This Billing Users' documentation will guide you to Articles that will help you navigate the System in order to bill and send claims. Select the links in the order they are listed for a comprehensive step-by-step Training Guide with a Biller's workflow in mind.
Navigation
Dashboards
- Encounter Dashboard: This screen is Encounter/Visit Specific showing the Charges, Payments, and Responsibility for a Visit.
Billing
- Reference Batches: Reference Batches help you balance daily transactions and improve your auditing process.
- Reorder Link for Diagnosis Codes: Diagnosis Codes can be reordered or deleted in the Diagnosis panel on the Add/Modify Charge screen.
- Reorder the CPT® Lines on an Encounter
- Order Procedure Lines by RVU: By default, the Procedure lines are ordered as entered in the Add/Modify Charge screen. When using RVUs, the lines can be ordered by RVUs
- Link or Unlink Diagnosis Codes on a Specific Line: The line items automatically link to the diagnosis codes in the order that they were entered, but they can be reordered, linked, or unlinked on the individual line items (CPT® codes).
- Reverse an Encounter: If you need to make changes that will affect the fees (such as CPT® code or Units), and the charge is in a closed period, the Encounter can be Reversed.
- Delete a CPT® from an Encounter
- Save an Encounter as Incomplete: From the Encounter Modify screen, you can force an Encounter to stay in the Incomplete bucket to close (complete) at a future time.
- Copy a Previous Encounter: This allows you to create a new charge using part or all of an existing charge.
- Link Appointments to an Encounter: The Missing Encounters Report is used as an audit tool for entered Charges for Patients that had Appointments on the Calendar.
- Balance Transfer
- Re-Apply Credit Balances on the Encounter: This function is used to move a Patient credit to a different Line, Encounter or Patient.
- Claim Status History: On the Claim Status History screen, you can see Claim status progression from the beginning to the end.
- Charge Management Rules: Using the Charge Management Rules, Validation Rules can be created to reveal common Charge entry errors before the Claim is sent to the Payer.
- Split Encounters: Splitting Encounters allows you to separate specified Procedure lines from one Encounter to a new Encounter.
- Telehealth Billing
- Dispensed Goods: A Charge can be entered for Products sold in the Office.
- Sales Tax
- Durable Medical Equipment (DME)
- Apply a Self-Pay Discount: You can apply a Self-Pay percentage discount using the Statement Profile to define how you want it to work.
- Enter an NDC Number to an Existing Encounter
- Condition Code
- Validation Warnings on Charges