The LU History tool enables a thorough review of LU billings, helping identify and prevent recurring mistakes that could result in clawbacks. This guide will walk you through using the LU History tool effectively.
Step 1: Accessing LU History
Login to your Dashboard:
Navigate to your platform's login page.
Enter your credentials (username and password).
Click on the Login button.
Navigate to LU History:
From the main dashboard, locate the LU Audit section or use the search bar to find it.
Click on Historic to access the tool.
Step 2: Filtering Data
Select Date Range:
Locate the date filter options at the top of the LU History table.
Choose the start and end dates to specify the period you want to review.
Click Apply to filter the data.
Filter by LU Codes:
Use the LU code filter to narrow down specific LU codes.
Enter the LU code(s) you want to review.
Click Apply to filter the data accordingly.
Step 3: Understanding the Audit Table
Color Coding:
Green: Valid prescriptions that meet required criteria and are at low risk of clawback. May still need documentation.
Yellow: Prescriptions that may not meet required criteria but are situational, indicating a moderate risk of clawback.
Red: Invalid prescriptions that do not meet the required criteria, indicating a high risk of clawback and requiring immediate attention.
Reviewing Flags:
Click on an LU code in the table to review the reason for the flag and possible actions to prevent potential clawbacks.
Step 4: Reviewing and Documenting Prescriptions
High Potential Clawback (Red):
Review these prescriptions closely.
Document and address errors immediately to prevent them from recurring.
Take necessary actions to correct the prescriptions if possible.
Moderate Potential Clawback (Yellow):
Review these prescriptions and assess if additional documentation can support them.
Address any situational issues to minimize the risk of clawback.
Step 5: Managing Table Display
Adjust Rows Per Page:
Locate the rows per page selector at the bottom of the table.
Choose the desired number of prescriptions to display per page (e.g., 10, 25, 50, 100).
Navigate Pages:
Use the pagination controls to move to the next set of prescriptions.
Click on Next Page or Previous Page to navigate through the data.
Step 6: Taking Action
Preventing Recurring Errors:
Use the insights gained from the LU History to document and address recurring errors.
Implement changes to prevent these mistakes from happening again.
Continuous Monitoring:
Regularly review the LU History to ensure ongoing compliance and minimize clawback risks.
By following these steps, you can efficiently audit and manage your prescriptions using the LU History tool, reducing the risk of clawbacks and improving overall billing accuracy.