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Post by seattleod on Mar 24, 2014 0:23:57 GMT -6
Our staff is occasionally forgetting to include diagnoses codes lately despite the reminders at our meetings therefore the biller has to catch this, more work, or claims are not being paid . Can there be an alert before invoice can be saved or better yet invoices CANNOT be saved unless diagnosis is included ?
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Post by gracecrystalpm on Mar 24, 2014 6:24:29 GMT -6
That's not a bad idea! Are you currently using our routing slip feature and having the diagnosis codes used along with the billing code under your exam tab or A&P tab? If you are, the dx and billing codes should automatically create a routing slip (a paperless superbill). That way, your staff will not forget to include the dx codes because it's already there!
Thank you,
Grace with Crystal PM
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Post by mdeyedoc on Mar 24, 2014 6:31:41 GMT -6
I wouldn't want to force saving with diagnosis codes. Not every invoice needs a diagnosis code. Also, with ICD-10 it might take a while to come up with them! Maybe a warning IF it was triggered by specific codes (like certain codes trigger sales tax).
Why/how is staff entering the diagnosis in the first place? Doesn't the doc come up with it? If you put diagnosis code fields on your template, they will go to the routing slip automatically.
Marcia
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Post by seattleod on Mar 25, 2014 0:58:37 GMT -6
I may run behind and not complete the routing slip. Also staff will order glasses etc directly with patient so will not need me. It would help to be reminded . Also I think it does not hurt to have a diag code on vast majority of invoices, esp in this age of HSA/ fsa when patients need paperwork and documentation.
I prefer or am just used to creating the routing slip after the exam but how do others deal with this? Marcia, I will try your tip . Thanks.
Jean
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Post by kenganly on Mar 25, 2014 15:37:10 GMT -6
It is true that the A&P tab and the routing slip will put the diagnosis codes on the invoice, but they do not become "checked" unless it is manually done. When this happens, all the information is there, but the claim will still not be sent out cleanly. I agree that the staff still forgets to do this at least several times per week and not allowing the invoice to save when the boxes are not covered would be helpful (assuming they assign the correct code to the correct procedure which, as we all know, is not a given). :-)
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Post by mdeyedoc on Mar 25, 2014 21:39:14 GMT -6
But the problem is holding everything up for the diagnosis code. I don't know about others but sometimes I just don't have the time to figure it out right then and it's going to get way worse before it gets better. And many offices sell items that need or have diagnosis codes. I guess they could always make it optional but I really think this will trade one problem for another.
Whoever says the claim is ready to batch should be confirming that the diagnosis codes are there and assigned. For most diagnosis codes, a trained staff should be able to figure out which code gets assigned to which procedure. If I've got something funky I put it on the routing slip myself or (more likely) I'd tell them. I hate going to the routing slip. It's way too many steps and multiple tabs to do what I need.
Marcia
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Post by jimbudd on Apr 2, 2014 10:15:39 GMT -6
A request: When diagnosis or procedure codes are chosen using the routing slip, they do go to the invoice, but please have them also go the the ARRA boxes; those codes should be in the ARRA tab to form a complete record, but at this time they need to be entered separately from the routing slip.
Also, if a CMS form is done in the billing page, have it check that each of the procedure codes is in fact linked to a diagnosis, and show an error message if not. (Also, show an error message if there is no Insured's ID number for the claim)
JB
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Post by gracecrystalpm on Apr 4, 2014 8:55:58 GMT -6
The diagnosis and procedure codes should be automatically added to the ARRA tab if set up correctly. Are you entering the info in an actual tab or are you adding them when you click on R-Slip?
The CMS form has a place for you to select ready or not ready and it will give you error messages such as ID # missing, diagnosis pointer is missing... etc.
Grace with Crystal PM
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Post by jimbudd on Apr 5, 2014 20:12:24 GMT -6
Concerning the Diagnosis & Procedure codes being added to the ARRA: I want to be able to click on 'R SLIP', click on the diagnosis codes, and have them populate the spaces in the ARRA tab on the patient record. Yes, I can pull up the codes on the ARRA using the F9 lists which then puts the code into the routing slip, but it won't go the other way. It is much easier to use the routing slip to find the code I want, but. Am I doing something wrong? What do you mean by 'set up correctly'?
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