FCM surfaces a few Billing Support Questionnaire (BSQ) Validation Warnings in the app, both on member Billing tabs and in the Billing Support screen. These warnings help to add visibility to members who may run into billing implications. See below for the warnings surfaced (two of which are self explanatory) and one with more explanation of detail:
- Does not have Appropriateness Criteria submitted within 30 days of Consent to Enroll
- Does not have Comprehensive Plan of Care submitted within 60 days of Consent to Enroll
- Warning: most recent HCBS is over one year from potential BI service date
- This code is only supposed to flag child members who had an HCBS assessment in the past and whose most recent assessment date is over a year old.
Questions?
Submit a support ticket and we'd be happy to help!