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Endocrine, Ultrasound and Andrology Tests

Endocrine, Ultrasound and Andrology Tests. 1. Setup CPT Codes to be captured for each tests you perform in the practice. You must setup only those tests that you bill for Setup Default CPT’s– Those that you wish to appear as Auto-Check in the Billing Transaction Screens.

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Endocrine, Ultrasound and Andrology Tests

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  1. Endocrine, Ultrasound and Andrology Tests 1

  2. Setup CPT Codes to be captured for each tests you perform in the practice. • You must setup only those tests that you bill for • Setup Default CPT’s– Those that you wish to appear as Auto-Check in the Billing Transaction Screens

  3. For Example, you may do the following tests in your practice for which you bill for: • Blood Tests: E2, FSH, LH, Progestrone, bHCH, etc. • Ultrasound: Follicular, Gyn, Antral Follicle, OB, etc. • Andrology: Semen Analysis, Cryo, Thaw • IUI: Sperm Prep

  4. Lab Tests • Setup  Labs  Lab Tests

  5. Lab Tests • Add CPT’s to the Lab Test • On the lower part of the screen is the CPT code section. • Click the blue “+” to add CPT’s to be captured for this test. • Click the red “X” to remove.

  6. Provider Visits, Retrievals, Transfers and Procedures 2

  7. Setup CPT Codes to be captured for each Provider visit type • Retrieval Visit Types are prefixed with “OR-” • Transfer Visit Types are prefixed with “ET-” • Procedures Visit Types are prefixed with “SR-” • Setup Default CPT’s– Those that you wish to appear as Auto-Check in the Billing Transaction Screens

  8. Visit Type • Setup  Data Listing  Visit Type

  9. Visit Type • Add CPT’s to the Visit Type • Click the blue plus to add CPT’s to this lab. • Click the red “X” to remove. • Check Default if you wish this CPT to be Auto-Checked on Billing Screen

  10. Billing List Tables 3

  11. List Table Setup • Setup  Billing  List Table Setup

  12. How to use the screen • Select a category form the list on the left. • Click Add button to add a new item. Fill in Description and Code.

  13. How to use the screen • Items marked as System are items you cannot change. • Once finish click Save button.

  14. How to use the screen • You can inactive any value by checking the Inactive column. • This inactive values will not appear unless you select Show Inactive.

  15. List Table Setup • Adjustments (Write Off) Reasons • Patient adjustment reasons

  16. Adjustments (Write Off) Reasons • Use thisadjustmentsontheAdjustscreen.

  17. List Table Setup • Availity • Availity default values to submit electronic transactions. • This section is set by PracticeHwy

  18. List Table Setup • Billing Encounter Status • Status used to display Encounter Status • This section is set by PracticeHwy

  19. List Table Setup • Billing Encounter Sub-Status • Provides a more detailed (user defined) status for Encounter Status.

  20. List Table Setup • Cash Patient • Select insurances to be Grouped as Self Pay.

  21. List Table Setup • Claim’s Pay-To (Remittance) information • Enter your Remittance Information.

  22. List Table Setup • Company List • Enter the company names that you will be using with the Billing Module.

  23. List Table Setup • Company name for reports • This will be the name and address that will appear on the header report.

  24. List Table Setup • CPT Grouping • Enter categories that will help you group CPT’s. • Used in Reports and Queries

  25. List Table Setup • CPT Grouping • On Default Chargesscreenassign a groupforeachcharge. • SelectthegroupfromtheGroupcolumn.

  26. List Table Setup • Credit Card Type • Credit card types you accept to receive payments.

  27. List Table Setup • Days Between Statements • How many days after printing statements you want to be able to print them again.

  28. List Table Setup • Denial Reasons • Reasons to indicate why an insurance is denying payment.

  29. List Table Setup • e-Claim Setup • Enable Referring Provider to add this information into the claim. • Enter Taxonomy Code if needed.

  30. List Table Setup • Insurance Verification Items • Enter the questions that will form your insurance verification.

  31. List Table Setup • InsuranceVerificationItems • UsedtocustomizeInsuranceVerificationonDemographics • OnPackage/Coveragescreenselectthe ítems youwantto use. • Alsoselect a type of answerforeach ítem.

  32. List Table Setup • Measurement NDC • List the available measurements for NDC codes.

  33. List Table Setup • Note for the Statement • This note will appear at the statement’s footer.

  34. List Table Setup • Notes for non-specific CTP’s • Non-specific CPT’s will need a note in order to be accepted by the insurance.

  35. Notes for non-specific CTP’s • Thisisthescreenwhereyouselectthe note beforesendinganelectronicclaim.

  36. List Table Setup • Place of Service • List all Place of Services that can be attached to a CPT.

  37. List Table Setup • Place of Service • Theywill be listedontheEncounterscreen and in theChargeSetup.

  38. List Table Setup • Provider Name for printed claims Box 31 • Enter the Provider’s name you want to use in all your printed claims.

  39. List Table Setup • Rejected Reasons • This are claim rejection reasons.

  40. List Table Setup • Storage Fee • Select an anniversary period. • Select the CPT’s used to bill Andrology and Embryology.

  41. List Table Setup • System Defaults • Select the option that is used most of the time as default. • This values will auto-populate in other billing screens.

  42. List Table Setup • User PayJunction to process credit cards • Enter your Quick-Link API username and password. • Enter your e-mail to receive doubst from your patients.

  43. Setup Default Charges 4

  44. Default Charges • Setup Billing  Default Charges

  45. Default Charges • How to enter charges • Type the charge amount. • Select an effective date. • Termination date is optional. • Check Copay if apply. • Check HCPC if the charge is for a HCPC. • Select a Place Of Service. • Group charges for more detailed reports.

  46. Default Charges • How to create a new charge • Select the charge you want to update. It must have a Termination date or been Inactive in order to the New button be enable. • The new charge will appear at the end of the list to be filled in.

  47. Default Charges • Filtering options • Show Effective: List all active charges according to the effective date. • Show All: List all procedures. • Show Uneffective: List charges that are inactive or termination date is past due.

  48. Setup Packages 5

  49. Packages • Packages are a group of procedures that will be performed during a cycle and are set together to have a fixed fee. • A package can include multiple cycles. • Packages consist of: • Procedures • Visit types • Cycle treatments • Medication • Labs

  50. Packages • Setup  Billing  Package/Coverage

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