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ENTER CHARGES
Enter Charges is "Ground Zero" where you can fully manage all charges. This is where you will:

• Create new charges

• View details of any DOS encounters previously created

• Delete charges

• Edit charges

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 billingbe created, edited & deleted from the Enter Charges section within the billing tab.

OPTION 1: AUTO-GENERATING A DOS ENCOUNTER CHARGE WHEN SIGNING AN EXAM/SOAP

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1. As the Provider, when completing an Exam/SOAP note you will click on Sign to preview your report, & then click on Save Report

   1. A pop-up box will appear, prompting you to enter your PIN, along with a checkbox that reads 'Move Visit To Billing Queue'.

2. By checking this box & clicking Save, a copy of your report will be saved to the patients' Medical File, and charges for that DOS will automatically be sent over to billing under 'Approve Charges'.

 
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.

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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 either the insurance company information attached attached to the case or the word “Self” for cash patients

   1. If the patient has more than one insurance associated with that case, 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 for insured patients.

   4. Apply Patient Co-Pay/Co-Insurance: If there is a co-pay or co-insurance 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/co-insurance amount to patient responsibility, or leave it unchecked & the co-pay amount will not be appliedCheck this box to make that amount patient responsibility for insured patients.

Adding ICD Codes:

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

2. Click “Add” You 'Add' (can enter up to 12 ICD diagnosis codes by code or by description.

3. Click Add after each code entered.

4. To reorder ICD codes, you can click/drag/drop into the order you wantcodes)

5. Users can click > drag > drop in order to rearrange the ICD codes. To remove a cpt code, you will select the check box and then click to left of the code followed by 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

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

You will then go down and click on Add To Favorite

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**In order to save an ICD code as a favorite, select the check box to the left of the code & click the ‘Save To Favorites’ button. This list of favorites is shared among all users.

Adding CPT Procedure Codes:

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. . Make any necessary edits

4. Click add

Editing CPT Codes

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

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

3. Click

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1. FINISH EDITS.

Adding an Extra Charge to DOS

1. Click Add Extra Charge

2. A new window will appear where you can select the category or the name of the extra charge you want

3. Once added you can make edits to the units, price, and select/deselect if you want sales tax applied.

4. You can add multiple extra charges to the box.

5. Click Save and close

 
To finalize Charges

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1. ADD EXTRA CHARGE.

2. Select extra charges from down down menu.

3. Make any necessary edits.

4. Click SAVE AND CLOSE.

To Finalize Charges

• Click SAVE to move the visit to Approve Charges

  • You will receive a notification at the bottom of the screen showing your changes have been saved

• Click Save and Approve SAVE AND APPROVE to bypass the Approve Charges screen and see the charge in patient accounting.

  • You will receive a notification that the charge has been saved and approved.  

  • There will be an option to collect payment that will take you straight to Patient Accounting for the DOS.

Optional:  To Place a Visit on hold
At times, you may not have all the information required to generate a charge the way you need.  You can put these visits On Hold until the information is available.

• At the top of the page there is a drop down menu for On Hold

• Select Reason

• To unselect: click the X next to the reason to remove

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• • See Collecting a patient payment for more information

To View/Delete/Edit Previous DOS

1. Search/Select desired patient

2. Click on the "DOS"

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1. drop down and select the DOS in which you would like to view

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Search/Select desired patient

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Click on the "DOS" dropdown and select the DOS

1. Edit necessary fields or click Delete visit

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:

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Go to the Action Column and click on the 3 dots

Here will give you the options to

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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

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

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