Analyze Block Claims

Federal regulations no longer require that you check every claim to determine whether providers are block claiming. However, KidKare can check for block claims as an extra integrity check. It automatically identifies block claimers for all processed claims. 

This function performs eight different types of block claim analysis that are basically variations on the following:

• 15 consecutively claimed days vs the entire month.

• Any meal is a block vs all meals that are claimed are blocked.

• Child counts can be examined vs the specific children that are claimed.

To analyze claims for block claiming:

1. Click the Claims menu and select Analyze Block Claims. The Analyze Block Claims window opens.

2. Click the Claim Month drop-down menu and select the claim month to analyze. The current claim month loads by default.

3. All claims are checked by default. Clear the box next to each provider to not include in the analysis. You also click Deselect All and then check the box next to only those providers you need to analyze.

4. Click Analyze Selected. The process runs.

5. Once claims are analyzed, the following information displays:

   • The current date displays in the Date Analyzed column.

   • A Y or N displays in the Blocking column.

   • If a block claim was identified for a provider, the first day of the claim month analyzed populates the Last Block Claim Identified box in the Provider Information Other tab. The First Block Claim Identified this Fiscal Year box also populates if the claim month corresponds with the appropriate date.

6. Click Print to print the Blocked Claimers report.