New Ontario Billing June 2, 2006

NEW Billing Program Requests
June 2, 2006

    PRIVATE BILLING   
Request by    REQUEST    status
Rogers    ability to invoice and reconcile all from the receptionist screen    done
Rogers    ability to charge them a different fee for the services than OHIP fee    done
Rogers    ability to collect a deposit for delivery, and then reconcile the bill to include the amount paid to OB, anesthetist, assistant & amount refunded to the patient.    done
Rogers    reconciliation may occur at a much later date, as we collect the deposit at the first visit and don’t refund until after delivery.   
Rogers    I realize this last request is not part of what the original proposal includes, and would be happy for you to cost such a function out for me.   
Rogers    At the end of a clinic where 75 patients seen and all with service codes P004 G010 diagnostic code 650, the last thing I want to do is repeat that bill 75 times in 75 charts.  It's a dream of mine.    done

    CORRECTING ERRORS   
Request by    REQUEST    status
Rogers    attach a the meaning of error codes to an error, instead of just HCN & place to edit list=Adm    done
CFFM    Ability to settle one code of a bill when the 2nd item is not paid   

    GENERAL   
Request by    REQUEST    status
CFFM    BILL SCREEN –after billing is finished allow biller to press ENTER on the keyboard & then ENTER again to confirm the bill instead of having to click the button   
CFFM    CODES – alert doctors when they have billed too many A003A OR K017A   
Shaw    DIAGNOSTIC CODES: ability to enter more than one diagnosis per patient visit.  We haven¹t discussed how many but probably in the range of three to five.  This would help us to track the complexity of care offered to a patient ¬ in reality we choose one diagnostic code as we bill, even though we deal with more diagnoses per visit than one.  This would aid in our research enormously ¬ thought this would be food for thought and maybe a meeting!    done
    Hyperlink to Master Demographics in the billing correction screen to make changes and then go back to the bill to re-submit    done
    Firefox compatible   
Cepeda    ability to change the % of a code as it is being billed    done
CFFM    NO HEALTH # - alert doctors in the billing screen when the patient does not have a health #    done
Parker    Default to log in physician for 'add billing' screen so that we don't have to enter our name. (like with the 'flu billing'   
Parker    Add quick code (like the flu billing) for G489A with G700A (when patients come for blood work without a visit) - put the quick billing code in the "Patient's Detail Record" right under "Flu Billing".  Anyone that offers blood tests in their office would use this code combo for patients getting blood work but not being seen by the doctor that day.  I would make the billings for blood work much faster (esp if it defaults to the logged in doctor like the flu billing quickie does)    done
 

Parker    criteria in the code setups for age.  Certain codes like K017A, G482A are for children only, some are for adults and teens like G489A, some for over 70 years like E070A and E071A.   These codes should be set up so that if we try billing someone who doesn't fit the age criteria, it prompts us that that code is not valid for that age and do we want to bill anyhow.  This would lessen the number of OHIP rejects.   
Maternity Centre    Applying % codes to more than 1 service code i.e. P023A - P006A - E411A
the E411A applies a percentage to the P023A.   This is true for the P022 and P030 codes as well    done
    Place to cancel some % codes & show how it is applying to which code    done
Maternity Centre    Ability for biller to decide which premium code it applied to a service code
The three codes, P023A, P022A and P030A are codes that sometimes are able to be used with the premium codes E409A or E410A but not at all times.  It depends on the diagnosis as to whether a premium may be applied to these codes or not. It would be more functional if these codes have an option somewhere in the system to using the premium codes with them or not    done
Maternity Centre    The above holds true if the E410A or E409A are billed with i.e. P023A - P006A and E409A  or E410A  The E codes are being applied automatically to the P023A and again, it depends on circumstance as to whether an E code premium is allowed with a P023, P022 or P030    done
Maternity Centre    Cross reference certain codes the billing program allows.  i.e.  there are codes that when billed in combination OHIP will not pay for but when billed in a certain way, OHIP will pay.  [P025A, A007A and a K-premium code] When billed altogether, OHIP does not allow for this grouping.  [have to bill P025A first and then start a new billing for the patient with the A007A & K premium code]  REQUEST: prompt when a physician tries to bill all three together.   

    ADMINISTRATION   
Request by    REQUEST    status
Parker    have a tick box of "diagnostic code not required" , and those procedures that have the tick box ticked won't need the codes, and the user won't be nagged for them.  That way, the user can also enter new codes that will come out in the future and edit them accordingly instead of having to have them custom programmed.   
Parker    ADMIN feature to 'auto-inactivate' all patients who haven't been billed for a specified time period i.e., automatically change the Patient Status: from AC to IN if they haven't been billed for a user specified time period.  Great way to keep the database current!   
MFP    Archive Remitance advice like Ohip diskettes by year   
MFP    When patient demographics put in when last updated by date and who did it.   
MFP    Activate hospital billings (Jay)   
MFP    Ability to delete Duplicate billings made same day by different providers   
MFP    When patients are double booked in clinic have only one person bill but have all providers the patient is booked under billed at same time as do not bill    done
Show!!
CFFM    ERROR code explanations right in the billing correction screen like BC     done
CFFM    BILL STATUS: Accounts Receivable to show unpaid bills   
    BILL STATUS: ability to do a sort by any service code designated by the biller   
CFFM    BILL CORRECTION: note area for biller to put a note in to signify why bill written off or any other notes for internal accounting purpose   
CFFM    WRITEN OFF BILL: have show up in patient billing history   
CFFM    Add [Manage Provider List] from BILL TAB to billing section in ADMIN   
CFFM    BILL STATUS:  show dates of resubmits in [bill correction]   
CFFM    BILLING SIMULATION – add the doctor’s name to the [simulate submission] report    done
CFFM    BILL REPORTS – print the file name on any printed bill reports   
    MASTER DEMOGRAPHICS   
CFFM    Ability to [EDIT] or delete the [ADD RELATION] area of the Master Demographics   
CFFM    Ability to link family members so that when one family member has an address change, the program will ask if you want to change the address on other family members & show a list of them   
CFFM    PROVIDER DROP DOWN LIST- ability to edit the list so that it doesn’t have to show every OSCAR user if a clinic only wants the doctors to show