athenaOne for Specialties
Women's Health Specialty Enrollment Defaults
In athenahealth, setting up Specialty Enrollment Defaults allows your Women’s Health or OB-GYN practice to automate provider assignments, billing rules, and claim scrubbing based on appointment types. It cuts down on data-entry errors by ensuring blank fields default directly to your assigned specialists.
Key specialty configuration options
- Default Rendering Providers: You can configure the system so that specific appointment types (e.g., Annual Exams, Contraceptive Counseling) automatically default to a designated OB-GYN, Women's Health Nurse Practitioner, or Midwife. This stops staff from leaving provider fields blank.
- Specialty Workflows: athena offers workflows tailored to Women’s Health life-cycle stages, ensuring the right charting templates and encounter workflows load automatically based on the visit type.
- Claim and Billing Holds: You can set rules on procedure codes to automatically hold claims if specific modifiers, prior authorizations, or clinical documentation are missing, which is highly common with specialized gynecological or obstetric procedures.
- Enrollment / Credentialing Settings: If you operate under a specific tax ID or use different rendering providers for various locations, you can define which providers are mapped to which payer enrollment groups to prevent claim rejections.
Work with your athenahealth enrollment team to configure these and other defaults during implementation.