Purpose
The Billing Report in DocNow is designed to facilitate accurate and efficient billing by providing detailed, encounter-level data. It captures essential patient information, service details, and insurance data, forming a crucial part of the billing and reimbursement processes for providers attending skilled nursing facilities.
Note: This report only returns data for submitted charges. Draft charges are not returned/displayed.
Audience
- Billers
- Clinicians
- Administrators
Report Details
The Billing Report includes detailed information regarding each patient encounter grouped by facilities and providers. It encompasses both billable and non-billable services and provides a comprehensive dataset necessary for billing and reimbursement activities.
Data Fields in the Billing Report
| Column Name | Description | Notes |
|---|---|---|
| Encounter ID | Unique identifier for each patient encounter. | Each encounter has a unique ID. |
| Charge ID | Unique identifier generated for billing. This is the value sent to the RCM/Billing Integrator. | Each charge capture has a unique ID. |
| Provider | Name of the provider associated with the encounter. | Format: First Name, Last Name |
| Supervisor | The user name of the Co-Signer or Second/Supervisory Signer | |
| Patient Name | Patient's full name. | Format: First Name, Last Name |
| Facility | Name of the facility (or alias name if configured) where the service was provided. | |
| Facility Type | The type of facility. | Examples: DN, PCC, MatrixCare |
| Facility Ext ID | External identifier for the facility, if applicable. | |
| Patient Tags | Current tags associated with the patient. | Historical tags are not captured in this report. Only the current tag assignments for the patient. |
| DOB | Patient's date of birth. | Format: MM/DD/YYYY |
| Date of Service | Date the service was rendered. | Format: MM/DD/YYYY |
| Date of Signature | Timestamp when the provider signed off on the encounter. | Format: MM/DD/YYYY HH:MM:SS AM/PM |
| CPT Codes | CPT codes for services performed. | Multiple values supported, separated by commas. |
| ICD Codes | ICD-10 diagnosis codes related to the encounter. | Multiple values supported, separated by commas. |
| Signed Date | The date and time the note was signed. | Format: MM/DD/YYYY HH:MM:SS AM/PM |
| Note Upload Date | The date and time the note was successfully uploaded to the integrated facility EHR (e.g. PCC, Matrix Care). | Format: MM/DD/YYYY HH:MM:SS AM/PM |
| Charge Date of Submission | The date and time the provider submitted the charge. | Format: MM/DD/YYYY HH:MM:SS AM/PM |
| Charge Days to Submission | The number of days between the DOS and the Charge Date of Submission. | Integer (days) |
| Primary Payor Number | Primary insurance identifier or number. | |
| Primary Payor Name | Primary insurance provider's name. | |
| Secondary Payor Number | Secondary insurance identifier or number. | |
| Secondary Payor Name | Secondary insurance provider's name. | |
| Tertiary Payor Number | Tertiary insurance identifier or number. | |
| Tertiary Payor Name | Tertiary insurance provider's name. |
Troubleshooting
Missing Data Fields
- Problem: Some fields, such as secondary or tertiary insurance, appear blank.
- Solution: Verify patient records to ensure secondary or tertiary insurance details are entered. Fields remain blank when data isn't provided.
Incorrect or Outdated Information
- Problem: Report displays outdated or incorrect information.
- Solution: Confirm the report has been refreshed post data updates. Refreshes occur daily; contact support if discrepancies persist.
Export Issues
- Problem: Unable to download or export the report.
- Solution: Check your browser or firewall settings. Contact DocNow support for technical assistance.
Example
Our support team is available to help with any questions or concerns at support@doctornow.io
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