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Practice Management User Manual
Menus and Toolbars
Edit Menu *
Edit Menu *
Provide a description of the Edit menu.
Edit Menu
Provides common editing tools.
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Scheduler Menu *
Next:
Tools Menu *
Topics
Practice Management Maintenance-Setup Steps
21
Important Setup Information for SOAPware Practice Management
Getting Setup with Gateway EDI/TriZetto -- What to Expect
1. Manage Facilities (Block 24B and Block 32 and Statement 'Remit Payment To' Address)
2. Manage Groups/Billing Provider/ Pay To Information (Block 33)
3. Provider Manager (Blocks 24J and 31)
4. Setting Default Claim Options/Base Export Path
5. PM Security Administration
6. CPT® Code Maintenance (Block 24D)
7. HCPCS Maintenance (Block 24D)
8. ICD Maintenance (Block 21)
9. Adjustment Maintenance *
10. Custom Charges Maintenance *
11. Fee Schedule Maintenance (Block 24F) *
12. Remittance Advice Remark Codes
13. Claim Adjustment Reason Codes
14. Insurance Company Manager
15. Contacts/Referring Physicians (Block 17)
16. Flags/Notes Category Manager
17. Custom Demographic Titles
18. Set Structured CPT Options
19. List Options
Updating CPT®, HCPCS, and ICD-9 codes
2
Download New Quarterly/Annual Codes
Deleted Code Procedure
Schedule Setup
8
Activate Providers/Resources for a Facility
Provider/Resource Outlining
Provider/Resource Recurrences *
Entering Facility Business Hours *
Creating Holidays/Closings *
Creating Scheduplates
Confirm Scheduled Appointments
Check Insurance Eligibility
Menus and Toolbars
7
SOAPware Menu *
Billing Menu *
Scheduler Menu *
Edit Menu *
Tools Menu *
View Menu*
Help Menu*
Patient Account Overview
14
Looking Up a Patient Account
Creating a New Patient
Patient Information Bar
Schedule Tab
Demographics Tab *
Insurance Demographics Tab
Custom Demographics Tab
Flags/Notes Tab
Ledger Tab
Family Tab
Claims Tab
Statements Tab
New Charges Tab
Locked Tabs
Scheduling
13
Changing Active Facility*
Navigation
Views *
Time Increments*
Coloring*
Export the Schedule *
Schedule Reports*
Searching for Available Appointments*
Scheduling an Appointment
Moving an Appointment*
Deleting an Appointment*
Changing Appointment Status*
Scheduling Repeat Appointments
Transaction Entry
39
Work Flow- Clinical Documentation to Creating Claim
Remove Order Entry Items from Billing Statement
Post a Superbill/Billing Statement from Patient Chart
Add Default Modifier to Specific SMARText Plan Items or Order Entry
More Visit Information Claim Level
More Info Ambulance-Claim Level *
More Info Contract-Claim Level *
More Info Dates-Claim Level *
More Info File Information-Claim Level *
More Info Additional Claim Information (Box 19)-Claim Level
More Info Misc Details-Claim Notes
More Info Misc Details-Original Reference Number/ICN
More Info Misc Details-Lab CLIA number
More Info Misc Details-EPSDT
More Info Misc Details-Spinal Manipulation
More Info Misc Details-Mammography *
More Info Misc Details-Service Authorization Exemption *
More Info Misc Details-Investigational Device *
More Info Misc Details-Medical Record Number *
More Info Misc Details-Anesthesia Related Procedures
More Info Misc Details-Condition Information *
More Info Misc Details-Demonstration Project
More Info Misc Details-Care Plan Oversight *
More Info Patient Tab-Claim Level *
More Info Property and Casualty Tab-Claim Level
More Info Providers Tab-Claim Level
More Info Referral/Authorization-Claim Level *
More Info Supplemental Information Tab-Claim Level *
More Info Vision-Claim Level *
Additional Providers Tab-Charge Level
More Visit Information Charge Level-Dialysis and DME
Additional Information-Charge Level Drug Tab
Add Description to NOC codes
Additional Information Supporting Documentation-Charge Level *
Edit/Update Charges *
Apply Payment to Patient Account in New Charges Tab *
Apply Co-Pay/Pre-Pay to Visit
Delete a Co-Pay from visit *
Spread One Payment to Multiple Dependents
Patient Ledger
13
View Charges in Ledger
Create a Claim from Ledger
View Personal Payments in Ledger
View Insurance Payment Details from Ledger
Print Receipt/Statement by date range from Ledger
Add Charges in Ledger
Add Payment in Patient Ledger
Print Receipt for Payment in Ledger
Delete Personal Payment
Delete an insurance payment from visit
Add Adjustment in Ledger *
Transfer Credit Balance
Refund Overpayment
Payer/Non-Patient Accounts
4
Add a Payer/Non-Patient Account *
Add Payer/Non-Patient Account in Demographics *
Add Dependents to Payer/Non-Patient Account *
Change Payer/Guarantor in Make Payment dialog *
Enter Charges
3
Enter Charges Manually
Home Visits
Hospital/Other Facility Charges
Enter Payments
1
Add Personal Payments from Billing Menu
Claims Manager
17
General Workflow: Claims Manager
Step by Step Work flow-Claims Manager
Claims Search
Filtering Claims
Pending Scrub
On Hold
Ready To Submit
Scrubber Errors-How to Correct and Rebuild Claim
Submitted Tab
Resubmit Claims Rejected by Clearinghouse
Resubmit Claims Rejected by Payer/Insurance Company
Rebuild and Resubmit rejected file
Omit a paid charge when refiling from Insurance Payment Posting
Secondary Claims
Tertiary Claims
All Tab
Export the displayed grid from the All Tab in Claims Manager
Posting Insurance Payments
3
Create Manually Posted Insurance Payment
Introduction to Insurance Payment Posting
Insurance Recouped Payment
Auto Posting of Insurance Payments
6
Clearinghouse Account Settings
Security for Deleting Remits
Download and Select Remits
Edit Errors
Appeal/Resubmit a Denied Claim
Correction/Reversal of Payments
Reports
22
Accessing the Report List
CPT® Master Report
HCPCS Master Report
ICD Master Report
Custom Charges Master Report
Adjustment Code Master Report
Fee Schedule Report
Dependency Report
Duplicate Report
Payment Summary Report
Production By Diagnosis Report
Production by Procedure Report (by Provider, Referring Provider and/or Facility)
Statement Report
Credit Balance Report
Missed Charges Report
A/R Patient Report
A/R Carrier Report
Insurance Payment Analysis Report
End of Day Report
End of Month Report
End of Year Report
Custom Patient Reporting
Security Manager/Audit Log
1
Security Manager
PM Accessibility in Read Only Mode
5
Billing Reports, PM Tools, and Schedule
Patient Account Tabs in Read Only
Exporting Contact List
Extracting Insurance Companies
Exporting the Pharmacy List