the charge item and select Include from the drop down menu (or press Ctrl + I)
- If enabled by your Supervisor, the Include Mandate dialog box appears. This lets you record the reasons for including this charge item. Add notes explaining why you think this item is valid, then click OK. Your notes are added to the charge item as a memo.
Once Included, the charge will only be returned to an issue tab from the valid tab if new logic has been applied that relates to any field on that charge. In other words, it goes from Valid to a newly suspended charge. However, you can reverse your Include decisions using the Reprocess Included Records feature.
Example
Surgical components of interventional radiology services appear on the Revenue code tab because the charges are using Revenue code 940. Most payers do not allow the use of that Revenue code on such charges. Your local Medicaid FI (fiscal intermediary) specifically requires the use of Revenue code 940. So, although the Revenue code your facility is using is not that generally approved by most payers, in certain circumstances and for your facility's purposes, it is considered correct. You would, therefore, not change or modify the Revenue codes on those charges. Instead, you would "Include" those charges in your valid file without modifying them. You have chosen to "over-ride" the identified issue of a Revenue code mismatch because it does not apply in this situation.