Billing Configuration Settings for Non-RCM Clients
Before you start to send claims to your clearinghouse, there are a number of configuration settings that you should review: 1. Admin -> Locations: * Demographics sub-tab: Be sure that each of your practice location (which translate to Billing Facilities or Service Locations on the HCFA 1500) have a complete addr…
How Can I See Who Added and/or Deleted a CPT/Charge Code to a Claim?
There are 2 places to see this in Charges. 1. Go to Patient Chart -> Encounters -> Charges, select the "Show Deleted" Checkbox. This will show all codes, deleted and not deleted. The deleted codes will not have the red X and will have a column indicting it was deleted. The last modified user was the one to delete…
How to Enter and Authorization Number for Billing
When you have to get pre-authorization for services and need to keep track of these along with recording the authorization number to send on the claim, you can enter and track these through Patient Insurance. * From Patient Insurance screen, select the appropriate insurance record on the top and then select “Au…
How to enter Workman's Comp or Personal Injury type of Payors
Normally, patient's have commercial health insurance paying for their claims. However, sometimes, it may be covered by a Workman's Comp case or Personal Injury/Car Accident case. These "payors" are typically insurance companies or could even be lawyer offices. These are entered very similarly to a regular medical …
How Do I Change the Value of CMS1500 Accept Assignment Field (Block 27)
The value for the "Accept Assignment" field on the CMS 1500 Claim Form is "Yes" by default. If you need to make it check "No" then you need to set the Claim Override for it. Follow these steps to change it in Claim Overrides: 1. Make sure you are on the Claim Info tab on the Charges screen - where you would …
How Can I Bill Under a Different Provider if the Rendering Provider is not Credentialed
If you need to set an overriding rendering provider for all claims for billing purposes, you can set a global billing override. This is handy if you have a new provider that is not yet credentialed. Go to Admin -> Personnel -> Personnel Entry and search and select the provider that needs the override. Go to Prov…
How to Add an Itemized bill to Patient Portal
First you will want to add ‘” Itemized Statements” as a new document type so you can attach these patient statements to the portal. You will do this by going to Admin à Lists à List item entry à and select “Document type” on the left-hand side of the screen. To add a new ‘Document type’ within this list scroll to t…
Entering NDC Codes for CPT Codes
In order to get vaccines and medications paid on claims, the NDC, Quantity and Quantity unit must be included on the claim. In ReLi Med EMR, you can map these to a CPT code. Navigate to Admin -> Encounter Related Lists -> CPT Code entry and select or add the CPT code that needs these fields. NOTE: The NDC code en…
How to get Authorization number printed on HCFA 1500
As long as the Authorization number is entered under Claim Details -> Referral/Authorization tab, you can get it to print in Block 23 on the HCFA claim form. There is one catch, if there is also a CLIA number, the CLIA number will take precedence: The way to get this Authorization number to print on the p…
