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There are 2 different ways in ChiroFusion to generate charges for a DOS Encounter using CPT & ICD Codes. Charges can automatically be generated at the time a Provider is signing an Exam/SOAP note, and also generated manually directly in billing.

2.1 How to Generate a New DOS Encounter: Insured Patients

There are 2 different ways in ChiroFusion to generate charges for a DOS Encounter using CPT & ICD Codes. Charges can automatically be generated at the time a Provider is signing an Exam/SOAP note, and also generated manually directly in billing.
OPTION 1: AUTO-GENERATING A DOS ENCOUNTER CHARGE WHEN SIGNING AN EXAM/SOAP
This feature is a one-time short cut for generating charges & if a report is signed/saved without checking the ‘Move Visit To Billing Queue’ then charges can only be created/edited directly in billing for that DOS.

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The charges will be based on the ICD & CPT Codes you have included in your report, and the fees that have been set in billing will automatically be applied to your correlating procedure codes.
In order for a DOS Encounter to be sent over to Billing as 'Insured' a patient must have Primary Insurance (and/or Secondary Insurance) saved on their profile, & also attached to their case.
Go To: BILLING > ENTER CHARGES

 
OPTION 2: MANUALLY GENERATING A DOS ENCOUNTER CHARGE DIRECTLY IN BILLING
Go To: BILLING > ENTER CHARGES

1. Search for patients within Global search by using the search bar, the advanced search options or clicking the letter of the patient’s last name.  You will then click within the line to select the patient.

   1. If the patient has multiple cases, you will need to go to the right hand side to select the case you would like to generate charges for.

2. For Multi-Provider accounts, click on the 'Provider' drop-down & select the Provider that is to appear as the 'Rendering Provider'.

3. Click Create New Visit & select the Date of Service from the calendar.

4. Financial: Displays the case and insurance company information 

   1. If the patient has more than one insurance, you can select the insurance company from the drop down

   2. Fee Schedule Group:  Select a Fee schedule group to charge the patient with (Optional)

   3. Deductible:  This is not an active field but will show the deductible for reference that was entered in the patients profile

   4. Apply Patient Co-Pay: If there is a co-pay identified on the Primary Insurance page in a patients profile, this will appear as an option to select. Check the box to apply the co-pay amount to patient responsibility, or leave it unchecked & the co-pay amount will not be applied.

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1. Search the ICD codes from the box by the code or Description or by selecting from the Favorite List

2. Click “Add” 

3. You can enter up to 12 ICD diagnosis codes by code or by description.

4. Click Add after each code entered.

5. To reorder ICD codes, you can click/drag/drop into the order you want. To remove a cpt code, you will select the check box and then click delete.

Reordering or Removing ICD Code

1. To reorder ICD codes, you can click/drag/drop into the order you want

2. To remove a cpt code, you will select the check box and then click delete.

Favoriting an ICD Code

1. Once an ICD code is in the ICD code box you can click on the check box

2. You will then go down and click on Add To Favorite

   1. This Favorite list will be per facility.

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1. Search the code by code or description or by using the Favorite List

   1. CPT codes can be placed as a favorite on the Fee schedule, this is also per facility.

2. Information from the fee schedule will pull but can be edited

   1. You can change the place of service

   2. Modifiers- You are able to attach up to four modifiers per code.  They will add in the order you select them.  

   3. DX Pointers- Will default to ABCD but you are able to edit to any order you want.  This is pulling from the letters next to the ICD codes above.

   4. Std. Fee: This will pull from fee schedule but can be adjusted

   5. Units:  Will default to 1 but can be edited

   6. File:  This tells the system if you would like the code to appear on the claim form or not

3. Click add

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Editing CPT Codes

• To change the order, you are able to click/drag/drop into the order you would like.

• To edit the details you will click on the pencil icon to the right of the line item.

• Click Finish Edits

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• Search/Select desired patient

• Click on the "DOS" dropdown and select the DOS

• Click "Delete Visit"

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Editing Charges

• *Please see section (attach link here) in the billing manual for instructions editing charges (Refiling & Editing / Approve Charges)

Bulk Post Summary
 
Once a Bulk Payment is posted, it will appear on the Bulk Post Summary page. This is where you can view all posted/closed check history & see details on how checks were posted & amounts distributed.
Go To: BILLING > PATIENT ACCOUNTING > BULK POST SUMMARY
To Search Posted/Closed Bulk Payment Checks:

• As a default the system will show all bulk payment checks within the last 30 days.

• You can filter by:

  • Patient Name

  • Check number

  • From and To Dates

  • Payer

 
Managing Posted/Closed Bulk Payments Checks:

• Go to the Action Column and click on the 3 dots

• Here will give you the options to

  • View the check details.  This will open up the check on the screen where you can view all details.  You can also click on the date(s) to view the encounter details

  • Revert Check- This will take the user back to patient accounting to edit the check.

  • Preview- Will bring up a Print Preview screen to view the check details