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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
We want your feedback!
