Superbills accurate for Sliding Scale | Voters

Superbills accurate for Sliding Scale

planned

Rachel Ward, MD

For sliding scale patients, please have CPT code prices adjust to match the price schedule or custom fees, so that the Superbill matches the Invoice and doesn't have to be manually adjusted every.single.time. PLEASE & THANK YOU!!!

April 20, 2024

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!

Tina Koro (IntakeQ)

marked this post as

planned

Dr. Tiffany Hwang

Tina Koro (IntakeQ)When is this planned for?

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.

William Schroeder

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: You're good at videos:) Would you be willing to show me this NOT pulling the correct amount?

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

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.

June 5, 2024

Tyson Edwards

Merged in a post:

Client specific fees & superbills

William Schroeder

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.

June 5, 2024

Tyson Edwards

Merged in a post:

Superbill linked to Price Schedule

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.

June 5, 2024

Tyson Edwards

marked this post as

in progress

Susan Gurney

Agree! The manual adjustment takes a lot of time.

David Sitt

This is a ciritcal time saver and shouldnreally be prioritized. I imagine many practices are facing this same frustration.

Please up-vote!

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