Customize Procedures Section
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The Procedures section of an Encounter record can be customized as needed for your practice.
Customize Procedures Section
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Professional (CMS-1500) Claim Format Columns
Column Header | Description |
From | The beginning service date. |
To | The ending service date. |
Procedure | The procedure code. |
Mod X | The procedure modifier code(s). |
Units | The unit amount for the procedure. Note: The Default Units can be set under the Procedure record. |
Unit Charge | The charge amount associated with the procedure (per unit). Note: The default charge amount can be set under Contracts and Fees. |
Total Charge | The total charge amount automatically calculated (Units multiplied by Unit Charge) by Kareo. |
Diag X | The diagnosis code(s). |
Apply Payment | When a Payment Amount is entered under the Payment section of an Encounter record, all or part of that amount can be entered and applied at the service line level. |
Patient Resp. | The amount that is the patient's responsibility. Note: This column is available when "Automatically bill patients for missed copays" is enabled under the Copay section of the Encounter Options. |
Line Note | The service line note when required for procedures billed electronically. |
Ref. Code | The service line note reference code. |
NDC | The National Drug Code number. Note: Once added to the Procedures section, two additional columns appear: UC and UM. |
UC | The unit count related to the NDC number. Note: Appears when the NDC column header is added to the Procedures section. |
UM | The unit of measure related to the NDC number. Note: Appears when the NDC column header is added to the Procedures section. |
TOS | The Type of Service code. |
Concurrent Procedures | Used for Anesthesia Services. The number of anesthesia cases a provider is involved in at the same exact moment in time when applicable. |
Start Time | The beginning service time. |
End Time | The ending service time. |
Minutes | Used for Anesthesia Services. Kareo automatically calculates the time in minutes based on the Start Time and End Time. |
Institutional (UB-04) Claim Format Columns
Column Header | Description |
From | The beginning service date. |
Assessm Date /Assessment Date | Used to capture the assessment date for Inpatient Rehabilitation Facilities, Skilled Nursing Facilities and Swing Bed Providers. Note: Kareo does not currently support these specialties. Contact the payer for specific instructions to submit this data using Occurrence Codes when it is required. |
Procedure | The procedure code. |
Mod X | The procedure modifier code(s). |
Rev Code | The revenue code associated with the procedure code that identifies the specific accommodation, ancillary service or unique billing calculations or arrangements. |
Units | The unit amount for the procedure. Note: The Default Units can be set under the Procedure record. |
Unit Charge | The charge amount associated with the procedure (per unit). Note: The default charge amount can be set under Contracts and Fees. |
Total Charge | The total charge amount automatically calculated (Units multiplied by Unit Charge) by Kareo. |
Non Cov Chrgs / Non Covered Charges | Charges not covered by the payer as pertaining to the revenue code. |
NDC | The National Drug Code number. Note: Once added to the Procedures section, two additional columns appear: UC and UM. |
UC | The unit count related to the NDC number. Note: Appears when the NDC column header is added to the Procedures section. |
UM | The unit of measure related to the NDC number. Note: Appears when the NDC column header is added to the Procedures section. |
Apply Payment | When a Payment Amount is entered under the Payment section of an Encounter record, all or part of that amount can be entered and applied at the service line level. |
Patient Resp. | The amount that is the patient's responsibility. Note: This column is available when "Automatically bill patients for missed copays" is enabled under the Copay section of the Encounter Options. |
Concurrent Procedures | Used for Anesthesia Services. The number of anesthesia cases a provider is involved in at the same exact moment in time when applicable. |
Start Time | The beginning service time. |
End Time | The ending service time. |
Minutes | Used for Anesthesia Services. Kareo automatically calculates the time in minutes based on the Start Time and End Time. |