Overview

Silent authorizations, also referred to as bogus authorizations or fake authorizations, are used to track and report units or sessions for a specific code. These are authorizations that will not travel on the claim and have not been provided by the payer.

Reasons to Use a Silent Authorization

When a payer allows a specific number of units over a given period of time without an authorization on file, a silent authorization can be entered to track how many units have been used, allowing you to know when a payer authorization needs to be obtained. This is most common for Medicaid payers.
To properly enter Time for a client who requires an authorization for some codes, but not all; silent authorizations are needed in order to save the services in Time that do not require an authorization by the payer.
To enter a specific rate based on code for a Private Pay Client Rate payer.

Creating a Silent Authorization

Go to the Clients Module > Payers tab > Authorizations sub-tab.
Leave the Authorizations/Date Created field blank.
- Any information entered here will appear on the claim as an authorization, causing it to reject.
- Optional: You can select a specific staff or program if you'd like to limit where the silent authorization is used.
Enter the number of units allowed for this authorization in the Max. Units field.
- This can be any number from 1 - 1000.
Enter a From and To date.
- This can be any date range based on need. Most common is one calendar year.
Using the pick list, select the Code(s) that are allowed for the number of units entered.
- Selecting multiple codes means that these codes will share the total maximum units entered, therefore if you are wanting to allow a specific number of units per code, select one code per authorization entered.
Click Add.
Click Save.