Spoke to both Product specialist and Tech Support and they are basically saying that this is their design.

Well, before we began with AC PM I never paid attention to it. But now that we are using the PM and claims are originating from this portion of the chart I realize that this is a major design flaw.

Additionally AC can only generate up to 8 diagnoses per claim and if 12 are needed they suggest to create a second claim with the extra 4. That is quite absurd.

Our previous PM has been able to send 12 diagnoses per claim since 2012 when the CMS guideline was changed to accommodate it.

Does anybody else run into this or have a better workaround?


Josue
Tampa, FL