LTC Billing Submit Billing

Transcription

1 LTC Billing Submit Billing

2 Purpose: The Health PAS-Online application will enable Nursing Facilities to bill claims without having to recreate information used to bill monthly claims. To access Health PAS-Online, logon to and enter your logon name and password.

3 Scroll to the 7 th option LTC Billing on the left-hand side of the screen and select Submit Billing. Submit Billing: This function uses the information defined under the 'Patient Default Mgt.' function to apply current billing cycle defaults, alter individual patient(s) as necessary for the current billing cycle, and submit claims for the current billing cycle. Information defined using this function applies to the current billing cycle only. Information defined using this function is not stored on the system.

4 INSTRUCTIONS Follow these steps to submit the current billing cycle's claims. This document contains detailed instructions on how to perform each action. 1. Copy patients who had a break in stay or who had utilized multiple accommodation types. 2. Define the default from date, through date, and accommodation code charge rates. 3. As required, alter individual patient(s) from date, through date, and accommodation code. 4. For patients who accumulate services in addition to accommodations, add service line(s) to individual patient(s). 5. Submit all claims.

5 Copy patients who had a break in stay or who had utilized multiple accommodation types. Copy: Click this button to copy the template of those patients who had a break in stay (split bill) or utilized more than one accommodation type during the current billing cycle. The copied patient record is displayed in the list below the original patient record. Delete: Click this button to delete a copied patient record. Define the default from date, through date, and accommodation code charge rates.

6 1. From Date: Enter the from date of service (MM-DD-YYYY) for the current billing cycle. 2. Through Date: Enter the through date of service (MM-DD-YYYY) for the current billing cycle. 3. Submitted Amount: Enter the daily rate charged for each Accommodation Code. A value must be entered for each code, or the user will receive an error message. 4. Apply Default Values: Click on this button to save the information entered. The patient list display is automatically updated reflecting the default values. Covered days and charges for each patient are calculated by the application. 5. Submit All Claims: Click this button at this time if none of the individual patient s lines need to be edited. The amount of time it takes to submit claims is dependent on the number of patients in your list. A message displays while the claim submit process is running. When the claim submit process is complete, a billing results list is displayed. 6. Clear All Changes: Click this button to clear all modifications and begin the Submit Billing process over. A confirmation message is displayed. Answer the message appropriately.

7 As required, alter individual patient(s) from date, through date, and accommodation code if they are different from the default values. The fields are hyper-linked to an entry form containing the values currently defined for that patient. 1. From/Through Dates: Click in this field to alter the From Date or the Through Date. 2. Days: Click in this field to alter the From Date or the Through Date. 3. Commit Date Changes: Click this button to save the date changes made. 4. No Change, Return to List: Click this button if no change is required for that patient line. 5. Acc. Code: Click in this field to alter the Accommodation Revenue Code. This would be used if a patient had a break in stay (split bill) and their template was copied in step one. 6. Commit Date Changes: Click this button to save the date changes made. 7. No Change, Return to List: Click this button if no change is required for that patient line.

8 For patients who accumulate services in addition to accommodations, add service line(s) to individual patient(s). 1. Charges: Click in this field to add service lines. 2. Revenue Code: Enter the Revenue Code of the ancillary service. 3. Product/Service Qualifier: Click on the drop down box and select HCPCS. 4. HCPCS/Rates/HIPPS Code: Enter the appropriate HCPCS code. 5. From Date: Enter the from date of service (MM-DD-YYYY). 6. Through Date: Enter the through date of service (MM-DD-YYYY). 7. Quantity: Enter the quantity. 8. Charges: Enter the charges for the ancillary service. 9. Non-Covered Charges: Enter any non-covered charges. 10. Modifier: Enter the appropriate modifier for oxygen therapy if applicable. 11. Add: Click this button to add the information entered. The 001 (total) service line is automatically updated with the sum of the charges for all services lines. 12. Commit Service Line Change: Click this button to submit all the added lines. 13. No Change, Return to List: Click this button if there are not any additional lines. 14. Submit All Claims: Click this button if no additional modifications are necessary. The amount of time it takes to submit claims is dependent on the number of patients in your list. A message displays while the claim submit process is running. When the claim submit process is complete, a billing results list is displayed. 15. Clear All Changes: Click this button to clear all modifications and begin the Submit Billing process over. A confirmation message is displayed. Answer the message appropriately.

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