2015 User Conference Creating Insurance Contracts April 23rd, 2015 April 24th, 2015 Presented by:...

2015 User Conference

Creating Insurance ContractsApril 23rd, 2015April 24th, 2015

Presented by:

Jen NovakovichPM/EHR Trainer

PM Session

2015 Office Practicum User Conference

Survey

Have you tracked your insurance contracts previously in Office Practicum or another system?

Have you used our previous version of insurance contracts called reimbursement schedule?

Have you begun using our new insurance contracts?

2015 Office Practicum User Conference

What is an Insurance Contract?

Billing service contracts are written agreements between you and your insurance payers, making sure that the terms of the working relationship are understood by everybody.

2015 Office Practicum User Conference

Recent Improvements to Insurance Contracts

1.Unlimited 2.Trackable Insurance Reimbursement

Trends3.Multi-Purpose4.Method of Allowed Amount

2015 Office Practicum User Conference

Recent Improvements to Insurance Contracts

Unlimited:

There are no limits on the number of insurance contracts you can create!

Unlike previous versions, clients were limited to 20 total fee schedules to utilize for charging out, and tracking reimbursements back it OP.

2015 Office Practicum User Conference

Recent Improvements to Insurance Contracts

Trackable Trend:

Office Practicum retains the history of how payment schedules change over time.

2015 Office Practicum User Conference

Recent Improvements to Insurance Contracts

Multi-Purpose:

If your payment schedules are not uniform across your entire practice, you can apply contracts to specific locations and/or providers.

2015 Office Practicum User Conference

Recent Improvements to Insurance Contracts

Method of Allowed Amount

Contracts allow you to indicate non-covered and capitated services, so charge pricing and adjudication are much simpler and more accurate to manage.

2015 Office Practicum User Conference

Creating Insurance Contracts

2015 Office Practicum User Conference

Creating Insurance Contracts

2015 Office Practicum User Conference

Creating Insurance Contracts

2015 Office Practicum User Conference

Creating Insurance Contracts

2015 Office Practicum User Conference

Creating Insurance Contracts

2015 Office Practicum User Conference

Creating Insurance Contracts

Let’s take a closer look at the Method

2015 Office Practicum User Conference

Creating Insurance Contracts

The Method options include:

● Fee for Service: This is the most

common and is the default for all

converted fee schedules.

● Capitation: Selecting this indicates

that this service is covered by a

capitation agreement under which no

itemized payment is expected.

2015 Office Practicum User Conference

Creating Insurance Contracts

● Copay only: This is a variation of

capitation, mostly intended for E&M

services where the payment amount

varies based upon each patient’s

copay.

● Patient Responsibility Only: This is

used for services that are known to

be non-covered such as form fees.

2015 Office Practicum User Conference

Let’s Try It!

2015 Office Practicum User Conference

Copying an Insurance Contract

1. Select the contract to clone.

2. Click on the Clone button.

3. OP displays the Insurance

Contract Clone

Confirmation window

informing you that the current

contract will be superseded.

4. Select the Effective Date for

the cloned contract. To do so,

click the drop down arrow in

the Effect Date field and

select a date from the drop

down calendar.

5. If you want the system to

assign the cloned contract

automatically to every payer

who is associated with the

existing contract, select the

Update Associated Payers

check box

2015 Office Practicum User Conference

Copying an Insurance Contract

Very Important:

Are you copying an Insurance Contract that you want to keep??

If yes, you must do the following steps:

1. Make sure you uncheck the Show current contracts only box

2. Remove the Expiration Date that is automatically added when copied.

3. Save

Yield

2015 Office Practicum User Conference

Let’s Try It!

2015 Office Practicum User Conference

Editing an Insurance Contract

2015 Office Practicum User Conference

Let’s Try It!

2015 Office Practicum User Conference

Associating/Linking an Insurance Contract

2015 Office Practicum User Conference

Associating an Insurance Contract

2015 Office Practicum User Conference

Utilizing Insurance Contracts During Posting

2015 Office Practicum User Conference

Utilizing Insurance Contracts During Posting

One Touch Posting

2015 Office Practicum User Conference

Insurance Reimbursement Trends

2015 Office Practicum User Conference

Insurance Reimbursement Trends

2015 Office Practicum User Conference

Open your system and give

it a try!

2015 Office Practicum User Conference

Questions?

2015 Office Practicum User Conference

We want your feedback!