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Endocrine, Ultrasound and Andrology Tests

Learn how to set up CPT codes for various tests and provider visits in your practice, ensuring accurate billing and efficient workflow. Step-by-step instructions included.

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Endocrine, Ultrasound and Andrology Tests

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  1. Endocrine, Ultrasound and Andrology Tests 1

  2. 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

  3. 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

  4. Lab Tests • Setup  Labs  Lab Tests

  5. Lab 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.

  6. Provider Visits, Retrievals, Transfers and Procedures 2

  7. 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

  8. Visit Type • Setup  Data Listing  Visit Type

  9. Visit 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

  10. Billing List Tables 3

  11. List Table Setup • Setup  Billing  List Table Setup

  12. 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.

  13. How to use the screen • Items marked as System are items you cannot change. • Once finish click Save button.

  14. 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.

  15. List Table Setup • Adjustments (Write Off) Reasons • Patient adjustment reasons

  16. Adjustments (Write Off) Reasons • Use thisadjustmentsontheAdjustscreen.

  17. List Table Setup • Availity • Availity default values to submit electronic transactions. • This section is set by PracticeHwy

  18. List Table Setup • Billing Encounter Status • Status used to display Encounter Status • This section is set by PracticeHwy

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

  20. List Table Setup • Cash Patient • Select insurances to be Grouped as Self Pay.

  21. List Table Setup • Claim’s Pay-To (Remittance) information • Enter your Remittance Information.

  22. List Table Setup • Company List • Enter the company names that you will be using with the Billing Module.

  23. List Table Setup • Company name for reports • This will be the name and address that will appear on the header report.

  24. List Table Setup • CPT Grouping • Enter categories that will help you group CPT’s. • Used in Reports and Queries

  25. List Table Setup • CPT Grouping • On Default Chargesscreenassign a groupforeachcharge. • SelectthegroupfromtheGroupcolumn.

  26. List Table Setup • Credit Card Type • Credit card types you accept to receive payments.

  27. List Table Setup • Days Between Statements • How many days after printing statements you want to be able to print them again.

  28. List Table Setup • Denial Reasons • Reasons to indicate why an insurance is denying payment.

  29. List Table Setup • e-Claim Setup • Enable Referring Provider to add this information into the claim. • Enter Taxonomy Code if needed.

  30. List Table Setup • Insurance Verification Items • Enter the questions that will form your insurance verification.

  31. List Table Setup • InsuranceVerificationItems • UsedtocustomizeInsuranceVerificationonDemographics • OnPackage/Coveragescreenselectthe ítems youwantto use. • Alsoselect a type of answerforeach ítem.

  32. List Table Setup • Measurement NDC • List the available measurements for NDC codes.

  33. List Table Setup • Note for the Statement • This note will appear at the statement’s footer.

  34. List Table Setup • Notes for non-specific CTP’s • Non-specific CPT’s will need a note in order to be accepted by the insurance.

  35. Notes for non-specific CTP’s • Thisisthescreenwhereyouselectthe note beforesendinganelectronicclaim.

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

  37. List Table Setup • Place of Service • Theywill be listedontheEncounterscreen and in theChargeSetup.

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

  39. List Table Setup • Rejected Reasons • This are claim rejection reasons.

  40. List Table Setup • Storage Fee • Select an anniversary period. • Select the CPT’s used to bill Andrology and Embryology.

  41. List 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.

  42. List 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.

  43. Setup Default Charges 4

  44. Default Charges • Setup Billing  Default Charges

  45. Default 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.

  46. Default 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.

  47. Default 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.

  48. Setup Packages 5

  49. Packages • 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

  50. Packages • Setup  Billing  Package/Coverage

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