The Billing application area is used to manage patient accounting functions related to billing and claims management and to view billing-related analytics data. The Billing workspace allows the user to work with billing exceptions, late charges, claim errors, and claim denials. The scorecards quantify work done on billing exceptions, claim errors, etc., and the dashboards measure performance in areas such as clean claim rate, denial rate, and days in billing.
The Billing workspace gives the user access to work queues, tabs, and Quick Actions related to billing. The data panel displays patient data (name, status, balance, etc.) and the User Productivity chart.
The Billing workspace is used to manage billing event information, including handling denials and claim errors. The tabs and Quick Action applications allow users to view claim history, create payment and denial overrides, resolve claim errors, create rebills, and annul bills.
The Billing Event tab allows the user to select billing events that need to be worked. Other tabs can be used to update patient, insurance, guarantor, and visit information. The EOB/Denials tab is used to view claim and service line denials and post payment and claim denial overrides.
Quick Actions allow users to rebill a billing event, annul a bill, and attach images.
The Billing workspace includes a variety of standard work queues designed to complete tasks on visits/patient accounts/billing events related to billing.
Billing’s base set of work queues includes:
The Billing application area has multiple scorecards that measure productivity by work queue and by event.
The Billing scorecard displays the following information in the primary panel:
The other panels and charts allow the user to drill down to totals by work queue and user.
The Billing – Event scorecard displays the following information in the primary panel:
The other panels and charts allow the user to drill down to totals by event (resolved claim errors, POT requests, added adjustments, charge updates, combined visits, etc.) and user.
The Billing application area includes dashboards that display a variety of financial and performance information, including trending data. The following dashboards are available in Billing: