Explain how billing codes are used in an EHR system.
Explanation should include the following:
- Adaptive software emphasizing practice specifications
- Conversion of "superbills" to claims
- Electronic submission and verification of claims
- Comprehensive accounting/billing reports
- Electronic tracking of payments and a transparent payment process
- Claims rejection analysis in real time displaying clear error codes
- Integration of co-payments into scheduling features
- Billing codes pulled directly from EHR documentation
- Multi-user, secure, and user-friendly interface capabilities
- Server monitoring, backups, and data recovery
- codes from International Classification of Diseases, version 10 (ICD10) (https://www.cdc.gov/nchs/icd/icd10.htm Links to an external site.).
- codes from Current Procedural Terminology (CPT) (https://www.ama-assn.org/amaone/cpt-current-procedural-terminology Links to an external site.)
- codes from Healthcare Common Procedural Coding System (HCPCS) (https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo Links to an external site.)
Process/Skill Questions:
- What types of billing codes are used in an EHR?
- How does the conversion of superbills to claims work?
- How does the documentation in the EHR directly affect reimbursement?
- How does the billing process work?
- What steps should be taken to ensure the provider has 24-hour-a-day, 7-days-a-week access to the EHR?
- What are the implications of not having an emergency backup plan?