We actually only contract with Medicare so when we are billing for out of network benefits there is a co-pay which will vary based on the visit. While we are paperless, each patient walks out our door with a Treatment Plan which they enjoy receiving as it reiterates treatments ordered, supplements suggested etc. With our injury patients these forms go straight to the carrier. On the Treatment Plan there are Roman Numerals which the attending physician circles to indicate to the front desk which code to use for the visit that day. Because the co-pay amount will vary, it is a mess to sort out when it comes to exporting the data efficiently and we end up with several super bills not infrequently.
The bill isn’t sent anywhere after the patient has been seen as the patient often checks out long before we finish our charting. Not all of the practitioners at this group have their charting complete before the patient leaves. Many take notes by hand and chart later or dictate with Dragon Voice. I am not certain what other clinics do in this situation or if they even have these concerns. I have to say that we always have an efficient team when it comes to communication and coordination of the appropriate charges at check out time and locking charts or superbills is not something that appeals to me. I would prefer my staff be enabled to work with the same superbill for one patient rather than having to create many. Perhaps this will be alleviated with the future update. Thank you.
