diff --git a/src/api/config.ts b/src/api/config.ts index eb37adc..ef00dd8 100644 --- a/src/api/config.ts +++ b/src/api/config.ts @@ -199,6 +199,8 @@ export const FINDING_KIND: Record = { payer_policy: 'Payer rule change', front_desk: 'Front-desk / registration', coding: 'Coding', + provider_coding: 'Single provider — coding', + underpayment: 'Underpayment', documentation: 'Documentation', medical_necessity: 'Medical necessity', timely_filing: 'Timely filing', diff --git a/src/screens/RunReviewScreen.tsx b/src/screens/RunReviewScreen.tsx index d472a89..513b5c4 100644 --- a/src/screens/RunReviewScreen.tsx +++ b/src/screens/RunReviewScreen.tsx @@ -64,12 +64,14 @@ export function RunReviewScreen() {

Checks performed

- Materiality threshold: denied count up more than 40% on at least 25 claims, or more - than $100K in appeals expiring. Items below the threshold are listed, not flagged. + Materiality threshold: denied count up more than 40% on at least 25 claims; more than + $100K in appeals expiring; or paid/allowed down more than 10 points or a $50K shortfall. + Items below the threshold are listed, not flagged.