Hi Patricia,
To answer your question from the other post, we use a paper superbill. In detail:
If the visit is a well child exam, the nurse circles "checkup" on the SB and all the vaccines we will give during the triage. If it is a sick visit, she circles "sick." Then she forwards the chart in AC to the doctor. We put the superbill on the exam room door. After the doctor has finished the exam, she looks at the paper superbill to verify that the nurse has circled the right codes (mostly checking the vaccines) and she may circle additional codes like strep test or additional vaccines that was given.
When the doctor signs off on the note (which may or may not happen at the end of the visit), she will select the E&M code from the quick codes screen - 99213, 99214 or the checkup codes. She then puts the paper superbill in the allotted location we have for "ready to bill." The biller takes this stack of superbills and find the pt chart in TotalMD. She looks for the date that matches the SB date. The visit code should already be in TotalMD because it links automatically with the signed note in AC. Then she adds/edits any additional dx or CPT codes that's on the SB to the bill. When there are vaccines, the biller always has to add vaccine & admin codes - the doctor does NOT pick the vaccine codes in AC. We have found that it's faster this way.
One thing I don't like about TotalMD is we can't see the signed off visits all on 1 screen. We have to know which pt chart to go to to see that there's a CPT code ready for billing. So there are times when a visit doesn't get billed because that paper SB mysteriously disappeared. However, TotalMD does have a way to create claims for all unbilled charges that have an insurance plan attached to it. So when you click that button, you'll get a bunch of claims made for all cpt/charges that are not yet on a claim, and then you can see if there are any charges you've missed with the paper SB.
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