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Why do amounts I enter into the boxes for "Rec'd Insur1", "Rec'd Insur2", "Rec'd Other", and "Adjustments" not show up when I print the invoice? This is very confusing and annoying.

Also, there is a box to enter "CoPay", but there are no boxes to enter "Coinsurance" or "Payment in full at time of service". Initially, I tried to enter these in the "Rec'd Other" box, but it was too confusing because it does not show up on the invoice, so now I just enter any payment type for my services received from the patient at time of service in the "CoPay" box, but there is no good way to enter payments in addition to my services (e.g. vitamin supplement, injections, lab draw, UA, etc.) so that they will show up on the invoice. This makes things confusing for my billing service and to non-insurance patients receiving invoices (i.e. receipts) for their payments.

Any suggestions/hints would be appreciated.

Unfortunately you've hit the nail right on the head. We've been having the same problem from day one here. I've certainly let the folks back at AC, including Jon aware of it and let them know that we would like it to work better. Hey until recently, the invoices didn't even total, copay and sub-total...No joke. You should write to them and call them and let them know your displeasure with the present situation...It seems that when folks write and call things sometime get changed.

Worse yet, we found a real good bug in the the general totals of your daily reports, this times that should equal the other thing. So like total charges should equal average cost of the encounters times the number of encounters. Of all the things that would go wrong with this program, I never expected it to be something simple like basic math. No need to re-invent the wheel here. PC have been crunching numbers all their life. Although it seems to behaving itself better now after Nancy and I made a big stink about it, we all now have the disclaimer to not trust it. That was added in response to our complaints, post facto...nice, right? So now I'm on the "naughty" list back at AC. I started a thread on "Bad Math" a while back. You should be able to search to it.

But supposedly they are "working on it" and they are going to be designing some sort of a inter-related PM module at some point "soon". But now we're a bit leary here after how the whole thing went down and the recent updates to the EULA. I "Strongly" recommend that all users really re-read the EULA with their eyes wide open and truely understand what it really means if and when one might have a falling out with the vendor. The EULA that is part of the newest versions we are all working with today is not the EULA that we all accepted a year ago or more. I was talking to another doc about this and he too remembers the old EULA, that had actual curse words that as he put it "it seemed like Jon had probably written himself". The first time I read the old one, I split a gut and made the whole office read it. I said, "now there's a company we can go with, these folks are OK. Trashing all the other high and mighty EMR vendors and making them out to be the villians that they really are".

But now our AC EULA is just like all the rest. Seriously, especially you more long term users who may just click on the thing everytime you do an update without giving it a second thought....Because you thought you already knew what was in there... Read it, now. Really carefully read it. It is NOT the old EULA that you first accepted and fell in love with. Take it from us, we know. It was clearly laid out for us one day not too long ago and it was a very strange day here at Village Medical of CNY when it was. Corporate philosopies do tend to change and evolve....

(Nancy here) To distinguish what you are putting on your invoice, use the BILLING NOTES box to the left of the COPAY section. I enter free text there which will show up on the invoice. This does not help with number crunching but does help let everyone know what's going on. I put who the pre-op is for, they still owe a copay, anything.
(Paul) We also use a phrase here, PIFATOS and it is a separate Insurance in our drop-down box. It stands for Pay in Full at Time of Service. That way we can separately track those folks and their totals somewhat. Also below copays we enter cash or ck# 123 or what have you too. I also enter the ck# in our QuickBooks. It helps somewhat.

Paul & Nancy

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..."

Hello Bill,

Welcome to AC.

There are definite problems with the superbill. I no longer use it for "billing" other than as a reference. I'm billing now through OfficeAlly. When I was eporting to a billing company...nothing we right (although a lot of the problem was the billing company).

However...you can indeed change pointers, I do it all the time. If I remember correctly, all you need to do is click into the pointer box and a drop down will appear. You can then choose one of the ICD9 codes that you have entered into the chart, OR you can choose a different one from the menu that appears on the right.

Hope this helps.

Barbara

The best way to deal with the superbills is not to use them. Works for us.