X-Superbill

X-Superbill is used for charge entry of bulk data. Billing of multiple patients can be done with the X-Superbill screen, simultaneously saving the records into PracticeSuite. Below is a sample screenshot of the X-Superbill screen. Image 1 1. Search Charges (Section 1 in Image 1): The highlighted section numbered 1 in Image 1 is used […]

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CPT Groups

A CPT group is a collection of CPT codes that are often used in conjunction. When the group code is entered in the CPT field, all the CPTs in the group along with their amounts get populated in the respective fields during charge entry. Thus, the creation of a CPT group aids in error-free and […]

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Common Clearinghouse Rejections – TriZetto

Common Clearinghouse Rejections (TPS): What do they mean? Rejection Message Payer Rejection Type Information MB – Subscriber and Other Subscriber Claim Filing Indicator Codes cannot both be MB. 2320.SBR*09 Not Payer Specific TPS Rejection What this means: The primary and secondary insurance on this claim are both listed as Medicare plans.  This is not valid. Provider […]

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Case and Encounter

Case and encounter are co-related and relates the patient insurance (Patient himself)to each bill item ( Encounter). Hence you can find the case and encounter listed in Edit charges. From the Main Menu, select Charges and click on Edit charges to open the Edit charges page. When the Edit charge page opens up, click on […]

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Encounter Lines

Encounter Lines displays the different Procedures associated with an Encounter, DOS start and End Dates, the related diagnoses, the Charges, and Total Amount, Adjustment Amount, Claim Status, Accounting date, etc. Refer to Image 1. Image 1 Table 1 describes each field of the Encounter Line in detail. Field Description CPT Code The CPT codes used […]

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Edit Charges (Charge Master)

The charge master/ Edit charges screen is the primary screen for editing of charges. It displays the list of Encounters grouped by cases for the selected patient. For each encounter, the list of diagnosis codes, the procedure codes and their corresponding charges, Billed amount, Paid amount, current status, etc., are displayed and can be edited […]

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Understanding the Billing Workflow

A.Insurance Charge Workflow 1. All charges saved and not yet billed fall under NEW status. Additionally, any charge crossed over from EHR to the billing would also appear in the “NEW” status on the Enter Charges screen. Save the charge with status Bill to PR to post the charge. 2. After the first batch generation […]

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Appointment Color Codes in the Charge Entry Screen

A sample screenshot of the appointment view in the Charge entry screen is shown in Image 1. Image 1 Color categorization helps to easily identify the charge status and to locate an unposted charge. Table 1 gives a brief description of each color code. Color Description Indicates that no charge has yet been created against […]

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Hold Charges

Charges can be put on hold in two ways. Unposted charges can be put on hold from the charge entry screen. Posted charges require charge master to put them on hold. Hold Unposted Charges 1. To put unposted charges on hold from the Charge Entry screen, select the Charges module from the main menu and […]

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Add Notes for a Charge

Notes or comments on a claim can be entered from the charge master screen. 1. To enter a Line Note (Procedural Level note), click on the note icon (indicated by an arrow mark in Image 1) on the encounter line, which opens up the field to enter the line note. Image 1 2. Enter the […]

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