Category Archives: Billing

ANSI 5010 Testing

With Version 4825 there will be a new button in the billing menu called “ANSI 5010 Testing.” This option will allow you to begin ANSI 5010 testing for electronic billing other than PPS billing. When selected the screen looks and … Continue reading

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ANSI Billing – Source of Admission

Some insurance companies are now requiring a source of admission for the ANSI electronic billing. Bravo is one of those insurance companies requiring the source of admission for which we have had several calls. To make sure the information is … Continue reading

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HCPCS Codes – Visits & Schedules

In Other-Setup / System Overrides / Billing we added the option to exclude HCPCS codes from being automatically entered into the visit screen during data entry. We also added the ability under Insurance Companies to not pull the HCPCS codes … Continue reading

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Medicare – Billing Non-Covered Visits

Available in Build 4810 in the patient visit screen is a new check box, “Medicare Non-Covered.” You will need to check this box if you want the visit in PPS billing to show as non-covered. In addition, there must be … Continue reading

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Missed Visits

From within the scheduled visit or unverified visit there is a button at the bottom of the screen to create a Missed Visit record. This will save time from having to re-enter the date, employee, service etc. on the missed … Continue reading

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Hospice Routine Charges – New Feature

Under Billing / Hospice Routine Charges there is a new checkbox labeled “Post Non-Routine Days from Patient Insurance.” If you are entering non-routine days under Patient / Insurance / Hospice, and you check this box when posting, the system will … Continue reading

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Changing from Cahaba to Cigna

Recently CIGNA Government Services [CGS] was awarded the contract for Medicare electronic file submissions. Before submitting any files to CIGNA, each home health agency is required (by CIGNA) to go to www.cignagovernmentservices.com/J15 and fill out the J15 HH+H Transition Profile … Continue reading

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HCFA 1500 – 24E Diagnosis Pointer

In Insurance Companies / HCFA 1500 setup you can now check that you want only a ‘1’ to show in field 24E Diagnosis Pointer.

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Invoice Payment Types

Added “Final Payment” and “Retraction” to the invoice payment types.

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PPS Billing – ANSI Professional

As of Version 4973 PPS billing can be done in the professional ANSI format instead of just the institutional format. Some of our clients recently have come across insurance companies that want the professional format. If you need to bill … Continue reading

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