Documentation/Billing Corrections (If Signing Note)

Documentation/Billing Corrections (If Signing Note)

Documentation/Billing Corrections (If Signing Note)


This guide provides step-by-step instructions for rendering providers who need to make corrections to their notes.


Confirming Claim Creation

Below are key points to review in the billing tab to confirm that a claim has been created:
  • View of the Billing Slip: The billing slip will display the claim # for the encounter along with the date and time it was created.



  • Non-Editable Fields: Once a claim has been created, certain billing values (e.g., Procedure codes, Modifiers, Units, Diagnoses, and Bill) will no longer be editable.


·   

  1. If a claim has been created, you will need to reach out to billing for assistance with code corrections.

Making Corrections to a Signed Note

If the claim has not been created and corrections to documentation are needed, the encounter must be amended

Amending an Encounter Steps Link Below


Once the encounter has been amended, click on the Session Note to make necessary changes.
          

    Updating Diagnoses Codes

    • Add or update the diagnosis code in the Session Note under the Assessment & Plan section.

          

    • Changes made in the Assessment & Plan will reflect in the Billing Tab.
                

    Updating CPT/Procedure Codes

    If the Billing Tab is Editable:

    1. Open the signed encounter.
    2. Navigate to the Billing Tab.
    3. Edit the Procedure code.
    4. Click Save.

    If the Billing Tab is Not Editable:

          1. Confirm if the claim has been created.
          2. Follow the steps below to create a patient case and send it to billing.

    Creating a Patient Case for Billing

    1. Click on the Hamburger Menu.
    2. Select Create Patient Case.


          3. In the case description, provide billing with the updated CPT code.

          


          4. Select Data Entry and then click on Save.
               
          5. Leave the case in review for "Billing."
               


                Note: Billing will follow up and update the procedure code as needed.



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