Procedure Maintenance

Use Procedure Maintenance to maintain default procedure information as well as specific information relating to each insurance Form Type you have.  You can maintain Procedure descriptions, information about how the procedures can be billed for both paper and electronic billing and how to list the procedure with other procedures on statements as well as entering individual procedure anesthesia base units.   You can enter default fee information, including alternate fee amounts and payment allowed amounts.  This information displays during Charge Entry where you can edit it.

Procedure maintenance is fairly complex.  Each form type for the procedure may or may not have additional information that is needed.  Some information is maintained in the Procedure Set Maintenance screen.  In addition, you can set each procedure to print different Procedure codes based on the Form Type.  For example, if Blue Shield uses a certain Procedure code to refer to a procedure and Medicare uses a different number to refer to the same procedure, you can assign the specific Procedure codes to print for each Form Type.

 

Tip:  For more information about working with data in fields, see Data Entry Guidelines.

Directions:

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Other Standard Maintenance