Bill Issues

Investigating discrepancy flags in Bill Review

Bills issues will appear as discrepancy flags. There are three types of issues that a bill can be flagged for. Issue types are:

  1. Quantity Flags: the Supplier Bill quantity & EHR Patient Record quantity do not match
  2. Price Flags: the Supplier price & Item Master price do not match
  3. Item Master Flags: no Item Master Number is found, so price cannot be verified

To resolve bill issues, the Quantity or Price might need to be updated within the EHR Patient Record or Supplier Bill, or an Item Master number may need to be created or activated.

Discrepancies can be a result of either supplier or hospital documentation, so you will need to verify the root cause of the discrepancy and course of correction with the appropriate group(s).

  • Vendor Bill Error: the vendor rep will need to retract the bill or have it rejected before correcting the quantity/price/item within their Casechek app. Once corrected and the bill is resubmitted the discrepancy will be resolved.
  • Item Master Price Error: the price for the built item in the Item Master will need to be updated to the correct price or activated if it already exists. Once the updated price has been received in Bill Review, the discrepancy will be resolved.
  • EHR Patient Record Error: the log will need to be updated to the correct item and associated quantity. Once the log has been corrected, and the updated quantity has been received in Bill Review, the discrepancy will be resolved.