BILLING 2 NAME DATE GRADE BILLING

2010 INCOME TAX BILLING NOTICE VARIANCE COMPLIANCE DIVISION PO
89 BILLING ACCOUNTS RECEIVABLE NAVIGATION OVERVIEW IN MANY
ADVANCED BILLING (FBI202) TRAINING CLASS AGENDA 1 OVERVIEW CORECT

AGENCY FOR INTERNATIONAL DEVELOPMENT BILL FOR COLLECTION BILLING
ATTACHMENT 6 PAGE 0 ATTACHMENT 6C INTERCONNECTION BILLING AND
AUDIT PROCEDURES AND INTERNAL CONTROL QUESTIONNAIRES HOSPITAL BILLING AND

Billing exercises:

Billing 2

Name: ____________________________ Date: ______________ Grade: __________



Billing

Review Questions/Exercises


Reference: Billing User’s Guide



Set up definitions specific to your HID. Include screen prints of your maintenance definitions.


  1. Set up one fee schedule and one version.


  1. Set up order code (default) billing. You do not have to enter all of your order codes. Enter tests, batteries and packages. Enter 5 chemistry, 5 hemo, 5 micro, 1 urine. Make up billing codes, prices, and CPT codes.


  1. Set up at least one Phlebotomy workload billing.


  1. Define your KB and MIC codes to micro method billing.


  1. Set up Special Billing Group IDs to charge special pricing by reference lab and patient location.


  1. Set up Special Billing Option IDs for reference lab, patient locations and a third Option ID for pricing for reference lab tests at specific patient locations.


  1. Set up Charge Edit for Combine by accession number. Set it up so that if four of your order codes are ordered on one accession number, the billing codes should be replaced with billing code 55443 and a price of $14.00.


  1. Your HID and HID1 are performing tests for each other. Set up Inter-Entity Billing to track orders sent from your HID to HID1. You want reports to print sorted by resulting HID, ordering HID, ordering patient location, priority. Call 3 reports: one tallies for test code, one for order code, and one for workload level.


  1. Do some ordering in your HID. Order several batteries that have non-orderable tests. Result these tests when you are logged into a lab location for HID1.


    1. Are there any maintenance constraints on this? For example, can you result in worksheet mode?


  1. What definitions need to be made to enable Compliance Checker?


  1. Assume that billing qualifies for the billing interface based on order date or collect date. What action does Misys take if billing for an order has been sent across the billing interface and someone goes into RE or GUI Order Entry and


    1. Deletes an order that has not been resulted?

    2. Adds on an order to the particular accession number?


  1. You do not plan to send billing prices across the interface, but still want billing prices documented in Misys for internal reporting. Is this possible? How?


  1. You want to build a MISCELLANEOUS battery.


    1. What tests would you include in this battery?

    2. Why might you set up two batteries?

    3. How would you set up two batteries so that you could order them together?


  1. If you choose to send data across the billing interface via electronic transfer, when will the data be transmitted?


  1. If you format the data to cross the billing interface – the level to obtain account number and location at the current status level – how will the data be organized for a patient that has several episodes?


  1. What is the issue with billing for micro sensitivities (ZZ00 batteries)?


  1. How is phlebotomy workload billed?


  1. List all the 10 ways that special billing can be built.


  1. What is the significance of the EFFECTIVE DATE in the fee schedule ID?


  1. A site wants to charge 10% over their regular billing for all ER orders. How would they do this?



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