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Presented By Isaac kaufman December 3, 2013

Part B Billing and the Rehab Button. Presented By Isaac kaufman December 3, 2013. Topics Include. Charge Master: Auto download of Part B rates (OFU 34.09) How to enter a therapy charge Entering the private and part b rates Entering the hcpcs/cpt codes Entering modifiers

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Presented By Isaac kaufman December 3, 2013

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  1. Part B Billing and the Rehab Button Presented By Isaac kaufmanDecember 3, 2013

  2. Topics Include • Charge Master: Auto download of Part B rates (OFU 34.09) How to enter a therapy charge Entering the private and part b rates Entering the hcpcs/cpt codes Entering modifiers Entering the MPPR rate • Rehab Extraction including creating, editing and posting the rehab batch. Vendor file import. • Auto KX Modifier. • Onset, Start, Plan dates. • Paysource and Part B Flags. • Part B Billing including use of the Rehab button.

  3. Charge Master Ancillary Charges folder/Charge Master , Insert.

  4. Charge Master Enter the Charge Code, Description, Revenue Code (RC), Unit Cost and From Date.

  5. Charge Master Enter the HCPCS code and Modifier. Save. The system will ask if you want to update the orchd table.

  6. Charge Master To Enter the MPPR rate – Click Edit.

  7. Charge Master Flag the Paysources and enter the MPPR rate.

  8. Vendor File Import The vendor file must be in the specified format and placed in the ADL user folder. Enter the file name in the Input File field and press OK.

  9. Rehab Extraction Ancillary Charges folder The rehab charges that were entered by the therapists can be extracted from either of two locations.

  10. Rehab Extraction Rehab Module Ancillary Charges folder/Rehab Extraction or from the Rehab Module/Rehab Extraction.

  11. Enter Service in dates Dates can only span one month. The extraction displays the Batch. Look for Errors & Warnings.

  12. Client Log Select Client Log to display details such as the resident’s Account number, Date of Service, Minutes, Department & Description.

  13. Therapist Log Therapist Log displays the charges by therapist. The Therapy Cap Status Report displays the accumulated billed/unbilled charges.

  14. Errors Errors must be corrected prior to saving the batch. Error: No charge code found in table ORCHD means this code is not present in the Tx-Charges Table (Clients). No Price on G Code-.01.

  15. Tx-Charges Table (Clients) The lower left grid is a lookup into the charge master. Place the cursor on the line (upper grid-line 33), double click the charge code in the lower grid.

  16. Tx-Charges Table (Clients) The minutes need to be entered. Save the changes.

  17. Re Run the Rehab Extraction The error has been addressed. Correct all errors and save the batch.

  18. Rehab Extraction-Posting Saving the extraction creates the ancillary batch to post. The batch file name is displayed.

  19. View/Print the Batch There must be at least one Dx for each charge.

  20. Post the Batch Enter the Posting Date, check Post Clients not In-House on date of Service, select the batch, click Post.

  21. Posted Log File 1 contains the posting receipt with the batch detail. Log File 2 contains unposted charges. These need to be addressed and posted.

  22. Log File 1

  23. Log File 2

  24. Auto KX Modifier Billing/Billing Wizard/Part B.

  25. Auto KX Modifier This setting allows the system to apply the KX modifier once the amount entered here has been reached.

  26. Onset, Start, Care Plan dates A parameter allows this data to flow from the therapists touch screen. The KX Check box displays based upon the rate set for the Auto KX. Accumulated amounts billed/unbilled are displayed.

  27. Paysource and Part B Flags Select the Part B Paysource from the drop down menu.

  28. Paysource and Part B Flag Select the Part B flag: N=None, B=Both, D=D Only, B=B Only.

  29. Part B Billing/Rehab Button Billing/Billing Wizard/Part B/partbb

  30. Part B Billing/Rehab Button If the Onset, care and/or Start dates were entered after the treatments were administered, press the Rehab Button to pull them to the billing.

  31. Part B Billing/Rehab Button Press the Process button. Care Plan dates displayed will go to billing for records with a check in the X field.

  32. Part B Billing/Rehab Button Select All Residents, enter the Bills dated date, For the Period, Tape Info=Diskette, Repayment Percentage and the Paysource that you are billing. Do Not check Post to transaction files until the bill is error free.

  33. Part B Billing/Rehab Button Review the Stay report for errors.

  34. Part B Billing/Rehab Button Correct all errors and re run the partbb until the stay report is error free.

  35. Part B Billing/Rehab Button PBSUMR Report

  36. Part B Billing/Rehab Button PARTBB (UB-04 O4 Bills). Click the PDF Viewer.

  37. Part B Billing/Rehab Button UB-04 In the PDF Viewer.

  38. Edit/Print UB-04 To edit and print UB-04’s expand the Billing folder/Reports/Edit UB-04s.

  39. Edit/Print UB-04 Select the UB or UB’s you want to edit and/or print, right click on the menu and select desired action from the list.

  40. Edit/Print UB-04 The UB-04 displays. Any field can be edited, saved and printed.

  41. Part B Billing/Rehab Button Re run the Generate Part B bills process again this time, select Post to transaction files to post

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