Billing Rules and Configurations
By Bridget1 author14 articles
AttributesTo configure Attributes, navigate to: Configurations -> Billing -> Providers and Encounters -> Encounter Attributes
Attributes ...
Encounter → Service → Claim FlowHow Ritten turns clinical documentation into a submitted claim — the end-to-end billing flow.
Payer & Payer Group ConfigurationHow to configure payers and payer groups, including Stedi connectivity and Medicaid-as-secondary billing.
Fee SchedulesHow fee schedules work, payer-specific rates, modifier fallback behavior, and known limitations.
Three Service Generation MethodsThe three ways Ritten generates billable services: single encounter, encounter bundling, and autogen.
Ritten Billing Module UpgradeWe've reimagined our primary billing page to make Ritten Billing even easier and more powerful for our billing users.
Check out the vide...
Service Rules — Overrides, Additives & Advanced OptionsHow overrides and additives let you situationally change billing rule outputs without creating new rules.
Bundle vs. Batch vs. ConsolidateCritical distinction between Bundle, Batch, and Consolidate — three concepts that are frequently confused.
Manage Payer TypesSummary
Configure Payer types which are used for billing rules. Example: Aetna. This can help group payers to make it easier to bill the s...
Authorizations (Auths) & Utilization ReviewHow authorizations work, auth matching logic, propagation rules, no-show handling, and Utilization Review.
Service Rules — InputsInput fields define when a service rule fires — the gate that determines if an encounter matches.
Service Rules — OutputsOutput fields define what gets billed — CPT codes, units, modifiers, add-on codes, claim type, and more.
RCM Terminology GlossaryDefinitions for every term used in Ritten's RCM and billing module.
Utilization ReviewHow to use Utilization Review to track authorization usage, spot expiring auths, and identify overbilling.