Timely Filing Report

 

Display the Report Library: On the Main Menu, click Reports. Under General, click Report Library. Click the Billing Operations tab. In the Standard Reports section of the tab, click run next to Timely Filing Report or Timely Filing Report - Cross-Practice.

 

 

To access reports on the Billing Operations tab of the Report Library, you must have the Report: Report Library: Billing Operations permission. This permission is included in the following roles:

• Practice Superuser role
• Report Reader role

To run the cross-practice version of the Timely Filing report, you must also have the ATHENACBO: Cross Practice Reporting role or permission.

 

Note: To activate the Timely Filing or the Timely Filing - Cross Practice report, use the Activate Reports page.

 

 

If you have access to multiple practices, you can enable and run the cross-practice version of the Timely Filing report. The report results include the same columns (except for the PRACTICE_ID and PRACTICE_NAME columns in the Timely Filing - Cross Practice report).

1. Display the Report Library page: On the Main Menu, click Reports. Under General, click Report Library.
2. Click the Billing Operations tab.
3. Under Standard Reports, locate Timely Filing Report or Timely Filing Report - Cross Practice.
4. Click run.
   The Run Report: Timely Filing Report page appears.
5. Context — This field appears only when you run the Timely Filing - Cross Practice report. To report on claims for specific contexts in your network only, click Selected and then select the practices to include in the report.
6. Minimum Days Until Timely Filing Limit — Enter the minimum number of days until the timely filing limit for the claims you want to include in the report.
   Note: To see claims that missed their timely filing limits, you can enter a negative number in this field.
7. Maximum Days Until Timely Filing Limit — Enter the maximum number of days until the timely filing limit for the claims you want to include in the report.
   Note: To see claims that missed their timely filing limits, you can enter a negative number in this field.
8. Include claims that can be Force Dropped — By default, this report shows only claims that athenaOne cannot force-drop to paper to submit to payers. To include claims that can be force-dropped to paper in this report, select this option.
9. Report Format — Select the format for your report results.
• HTML table — Display the report results on your screen.
• Text (tab-delimited) — Export the report results to a .csv file in tab-delimited format.
• Text (comma-delimited) — Export the report results to a .csv file in comma-delimited format.
10. Report Options — Select or deselect report options.
• Suppress Column Headings — Select this option to remove column headings from the report results.
• Suppress Report Name — Select this option to remove the report name from the report results.
• Show Filter Criteria — Select this option to include your selected filter criteria in the report results.
• Run Offline (will appear in your Report Inbox tomorrow morning) — Select this option for very long reports. Reports that are run offline appear in your Report Inbox the morning after the request.
11. Click Run Report.

 

Payers require that claims be billed within a specific number of days from the date of service or the payer will not adjudicate the claims. Insurance payers set their own timely filing limits.

Note: Each claim's timely filing limit can be seen on the Phone Payer Information page for the specific claim. You can access the Phone Payer Information page from the Claim Action and Claim Edit pages.

 

The Timely Filing report displays unbilled claims that are nearing their timely filing limit. This report helps you ensure that claims do not miss payer filing deadlines and that your practice is not missing out on payment for your services. Using the Timely Filing report, you can identify claims with holds that need to be resolved so that they can be billed within the timely filing limits.

Note: If you have access to multiple practices, you can enable and run the cross-practice version of the Timely Filing report, which enables you to report on specific context IDs. For information about connected multi-practice organizations, see Reporting Networks.

 

If a claim is within 15 days of its timely filing limit and has not entered a BILLED status:

1. A timely filing alarm fires on the claim (regardless of its state of completion).
2. The claim is force-dropped to the payer on paper to make sure that the claim is on file with the payer (even though the claim is not in a condition to be paid).
3. After the force-drop action, the claim is immediately routed to your MGRHOLD bucket for further work.

Important: Not all payers accept claims on paper forms; athenaOne cannot force-drop claims to these payers. For this reason, the default behavior of the Timely Filing report is to list only claims that cannot be submitted on paper. However, you can select an option to also report on claims that can be submitted on paper.

 

 

Run Report: Timely Filing
Context	To report on claims for specific contexts in your network only, click Selected and then select the practices to include in the report. Note: This field appears only when you run the Timely Filing - Cross Practice report.
Minimum Days Until Timely Filing Limit	Enter the minimum number of days until the timely filing limit for the claims you want to include in the report. Note: To see claims that missed their timely filing limits, you can enter a negative number in this field.
Maximum Days Until Timely Filing Limit	Enter the maximum number of days until the timely filing limit for the claims you want to include in the report. Note: To see claims that missed their timely filing limits, you can enter a negative number in this field.
Include claims that can be Force Dropped	By default, this report shows only claims that athenaOne cannot force-drop to paper to submit to payers. To include claims that can be force-dropped to paper in this report, select this option.
Report Format	Select the format for your report results. HTML table — Display the report results on your screen. Text (tab-delimited) — Export the report results to a .csv file in tab-delimited format. Text (comma-delimited) — Export the report results to a .csv file in comma-delimited format.
Report Options	Select other options for your report results. Suppress Column Headings — Select this option to remove column headings from the report results. Suppress Report Name — Select this option to remove the report name from the report results. Show Filter Criteria — Select this option to include your selected filter criteria in the report results. Run Offline (will appear in your Report Inbox tomorrow morning) — Select this option for very long reports. Reports that are run offline appear in your Report Inbox the morning after the request.
Column Headings
PRACTICE_ID	Unique identifying number of the practice. This column appears only when you run the cross-practice version of the Timely Filing report.
PRACTICE_NAME	Name of the practice. This column appears only when you run the cross-practice version of the Timely Filing report.
CLAIM_ID	athenaOne ID number of the claim.
DEPARTMENTNAME	Service department associated with the claim.
CLAIM_CREATED	Date that the claim was created.
DATEOFSERVICE	Date that the services associated with the claim were provided.
DAYS_UNTIL_TIMELYFILINGLIMIT	Number of days until the claim reaches its timely filing limit and the payer will not accept it.
TIMELY_FILING_LIMIT_DATE	Final date that the claim can be submitted to the payer.
PRIMARY_CLAIMSTATUS	Status of the claim (for example, MGRHOLD or HOLD) in regard to the primary payer.
KICKREASON_OR_RULE	Kick reason or claim rule (with an explanation of the reason or rule) that is preventing the claim from being submitted to the payer. Includes athenaOne ID of the rule when possible.
PRIMARY_OUTSTANDINGAMOUNT	Total outstanding amount associated with the claim to be submitted to the primary insurer.
FORCEDROP_YN	Indicates whether athenaOne can force-drop the claim to paper to submit it to the payer by the filing deadline. Claims that cannot be force-dropped to paper must be submitted electronically to the payer (holds must be resolved by the filing deadline).
RENDERING_PROVIDERNAME	Rendering provider associated with the claim.
SUPERVISING_PROVIDERNAME	Supervising provider associated with the claim.
PRIMARY_INSURANCEPACKAGENAME	Name of the primary insurance package associated with the claim.
PRIMARY_INSREPORTINGCATEGORY	Name of the insurance reporting category associated with the claim.
PROVIDER_GROUP	Name of the provider group for the supervising provider associated with the claim.