We have recently moved to MEDfx away from our separate practice management software. Previously we would add charges in AC but didn't use them for billing. Our charges would be entered on paper and keyed into our billing software. Our workflow now is to enter all charges into Amazing Charts and they automatically flow over to MEDfx where they are process to create a bill for the patients. Here are a couple of issues we are running into and I would like to know workflow others are using.
The workflow that Amazing Charts is designed around is this:
1. Nurse collects vitals and chief complaint and forwards chart to the provider.
2. Provider does his visit and documents to the chart, order any tests, shots, and prescribes medication. He could at this point add his charges to the superbill. Then he would forward chart back to nurse.
3. Then nurse would then give them a shot, vaccination (via decision support). This automatically adds the charge for the vaccination to the superbill. The nurse would edit superbill to add her administration charge and then forward chart back to provider. Who is probably with the next patient.
4. Once the provider finishes with the next patient he would pull the chart back up and sign off which creates a superbill that then would be sent to the billing software.
5. Then nurse then would send the patient to check out where they could generate the superbill for the patient to pay on.
This is the workflow we use because if the nurse had to wait on the provider to finish his next appointment and sign off on chart out patients would have to wait a long time to check out.
1. Nurse collects vitals and chief complaint and forward chart to provider.
2. Provider does his visit and documents to the chart, order any tests, shots, and prescribes medication. He then add visit charge and any charge that would be auto generated from order and signs off on the chart. This creates a superbill that flows to MEDfx.
3. The nurse then administers any shots, vaccinations that are needed. They create an addendum and go to decision support and enter them the addendum is then added to the signed note. They then go in and edit today's superbill and add needed charges and administration charges. This second a second copy (the correct one) to MEDfx. They also may send the patient to the lab to have a blood draw which may be appended to the bill creating a 3rd bill that flows to MEDfx.
4. The patient then is released they stop at the check out desk where they pull up the bills, reject all but the last one. Process the charges which create a bill for the patient where we can then collect payment, etc.
5. Now the next time the patient comes in and the provider pulls up the superbill the vaccination charge is sitting in the superbill from last visit since when you add charges in decision support it automatically adds the charge to the bill but since the provider already signed off it just adds it for the next charge. So our provider or nurse has to be sure to remove that or the patient will be charged a second time.
So which workflow do most of you use? Do you run into the issue of the unbilled charges? You can run a report in AC to show all your unbilled charges.
I was looking for a way to turn off auto billing of vaccinations like there is for orders but one does not exist.
