Claims
By Bridget1 author9 articles
Professional Claim (CMS-1500) Data SourcesField-by-field reference showing where Ritten populates each box on the CMS-1500 and whether it is required for clearinghouse submission.
Services & Billing CensusHow to work the Services screen and Billing Census for per-diem workflows, plus common service-layer issues.
Multi-facility billing
Background:
Many providers have several locations that bill under different facilities. Ritten can accommodate that structure through b...
VOBs / Eligibility ChecksHow to run eligibility checks, what VOB results mean, V2 improvements, and known limitations.
Claims — Types, Creation & ManagementClaim types, how to create them, splitting logic, attachments, and management rules.
Corrected, Void & Replacement ClaimsStep-by-step workflow for corrected claims, void claims, and replacement claims on both CMS-1500 and UB-04.
EDI Loop → Box Number ReferenceTranslation table mapping EDI loop references in rejection messages to human-readable CMS-1500 and UB-04 box numbers.
MN-Specific Rules & 42 CFR Part 2Minnesota-specific billing requirements: 42 CFR Part 2 NTE requirement, H2036 config, calendar month splits, and ERA edge cases.
Diagnosis CodesHow diagnosis codes work in Ritten — ICD-10 decimal handling, timing on claims, ICD-10 vs. DSM, and primary diagnosis defaults.