A System Setting must be added to use Anesthesia Billing.
- Admin > System Settings > General > ANESTHESIA > Y
- No and (---): Do not use Anesthesia
- Yes: Enable Anesthesia Functionality
Learn More: Anesthesia Billing Setup
AFINALIZE
-MAKES THE FINALIZE BUTTON VISIBLE
- This Setting prevents Anesthesia Encounters with unfinalized procedures from being included in Claims Batches.
- When saving Incomplete Anesthesia Encounters, the status will be set to Pending Finalization.
- No and (---): The Finalize button is not available.
- Yes: The Finalize button is available when the Finalization criteria has been met.
AMILITARY
-PRINTS OUT MILITARY TIME, START TIME/END TIME ON HCFA
- No and (---): Standard Time will be printed on HCFAs.
- Yes: Military Time will be printed on HCFAs.
ANESTHESIADESCR
-CREATES THE DESCRIPTION ON THE UNIT CALCULATION BUTTON
- Example: The Time Unit Button will be labeled Anesthesia Time Units.
- There are many specialties that bill or charge based on the amount of time based with the Patient.
- In this case, another label can be entered to replace Anesthesia.
AUTOADD99100
-ADDS 99100 IF PATIENT'S AGE >=70 OR <= 12 MONTHS
- No and (---): The Procedure Code 99100 will never be added automatically.
- Yes: The Procedure Code 99100 will be added if the Patient's age is greater than or equal to 70 years, or less than or equal to 12 months.
Note: Specific Procedure exceptions to this rule can be noted in the next setting (AUTOADD99100_EXCLUSIONS).
AUTOADD99100_EXCLUSIONS
-USE FOR CERTAIN PROCEDURE CODES WHERE 99100 CANNOT BE USED REGARDLESS OF AGE
- Enter the Procedure Codes where 99100 must be excluded regardless of age.
- This should be a comma-separated list with no spaces.
- This setting is only relevant if the above setting (AUTOADD99100) is set to Yes.
CONCURRENCY_CHECKBOX
-ADDS A CHECKBOX TO THE CONCURRENCY DASHBOARD THAT ALLOWS THE USER TO SELECT THE ENCOUNTERS THAT SHOULD BE FINALIZED
Use this setting to add a checkbox to the Concurrency Dashboard to select Encounters to be finalized.
This setting is used in conjunction with AFINALIZE and PROVIDERCONCURRENCY.
- No and (---): Do not add the checkbox to the Concurrency Dashboard.
- Yes: Add the checkbox to the Concurrency Dashboard to finalize Encounters.
EXCLQXUNIT
-EXCLUDE UNIT COUNT FOR QX MODIFIER ON PA REPORT
This setting will exclude lines that have a QX modifier from the Unit count on the Practice Analysis Report.
- No and (---): Do not exclude lines with modifier QX.
- Yes: Exclude lines with the QX modifier from the Unit Count on the Practice Analysis report.
FINALIZEDCONFLICTS
-DISPLAY PRIOR FINALIZED CONFLICTS AND SEND TO WORKLIST
- If there are Procedure Lines that have conflicts with prior Finalized Claims, they will appear on the Visit Concurrency screen and can be sent to a Worklist.
- No and (---): Do not display finalized conflicts on the Visit Concurrency screen.
- Yes: Display finalized conflicts on the Visit Concurrency screen and allow them to be sent to a Worklist.
MAXCONCURRENCIES
- MAXIMUM ANESTHESIA CONCURRENCIES
- This setting defines the maximum number of allowed Anesthesia Concurrencies. When left blank the default is set to no maximum.
- For example, if your policy is to not have Providers supervise more than 4 concurrent cases, you could set this setting to 4.
- This would allow for the manual review of any cases with 5 or more concurrencies to make sure the concurrency total wasn't due to an error in the data collected or entered.
- When the number of cases exceeds the maximum concurrencies defined by this setting, the Encounters involved will be updated to a Claim Status of 'HFINAL- Finalization Hold' for someone to review before they are submitted.
MAXDISCONTINUOUSTIMES
-ADDS ABILITY TO USE MULTIPLE SETS OF START AND END TIMES
Enter the maximum number of start and end times.
- Enter the number of sets (the most often used is 3).
- Entering 3 would allow 3 different start and end times.
- Calculated Value: 1 Start/End Time = 1 set
MILITARYTIME
- TREAT ALL TIME ENTRIES AS MILITARY TIME
This setting controls the use of Military Time in time entry.
- Yes: Activates military time
- No (---): Standard Time (This is the default).
OUTPUTANESTHESIA
-DISPLAYS TIME INSTEAD OF TOTAL UNITS
- Controls whether Anesthesia service lines display Start/End Times and Total Minutes or Anesthesia Units.
- Yes and (---): Displays the Anesthesia start/end times and total minutes. HCFA Box 24G and ANSI Loop 2400 reflect the total minutes.
- No: Removes the start/end times from HCFA Box 24 and ANSI Loop 2400, and converts HCFA Box 24G to Anesthesia Units.
PROVIDERCONCURRENCY
-ADD THE PROVIDER CONCURRENCY BUTTON IN THE PROCEDURE TABLE ON THE ADD/MODIFY CHARGE SCREEN AND WILL ADD THE BILLING PROVIDER FIELD AT THE LINE LEVEL
- This enables the Provider Concurrency button on the Charge Entry screen.
- This allows the User to add multiple Times for MDs and CRNAs based on the Anesthesia Codes in the Procedure table.
- Any Procedure Line that has a different Billing Provider than the Claim level Billing Provider will be split into their own Encounters upon saving.
- No and (---): Do not add the Provider Concurrency button to the Charge Entry screen.
- Yes: Enable the Provider Concurrency button on the Charge Entry screen when entering Anesthesia Charges.
QXSELFZERO
-SELF-PAY QX MODIFIER LINE SET TO ZERO FEE UPON FINALIZATION
- This setting will set the fee amount to $0.00 as a result of the finalization process if a QX Modifier is added to a Procedure line on a Self-Pay Encounter
- No and (---): Do not update the fee on a Procedure line when Modifier QX is used for a Self-Pay service.
- Yes: Set the fee to $0.00 if the Procedure line contains Modifier QX on a Self-Pay service.
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