I have many other issues with the "billing" aspects of AC. I don't know how anyone can bill accurately with this software as it is. Even exporting the bills will generate numerous rejections of services.

For starters, the NPI numbers do not appear in the correct boxes. I have two NPI numbers, one for the PC "the group", and an individual number. My individual number shows up under the billing provider (the group). This causes payments to be made to my social security number, not my tax ID number.

My CLIE number shows up in the prior authorization box.

You must type in Signature on File in box 12 the first time you do this on each computer.

My bigest concern is that you cannot correctly set diagnosis pointers to the correct CPT code. Let's say you e/m a patient for their HTN, DM and Lipids, and they complain about their knee pain. You perform an aspiration of their knee. Code it 250.00, 401.1, 272.4, 715.16. CPT 9921X mod 25, 20610 mod 59 (and should have RT or LT but unable to use multiple modifiers). Your pointers ALWAYS read 1234 in the 1500 form. This would generate a rejection for the 20610 (not valid for 250.00)requiring rebilling manually.

At this time, the superbill functionality is horrible. I have to attempt to make the superbill readable to my billing staff, and spend quite a bit of time reviewing bills prior to sending them. What a waste of time.

Anybody have similar issues? AC help desk was no help... "We know there are problems..."



Bill Lien, M.D.