Superbills accurate for Sliding Scale
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Learning Insights
Agree! Very frustrating for those who use custom pricing and packages.
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Tina Koro (IntakeQ)
open
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Dr. Masiello
There is still the problem of the superbill and the CMS 1500 form mixing all the diagnosis, procedure and modifier codes. In other words the 1500 points to all diagnoses for each and every procedure. I have in practice 36 years and I guarantee these claims will be rejected or not make it past the clearinghouse and you'll have to edit them manually all the time!
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Tina Koro (IntakeQ)
planned
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Dr. Tiffany Hwang
Tina Koro (IntakeQ)When is this planned for?
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Dr. Catherine Shir
Tina Koro (IntakeQ)Checking in on the status of this project--unfortunately the superbills are still not reflecting the custom price schedule.
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Kevin Luo
Two improvements would be great:
- For patients with custom pricing, have superbills reflect the correct custom pricing for the service. It currently shows the default pricing for a service.
- For those with custom pricing, have pre-set price for each CPT code that adds up to the correct custom pricing for the service.
Tyson Edwards
Can someone show me where the prices should be pulling form? From what we've seen. Things seem to be pulling from the correct place.
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William Schroeder, LPC
Tyson Edwards this is where it should be pulling from, whatever is associated with that date of service. Of course they would also need a diagnosis but the hope is that it also fills this as one unit as opposed to having to manually enter that.
Tyson Edwards
William Schroeder, LPC: You're good at videos:) Would you be willing to show me this NOT pulling the correct amount?
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Dr. Tiffany Hwang
Tyson Edwards That's the problem- there is nowhere for us to put our custom cpt pricing in. When we "edit service", we're able to use the "CPT Codes" tab to put in the CPT pricing (maybe the service is $100 and we have 2 different procedure codes, one billed at $20 and one billed at $80).
Then when you go to the "Price schedule", I can make the same service $50, but there's nowhere for me to put in the new CPT pricing. The superbill will still populate as a $20 procedure and an $80 procedure. The "price schedule" page needs a place where it asks me what the "CPT codes" should be (and maybe I'd put it in as 2 procedure codes, one billed at $10 and one billed at $40).
Tyson Edwards
Merged in a post:
CPT pricing per provider
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Mary Payne
There needs to be a way for the CPT price to match the service price. For practices with clinicians that charge different rates this is a significant problem and makes the feature for clients to access their own superbills non functional.
Tyson Edwards
Merged in a post:
Client specific fees & superbills
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William Schroeder, LPC
We have this wonky workaround for having different rates for clients and this commonly happens with large group practices. Inevitably you have to offer sliding scales and this means you are forced into using "insurance" and the "copay" field. This screws up our ability to actually take insurance.
I am suggesting that PracticeQ make a "sliding scale" field and allow that field to be used in the same way we currently use the insurance and copay field.
Also, if that field could then populate as the amount in the superbill, it would also be helpful.
Tyson Edwards
Merged in a post:
Superbill linked to Price Schedule
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BILLING DEPARTMENT
We would like a superbill to auto populate and override the cpt code default billed amounts when a client as a set price schedule.
Tyson Edwards
in progress
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Dr. Catherine Shir
Tyson Edwards May I ask if there has been further progress on this feature? My colleagues and I are still spending time manually updating the CPT code prices for each visit when we see clients on a sliding scale/price schedule (to ensure that their superbill fees add up correctly). Thank you so much!
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