By default, the initial value of all pre-filled claims-based elements is "Claim Not Found" if no claim was found. They are never pre-filled with blank.
Options
Following are the actions that you could perform on some pre-filled claims-based elements:
- Don't convert values - This will not perform any conversion.
- Convert all 'Claim Not Found' to blank - This will convert the selected element of ranked records from "Claim Not Found" to blank. Other values will not be converted.
- Convert all blank to 'Claim Not Found' - This will convert the selected element of ranked records from blank to "Claim Not Found". Other values will not be converted.
Rules
Following are the rules in updating claims-based elements.
- Only ranked patients are affected.
- Only patients with confirmed topics are affected.
- Only the values that are blank or 'Claim Not Found' are affected. If the selected item is "Yes", "No" or "No - Med. Reasons", the value is left as is.
- The update action is not affected by the available measures to abstract. For example, even if DM-6 is set to be unavailable for abstraction, the utility will still convert the selected value. Administrators can change the available measures to abstract in the Measures form.
- This utility is only available to users with assigned role of Administrator. See the topic on user access for more information.
After changing the the value of elements the tool will recheck each patient and update the data status (to complete or incomplete) of all affected patients.
The Update Claims-Based Elements utility.
Related Topics
Quality Measures
Highlighted Elements