Billing Functions

UPLOAD SCHEDULE OF BENEFITS

ADD/EDIT BILLING SERVICE CODE

For adding or modifying service codes that appear on the billing forms in the provider view.

ADD BILLING / VISIT LOCATION 

If you wish to add to the "Clinic Location" drop down menu on the encounter billing form, type in the desired code and description, and click "Add". You can also delete billing / visit locations from this section.

MANAGE BILLING FORM

ADDING/DELETING BILL CODES

1. Click on ‘Manage Billing Form’ in the BILLING section
2. Click on ‘Service Code’ radio button
3. Click the ‘MANAGE’ button
   
   
4. For Service Codes, select the correct billing screen from the drop down menu at the top of the screen and click ‘MANAGE’
5. There are 2 columns for each service column in SERVICE CODES: the 1st column is the actual billing code and the second column relates to the order the code will view to the user.
6. Replace, delete or add any new code you want to the boxes and give new codes a display view number for the order it will be displayed on the billing form
7. When finished, click on UPDATE button on the lower left of the screen
8. Click ‘Close this Window’

ADD A BILLING FORM

1. Click on ‘Manage Billing Form’ in the BILLING section
2. Select ‘Add/Delete Form from the drop-down menu
3. Click the ‘MANAGE’ button
   
   
4. In the 5 boxes to the right of the screen, enter a 3 character code for the ‘Service Type’ This is an internal code and you can take a clue from the list of billing pages in the blue box to the right. (e.g. S12)
5. Type in a descriptive name for the billing form in the next box (e.g. Obstetrics)
6. In the billing form there are 3 columns of codes. You may want to group these codes in categories like ‘general, hospital, and premiums’. This makes it easier for the doctors to find the codes quickly. Enter the headings you want for the columns in these 3 boxes.
7. Click on ‘ADD FORM’
8. When the blank form appears, you can follow the previous instructions to add the codes for this billing form in the order you want them to appear to the doctors in the billing form

DELETING A BILLING FORM

1. Click on ‘Manage Billing Form’ in the BILLING section
2. Select ‘Add/Delete Form from the drop-down menu
3. Click the ‘MANAGE’ button
4. In the blue box to the right, click on the billing form you want to delete
5. Click YES to the question, “You are about to delete the billing form, are you sure?’
6. Click on ‘Close the Window’ link

ADDING/DELETING DIAGNOSTIC CODES

1. Click on ‘Manage Billing Form’ in the BILLING section
2. Click on ‘Dx Code’ radio button
   
   
3. From the drop-down menu, select the billing form you want to add/delete the diagnostic codes from
4. Click the ‘MANAGE’ button
5. Add or delete the desired diagnostic code. This is a 3 digit number that follows the Ministry of Health diagnostic code table obtained from the Ministry office
6. When finished, click on UPDATE button on the lower left of the screen
7. Click ‘Close this Window’

SIMULATION OHIP DISKETTE and GENERATE OHIP DISKETTE

for directions on when and how to use each of these functions.

BILLING CORRECTION

for directions on when and how to use this function.

INR BATCH BILLING

for directions on when and how to use this function.

BILLING RECONCILIATION

, and scroll down to "REMITTANCE ADVICE RECONCILIATION" for directions on when and how to use this function.

EDT BILLING REPORT GENERATOR

See Chapter 6- Remittance Advice & Report, and scroll down to "READING THE FILES DOWNLADED FROM GONET" for directions on when and how to use this function.

BILL STATUS

This feature allows you to create reports about patients' billing status.