Home Forums Discussions General Discussion Accidentally created 2 encounters and 2 superbills

Hi everyone!
I am a new user, just started my solo primary care medical practice in Rochester NY yesterday. One thing I am having a problem doing is finishing my note before the patient leaves the office. So I tried to manually create a superbill so I could provide an invoice, thinking I could go back into the note later on and finish it. Now I have 2 encounters and 2 bills for the same visit. I am hesitant to delete anything! but wanted to know #1--what is the better way of coding/billing before the note is signed off, and #2, is there a way to clean up what I did?
Thanks for any input--it's all new territory!
Lisa

You can go back and edit a superbill, completely wipe out the charges on one and use the other.

But how are you billing? If you are billing out of AC, then you need to wipe out the superbill, if you aren't then it is sloppy information in the background. Might make a difference if you are trying to figure out what was billed on one day by a different method.

I always code at the end of the note. I do use the AC billing service so it is important. Sometimes if I am not sure about something, I will forward the note to myself, finish and code it later that day.

I don't bill using AC any time. I actually have a handwritten superbill with all my procedures, office notes, vaccines (with v codes) and just circle them - I do not generate a bill until the chart note is done - assumed that like Medicare and hospital billing that you cannot bill until all is done, eg hospital does not bill until H&P, notes, Discharge summary are all done. With a little practice you can get where you finish the note in the room - certainly try to do by the end of the day(don't get me wrong sometimes I am here at 11:00 at night....).

I used to use a superbill.

The values for the billings were more used to as reference info, how many patients had a Hgb in March, for example.

Thus, since you aren't really using the data, it really doesn't matter that there are two bills.

I occasionally will go back and edit a note. I just make sure I change the CC section to reference the change (added vitals or added meds.

I am curious if you are using the superbill in AC how do you get around the insurance companies needing an acutal signature? We are a fee for service practice so give an invoice to the patient so they can file it but insurance will not take it without a signature and I can not seem to figure nor can tech support how to add any info to the invoice. thanks in advance!

Alexis,

Can you give a little more detail. I am not following completely. Are you trying to add a digital signature to the invoice? Are you trying to add "other info?"

I am confused I suppose, because if you are printing out the Superbill to give to the patient, couldn't you sign it then. Obviously, that is too obvious so can you clarify your question a little.

Thanks.

No worries I realized I was to vague! Sorry about that. What I would like to do is add the statement that I saw this patient, do not file/accept insurance and to contact the patient directly for reimbursement etc. For now I am walking out and signing anyway. Unfortunately insurance will not reimburse the patient if its electronic anyway. Thanks much. Also thanks on the TSp 800 got it set up yesterday and it is so sweet!

I believe the check box signature on file suffices. All of the billing is done electronically so the absolute process is somewht unknown to me. If the patient is filing for reimbursement, then they would pay up front and we would give them an invoice.

If you are printing an invoice just physically sign the darn thing. Heck Nancy does this all the time. She signs them right under the final total. She even signs almost all of the invoice we fax or mail over to our billing company. Makes it all the more official, and "I approved this message". Sorry there, campaign season I guess....

Paul

At the risk of adding more credence to how boring my life is, there is nothing sweeter than the TSP800.