5. PM Security Administration
Tools -> Security
Billing Security options have been added for Groups, Roles and Users. Each section will have to be completed to allow Users access to assigned areas of Billing. Click on a specified action to allow access (green check mark), deny access (red X) or default to the user's individual privileges (leave blank ). Clicking on Allow All button will place a check in all boxes and Clicking Deny All will place a red X in all boxes.
Users should be added to Security Prior to assigning privileges to Billing
Security changes made will not take effect until you log out. For additional documentation on Security see SOAPedia online manual
Assign Billing Security Privileges to Roles
Access to specified sections can be manually allowed or denied for each user.
Another way to assign security privileges to users is to select or create a Role, assign accessibility to the role, and then assign that Role to a User. This will eliminate the need to go into every section of billing for each user and repeat the process.
1. Click on the expander node next to Roles.
2. Click on the expander node next to one of the Roles in the list. (Screenshot shows Office Manager selected)
Billing Access
3. Click the expander node next to Billing
4. Click on Billing
5. Click inside the box next to Accessible-This will allow any user assigned the Role of Office Manager to access the Billing Menu option
Adjustment Maintenance
6. Click the expander node next to Billing Maintenance
7. Double Click Adjustment Maintenance
8. Click on a specified action to allow access (green check mark), deny access (red X) or default to the user's individual privileges (leave blank ). Clicking on Allow All button will place a check in all boxes and Clicking on Deny All will place a red X in all boxes.
Add code-Allows user to add new adjustment codes in Adjustment Maintenance dialog
Edit code-Allows user to edit adjustment codes
Inactivate code-Allows user to mark an adjustment code Inactive.
Repeat Steps 7 and 8 for each section/action under Billing
Claims Options
Accept Assignment-Deny access or allow user to Accept Assignment on claims
Auto Submit-Deny access or allow user to Auto Submit claims
Clearinghouse ID-Deny access or allow user to edit Clearinghouse ID
Clearinghouse Name-Deny access or allow user to edit Clearinghouse name
Default Printer-Deny access or allow user to set default printer for claims
Office Contact-Deny access or allow user to edit Office Contact
Office Contact Phone-Deny access or allow user to edit Office Contact Phone
Office Contact Fax-Deny access or allow user to edit Office Contact Fax
Office Contact Email-Deny access or allow user to edit Office Contact Email
Output Path-Deny access or allow user to change output path
Password-Deny access or allow user to edit password
Print Full CMS Form-Deny access or allow user to select to print Full CMS Form
Receiver ID-Deny access or allow user to edit Receiver ID
Receiver Qualifier-Deny access or allow user to edit Receiver Qualifier
Save Local Copy-Deny access or allow user to Save Local Copy of claim files
Server-Deny access or allow user to edit Receiver Server
Testing-Deny access or allow user to change claim file to Test file
User Name-Deny access or allow user to edit User Name
CPT Maintenance
Edit code-Deny access or allow user to Edit CPT Maintenance
Inactivate code-Deny access or allow user to mark a CPT code Inactive
Custom Charges Maintenance
Add code-Deny access or allow user to add a Custom Charge code
Edit code-Deny access or allow user to edit a Custom Charge code
Inactivate code-Deny access or allow user to mark a Custom charge Inactive
Fee Schedule Maintenance
Accessible-Deny access or allow user access to the Fee Schedule menu option
Add Fee Schedule-Deny access or allow user ability to Add a new Fee Schedule
Edit Fee Schedule-Deny access or allow user ability to make edits within the Fee Schedules
Inactivate Fee Schedule-Deny access or allow user the ability to make a Fee Schedule Inactive
Add Code-Deny access or allow user the ability to Add a new Code from the HCPCS/CPT list to a Fee Schedule
Update Code Values-Deny access or allow user to Update Code amounts
HCPCS Maintenance
Edit code-Deny access or allow user to edit a HCPCS code in Maintenance
Inactivate code-Deny access or allow user to change a HCPCS code to Inactive
ICD Maintenance
Edit code-Deny access or allow user to edit a Diagnosis code in ICD Maintenance
Inactivate code-Deny access or allow user to change a Diagnosis code to Inactive
Claim Details
Edit Owner-Deny access or allow user to change Owner/Provider in Charge Details
Insurance Company Manager
Accessible-Allow/Deny user access to the Insurance Company Master files/Maintenance
Add Insurance Company-Allow/Deny user to add new insurance companies
Update Insurance Company-Allow/Deny user to update/save insurance companies
Remove Insurance Company-Allow/Deny user to delete/remove an insurance company from Insurance company Maintenance
Claims Manager
Accessible-Deny access or allow user access to the Claims Manager
Scrub Claim-Deny access or allow user to scrub claims in the Claims Manager
Edit Claim-Deny access or allow user to edit claims in the Claims Manager
Change Claim Status-Deny access or allow user to change the claim status in the Claims Manager
Rebuild Claim-Deny access or allow user to Rebuild a claim in the Claims Manager
Generate Electronic-Deny access or allow user to generate an electronic claims file in the Claims Manager
Submit Claims-Deny access or allow user to submit claims in the Claims Manager
Print Claims-Deny access or allow user to print claim forms in the Claims Manager
Insurance Payment
Accessible-Deny access or allow user access to Insurance Payment Posting
Create Payment-Deny access or allow user to Create a new Insurance Payment
Save Claim-Deny access or allow user to apply a payment and save that payment in Insurance Payment Posting
Post Payment-Deny access or allow user to post a payment in Insurance Payment Posting
Apply Payment Details-Deny access or allow user access to add/edit Payment/Remit details in Insurance Payment dialog
Print Payment-Deny access or allow user access to Print Payment in Insurance Payment dialog
Change Next Action-Deny access or allow user to edit the Next Action option in Insurance Payment dialog
Patient Account
Create New Chart/Patient Account-Deny access or allow user to create a new chart or patient account
Allow Check Self Pay-Deny access or allow user to check the box next to self pay option on patient account information bar
Patient Claims
Add On Hold/Claim Notes-Deny access or allow user access to comment in the On Hold notes section or the Claims Notes section in the Claims Tab
Delete Claim-Deny access or allow user to remove/delete claims in the Claims Tab
Edit Charge-Deny access or allow user to edit charges in the Claims Tab
Edit More Info-Deny access or allow user to edit More Info dialog in the Claims Tab
Select CMS1500-Deny access or allow user to select/view the CMS 1500 claim form from the Claims Tab
Patient Family
Add Dependent-Deny access or allow user to add a dependent to a Patient Account Family tab
Make Payment-Deny access or allow user to make a payment in the Patient Account Family tab
Patient Ledger
Add Charge-Deny access or allow user to add a charge from Patient Ledger
Edit Charge-Deny access or allow user to edit a charge from Patient Ledger
Delete Charge-Deny access or allow user to delete a charge from Patient Ledger
Add Adjustment-Deny access or allow user to apply an adjustment from Patient Ledger
Edit Adjustment-Deny access or allow user to edit an adjustment from Patient Ledger
Delete Adjustment-Deny access or allow user to delete an adjustment from Patient Ledger
Add Payment-Deny access or allow user to add a payment from Patient Ledger
Edit Payment-Deny access or allow user to edit a payment from Patient Ledger
Delete Payment-Deny access or allow user to delete a payment from Patient Ledger
Print Receipt-Deny access or allow user to print a receipt from Patient Ledger
Patient New Charges
Create Visit-user to create a new visit in New Charges tab
Delete Visit-Deny access or allow user to delete a visit in New Charges tab
Add Adjustment-Deny access or allow user to add an adjustment to a charge in New Charges tab
Delete Adjustment-Deny access or allow user to delete an adjustment in New Charges tab
Add Payment-Deny access or allow user to add a payment to a charge in New Charges tab
Delete Payment-Deny access or allow user to delete a payment in New Charges tab
Add Charge-Deny access or allow user to add a charge to a visit in New Charges tab
Delete Charge-Deny access or allow user to delete a charge in New Charges tab
Edit Charge Details-Deny access or allow user to edit charge details
Add More Info-Deny access or allow user access to the More Info dialog in New Charges tab
Mark as Incomplete-Deny access or allow user to mark a charge as Incomplete in New Charges tab
Change Follow-Up Action-Deny access or allow user to change the Follow Up action in New Charges tab
Enter Claim Comments-Deny access or allow user to enter claim comments to a charge in New Charges tab
Apply Co-Pay-Deny access or allow user to apply a Co-Pay to a charge in New Charges tab
Apply Pre-Pay-Deny access or allow user to Apply a Pre-Pay to a charge in New Charges tab
Omit from Statement -Deny access or allow user to omit a charge from a claim in New Charges tab
Post a Visit-Deny access or allow user to Post a Visit to the Ledger from the New Charges tab
Patient Schedule
Select a Scheduplate-Deny access or allow user access to scheduplates in Schedule tab
Add a Referral-Deny access or allow user to add a referral to an appointment in Schedule tab
Change the Status-Deny access or allow user to change an appointment status in Schedule tab
Set a Recurrence-Deny access or allow user to set a recurring appointment for a patient in Schedule tab
Add a Resource-Deny access or allow user to add a Resource in Schedule tab
Delete an Appointment-Deny access or allow user to delete a scheduled appointment in Schedule tab
Edit Resource-Deny access or allow user to edit a resource in Schedule tab
Enter Visit Comments-Deny access or allow user to enter visit comments in Schedule tab
Check Insurance Verification-Deny access or allow user to check Insurance Verified in Schedule tab
Check in a Patient-Deny access or allow user to check in a patient in Schedule tab
Take a Co-Pay-Deny access or allow user to take a co-pay in Schedule tab
Create a New Visit-Deny access or allow user to create a new visit in Schedule tab
Print a Visit-Deny access or allow user to print a visit in Schedule tab
Patient Statements
Open Statements-Deny access or allow user access to the Statements tab in Patient Account
Payer Account
Edit Demographics-Deny access or allow user to edit demographics in Payer/Non-Patient Account
Add Dependent-Deny access or allow user to add a dependent to a Payer/Non-Patient Account
Delete Dependent-Deny access or allow user to delete a dependent in a Payer/Non-Patient Account
Reports
CPT Master-Deny or allow user access to view/print the following reports from Billing -> Reports menu
HCPCS Master
ICD Master
Custom Charge Master
Adjustment Master
Fee Schedule Report
Dependency Report
Duplicate Report
Payment Summary
Production By Procedure
Daily Receivable Summary
Statement Report
Outstanding Insurance
Credit Balance Report
SOAPnote Audit Report