Soft Mic Billing Setup Short Guide to Soft
Soft. Mic Billing Setup Short Guide to Soft. Mic Supplemental Billing
Located in south central Pennsylvania Ø 631 Beds Ø 37, 000 Inpatient Discharges Ø 107, 000 ED Visits Ø 989, 000 Ambulatory Visits Ø 7, 000 Employees Ø 1200 Physicians Soft Modules Soft. Lab • 4. 0. 7. 1. 6 Soft. ID Soft. Mic • 4. 0. 7. 1. 2 Soft. Path Soft. Bank Soft. Donor • 2. 6. 0. 2. 7 • 4. 4. 0. 1. 13 • 25. 1. 0. 5. 1 Soft. Reports • 1. 1. 9. 0. 5 • 4. 5. 2. 2. 6 Soft. Media • 3. 2. 7. 1. 1 H L 7 • 2. 5. 1
Why Micro Billing is Different Than Lab • Basic culture billing setup is the same as lab tests • Focus on extra billable items like MIC • Demonstrate adding billing for extra testing • Check your billing rules for your state or region (EX- NYS Medicaid Lab Codes)
3 Basic Steps for Extra Micro Billing • Create Bill Only Test in Test Setup • Attach Bill Only Test to Soft. Mic Build • Timing to drop the bill
Bill Only Tests for Soft. Mic • • Will not go to Query Will not print Autoverified Use tube type that is autocollected • Use tube type that doesn’t print label • Use your MIC Billing workstation • Find out if you need to send the test code to your HIS or not to determine flag 34 necessity
Example Bill Only MIC Test
Example Flags For Bill Only Test
Lasso That Bill Only Code and Attach to your Soft. Mic Build
Attachment of Bill Only Tests to Soft. Mic Setup • Panels • Media • Keypads • Rules build to reflex media
Add Bill Only Test to Panels • Add your bill only test ID to Panel Setup
Add Bill Only Test to Media • Attach your bill only test to Media Build
Use Keypad to Add Bill Only Test • Use keypad to reflex isolate and panels, including bill only test
Rules Can Reflex Media with Bill Only Test • Add rule to reflex a media with specific criteria • The media would have the bill only test attached
Bill Only Tests for Organism Identification • Several Options of when • Reflex by keypad and how to drop billing • Manually add ID in for identification Isolate Tab in result • Suggest that you make entry (dummy ID panel) billing process • Reflex a media with consistent for your users attached billing
Timing When To Post Charges • You can set the timing for billing to leave Soft. LAB/MIC thru micparam, MIC_post_stat • “PRELIM; INTERIM; FINAL; R; D; ; ” • This way billable items (panels/media) are posted at every update
Timing When To Drop the Bill • You can set the timing for a bill only test when the culture is complete • Set MIC or KB to bill when order is final • That way only reported susceptibilities will bill • No need to send credits for work not reported if you set to bill at final
Set Timing of Drop Bill in AR or Hosparam
Validation
Billing Validation- Items to Include • Make sure bill only tests are not on Instant reports or query • Cancel a media with billing to make sure that associated bill code will not be sent • Check your stain billing for stains added by MIC Process or Specimen Procedure Build • Change isolate from number to letter and make sure billing for panels or ID will not occur • Generate several MIC’s, ID’s, and other bill tests on one order to see correct volume is billing • Testing to your billing system
Validation-Checking Your Build • You can see your added bill only tests in OE
Validation Checks And You Can See How Many Bill Only Tests Post in the results tab in OE
Validation Example
Hosparams • Several hosparams for MIC billing are available • Check hosparam manual for options and settings • Work with Soft to customize the various hosparams controlling Soft. MIC billing
Params Required for Credits/non-Billing • MIC_general_purpose position #7 to “Y” Alpha Isolates will not bill • MIC_post_billing_test “VVVA” Nonverified Isolates will not bill • • Pos 1 MIC panel Pos 2 KB panel Pos 3 BP panel Pos 4 Media
Summary • Create Bill Only Test • Attach Bill Only Test to MIC Build • Timing to drop the bill
Questions
- Slides: 26