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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

• 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

Lab TestsLab Tests

• Setup Labs Lab Tests

Lab TestsLab 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.

Provider Visits, Retrievals, Transfers and Procedures

2

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• 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

Visit TypeVisit Type

• Setup Data Listing Visit Type

Visit TypeVisit 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

Billing List Tables

3

List Table SetupList Table Setup

• Setup Billing List Table Setup • 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.

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• How to use the screen Items marked as System are items you cannot change.

Once finish click Save button.

• 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.

List Table SetupList Table Setup

• Adjustments (Write Off) Reasons Patient adjustment reasons

• Adjustments (Write Off) Reasons Use this adjustments on the Adjust screen.

List Table SetupList Table Setup

• Availity Availity default values to submit electronic transactions.

This section is set by PracticeHwy

List Table SetupList Table Setup

• Billing Encounter Status Status used to display Encounter Status

This section is set by PracticeHwy

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List Table SetupList Table Setup

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

List Table SetupList Table Setup

• Cash Patient Select insurances to be Grouped as Self Pay.

List Table SetupList Table Setup

• Claim’s Pay-To (Remittance) information Enter your Remittance Information.

List Table SetupList Table Setup

• Company List Enter the company names that you will be using with the Billing

Module.

List Table SetupList Table Setup

• Company name for reports This will be the name and address that will appear on the header

report.

List Table SetupList Table Setup

• CPT Grouping Enter categories that will help you group CPT’s.

Used in Reports and Queries

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List Table SetupList Table Setup

• CPT Grouping On Default Charges screen assign a group for each charge.

Select the group from the Group column.

List Table SetupList Table Setup

• Credit Card Type Credit card types you accept to receive payments.

List Table SetupList Table Setup

• Days Between Statements How many days after printing statements you want to be able to

print them again.

List Table SetupList Table Setup

• Denial Reasons Reasons to indicate why an insurance is denying payment.

List Table SetupList Table Setup

• e-Claim Setup Enable Referring Provider to add this information into the claim.

Enter Taxonomy Code if needed.

List Table SetupList Table Setup

• Insurance Verification Items Enter the questions that will form your insurance verification.

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List Table SetupList Table Setup

• Insurance Verification Items Used to customize Insurance Verification on Demographics

On Package/Coverage screen select the ítems you want to use.

Also select a type of answer for each ítem.

List Table SetupList Table Setup

• Measurement NDC List the available measurements for NDC codes.

List Table SetupList Table Setup

• Note for the Statement This note will appear at the statement’s footer.

List Table SetupList Table Setup

• Notes for non-specific CTP’s Non-specific CPT’s will need a note in order to be accepted by the

insurance.

• Notes for non-specific CTP’s This is the screen where you select the note before sending an

electronic claim.

List Table SetupList Table Setup

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

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List Table SetupList Table Setup

• Place of Service They will be listed on the Encounter screen and in the Charge Setup.

List Table SetupList Table Setup

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

claims.

List Table SetupList Table Setup

• Rejected Reasons This are claim rejection reasons.

List Table SetupList Table Setup

• Storage Fee Select an anniversary period.

Select the CPT’s used to bill Andrology and Embryology.

List Table SetupList 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.

List Table SetupList 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.

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Setup Default Charges

4

Default ChargesDefault Charges

• Setup Billing Default Charges

Default ChargesDefault 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.

Default ChargesDefault 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.

Default ChargesDefault 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.

Setup Packages

5

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PackagesPackages

• 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

PackagesPackages

• Setup Billing Package/Coverage

PackagesPackages

• Packages Screen List all the packages and insurance coverage you have created.

The lower section display the details of each package.

PackagesPackages

• Create a new package Click the New button.

Select package option and enter the package name.

Enter the Fee and number of cycles.

PackagesPackages

• Create a new package Add items to your package by clicking the blue plus button.

Select an item type from the list.

Select the item by it’s code or service name.

After entering all the details click Save.

PackagesPackages

• Setup Billing Package/Coverage

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Setup Insurance Coverage Options

6

Insurance CoverageInsurance Coverage

• Insurance Coverage Items are the parameters that define as Insurance Verification questionnaire. Displayed on the DemographicsInsurance Verification screen.

Insurance CoverageInsurance Coverage

• Create a Insurance Coverage Only one active Insurance Coverage is available at each time.

Click New, select Insurance Coverage option and type the name.

Click the plus button to add items.

Select Ins. Coverage Verification option.

Insurance CoverageInsurance Coverage

• Create a Insurance Coverage Select a question from the Service Name column.

On Type column you can select how the question can be answered.

• Text, Yes/No, Check box or Date.

Insurance CoverageInsurance Coverage

• Copy packages Select the package you want to copy.

Click Copy Package button and enter the name.