V: Configuring the Procedure Master File for Billing

Question 1

What is the INI for Procedure?

Answer 1

EAP

Question 2

What conditions must first be set up in order for a procedure to be used to charge for a service in PB?

Answer 2

Billing Status: Active
Procedure Type: Charge
Code Type and Code: (CPT or HCPS) for PB

Question 3

Path to create a procedure

Answer 3

Epic>Admin>Enterprise Charge Admin>Procedure

Question 4

What does the “Code field” do?

Answer 4

It is the code that shows up on the claim.

Question 5

What choices do you have for Code Type for PB?

Answer 5

CPT or HCPCs

Question 6

What are the three options available for Procedure Type field?

Answer 6

Adjustment, Charge, Payment

Question 7

What is the Procedure Category field used for?

Answer 7

Categories are a way to group procedure codes for reporting purposes, pricing contracts and components.

Question 8

You are not able to activate and save a procedure record until two required fields are populated:

Answer 8

Procedure type and debit/credit status

Question 9

Instructions under Charge Entry settings

Answer 9

Shows instruction to the charge entry person when keying a procedure

Question 10

Can enter a description

Answer 10

Indicates whether you want to allow users to edit the procedure description during charge entry.

Question 11

Default quantity is 1.

Answer 11

When keying a procedure, the default quantity is 1. Can be set up at service area level and/or procedure-record level.

Question 12

Allow price override

Answer 12

Indicates whether staff is allowed to edit the price for a procedure. But a security point, overrides the specification in this field.

Question 13

Related procedures

Answer 13

Related procedures should always be build together in accordance with industry standard coding rules.

Question 14

Charge restrictions

Answer 14

Used to limit the use of a procedure in PB Charge entry. e.g. sex, provider type, age, dx and POS