Skip to main content
Sign in

General Information: Validations (Fusion Enterprise)


*This article is no longer being updated. Visit the new Therapy Brands Portal.
Copy & paste this article title into the search bar there.
  • Updated

  Permissions! Clinic Staff must have Administrator Permissions assigned in order to manage the General Information Module.

In this article, we will break down the Validations section found within the General Information tab.  You can follow the article or jump to the section needed below. 

For information on other sections within the General Information Module, you can simply click on the section you wish to explore: [General Information: Billing] [General Information: Case] [General Information: General] [General Information: Schedule] [General Information: Users/Therapists]

Jump to Section [Carrier Group Payer List] [CCI Edits] [LCDs]

 

Carrier Group Payer List

This list is used with Charge Validation. For more information on Charge Validation please see the Charge Validation chapter.

GenInfo_Val_CarrierGrp1.png

Right-clicking on the grid provides the following options:

GenInfo_Val_CarrierGrp2.png

Carrier Group Payer List Menu

Add Records

Adds a record to the current list.

Add New List

Creates a new list and displays a list of carrier groups from which to choose. Ctrl+click each group you would like added to the list.

Delete Record

Deletes the currently selected record.

Delete List

Deletes the entire list.

 

CCI Edits

The CCI Edits are used with Charge Validation. For complete information on CCI Edits see the Charge Validation chapter.

GenInfo_Val_CCI1.png

The CCI Edits table contains the following columns:

CCI Edits table

List Name

Name of the CCI Edits list.

Col 1 Code

First CPT Code of the set.

Code 2 Code

Second CPT Code of the set. If a 59 modifier is to be added, it will be added to the Column 2 code.

Policy Statement

The message that is presented when the pair are matched in a charge set.

Mod 59

Indicates if a 59 modifier satisfies the rule.

Right-clicking on the grid presents the following menu:

GenInfo_Val_CCI2.png

CCI Edits Menu

Add

Adds a CCI Edit to the grid.

Delete Entry

Deletes the currently selected CCI Edit.

Delete List

Deletes the currently selected list.

Clone List

Allows you to take a list and create a new list with a new

name. You could then add to or remove entries from this list.

You can import a CCI Edit file. The file needs to be a tab-delimited file in the following format:

<ListName> <Col 1 Code> <Col 2 Code> <0> <Policy Statement> <IsMod59>

The <0> field is currently unused but needs to be in there for possible use in the future. 

 

LCDs

LCD Lists are used in Charge Validation. For complete information on how the LCDs are used see the chapter on Charge Validation.

GenInfo_Val_LCD1.png

The grid has been grouped by list Name. In the above example, you can see the Medicare List (MC) with 104,487 records. The grid contains three other lists: MyList1, MyList2, and MyList3.

MyList2, and MyList3 both contain wild cards represented by an asterisk (*). This means the 97555 matches ALL ICDs and 555.55 matches ALL CPTs.

Right-clicking displays the following options:

GenInfo_Val_LCD2.png

LCD Menu

Add

Allows you to add a new record.

Edit

Allows you to edit the currently-selected record.

Delete

Deletes the currently-selected record.

Delete List

Deletes the entire list the currently-selected record is associated with.

The LCD file needs to be a tab-delimited text file in the following format:

<ListName> <CPT> <ICD>

 

 

Powered by Zendesk