Final answer:
For a charge review workqueue to function, it requires proper configuration of charge review rules and user access permissions for billing staff. These components ensure accuracy and compliance in the billing process.
Step-by-step explanation:
In the context of healthcare information systems, a charge review workqueue is a tool used by medical billing staff to manage and review patient account charges before they are finalized and submitted to insurance payers. For a charge review workqueue to function effectively, two essential components must be activated:
- Proper configuration of the charge review rules within the billing software. These rules determine which charges are held for review based on specific criteria, such as the type of service, the amount charged, and insurance requirements.
- User access and permissions for the staff responsible for reviewing and resolving the charges. Only authorized personnel should be able to access the workqueue to ensure the integrity of the billing process.
Once these two components are in place, the charge review workqueue can help ensure that claims are accurate and compliant, facilitating timely payment from payers and reducing the risk of denied claims.