Billing Module 1Billing Module 2Billing Module 3Billing Module 4Billing Module 5
A few useful definitions
- Procedures – Entered into the Procedures box of a visit record. Procedures are the individual billable codes. Procedures can be CPT codes, G codes, or other office codes you have set up using Billing Codes tool
- Charges – When a visit is marked complete the diagnosis codes and procedure codes are brought together to create a Charge for the DOS. The Charge can be reviewed on the Charges screen for accuracy and then processed for billing. Processing a Charge for billing removes the charge from the Charges Screen and creates a Claim. Before a Charge is processed for billing, it is still tied directly to the DOS visit record and can be deleted, edited, and then recreated.
- Claims – A claim can be submitted electronically (EDI 837) or on paper (CMS 1500). The claim is the record that will have payments applied to it. The Clai reflects what was done on a date of service but is it’s own independant record in Chart Talk. If changes are made to a DOS record, those changes must manually be applied to the claim.
- Dx – Abbreviation for diagnosis
Creating a claim
Editing Charges and Resubmitting Claims
Applying Payments
Basic Reporting