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Charge Entry: Training

This document provides instructions for charge entry in 3 sentences or less: The document outlines the basic process and documents used for charge entry, including the charge sheet, super bill, and medical record. It describes important fields to capture like date of service, place of service, procedure and diagnosis codes, billed amount, units, and modifiers. Instructions are provided for items like batch details, patient account number, referring and attending physicians, facility address, and billing address.

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mairyu
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1K views19 pages

Charge Entry: Training

This document provides instructions for charge entry in 3 sentences or less: The document outlines the basic process and documents used for charge entry, including the charge sheet, super bill, and medical record. It describes important fields to capture like date of service, place of service, procedure and diagnosis codes, billed amount, units, and modifiers. Instructions are provided for items like batch details, patient account number, referring and attending physicians, facility address, and billing address.

Uploaded by

mairyu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Charge Entry

Training PPT
Basic Document for Charge
Entry

• The Charge Sheet (or)

• The Super Bill (or)

• The medical record giving basic


information of codes required for Charge
Entry
Super Bill
• Super Bill is a pre-defined document in
which Charge information is given.
Batch Details

• Accounting Date – A date fixed according


to a schedule by the billing office based on
which the entries are made. This may be a
daily schedule and should be opened and
closed every day.
Batch Number
• A number fixed according to the requirement of
the project
• This is a four digit number and is generally the
Julian date followed by the serial number
• Julian date is the serial number of the date in that
year I.e. Jan 31st would be 031,
Feb 1st would be 032 and Feb 2nd would be 033
and so on.
Batch Number – contd…

• Example: If we are processing patients for


dates of service 03/25/2000, then the batch
number would be 0851, 0852 and so on.
Patient Account Number
• The number allotted to the patient during
registration
• If you type this number the other
particulars such as the patient name,
insurance coverage and the patient type
would default.
Important Fields to be captured
• When - Date of Service
• Where - Place of Service
• What treatment - Procedure Codes
• Why - Diagnosis Codes
• How much - Billed Amount
• How many units - Units
Modifier
• Modifier is a 2-digit alpha, alpha numeric
or numeric code that is used with
procedure codes billed to a insurance
carrier in order to provide additional
clarification of the circumstances related to
the services provided to a patient
• Enter the appropriate modifier code
• Only 4 modifiers gets accepted
Diagnosis Codes
4 Diagnosis code (Paper)
8 Diagnosis Code (Electronic)
Service Details
Referring Physician
• Who referred - Name of the Referring
Physician
• Referring Physician is the one who refers
the patient.
Ordering
Physician

Provider Id
Prior Authorization
• Insurance gives prior Authorization to a
provider before the provider performs
costlier / complicated service.
• For cases which require prior
authorization, prior authorization number
should be stated.
Tax Identification Number
(TIN)
• TIN is allotted by Internal Revenue
Service (IRS) and is mandatory for claim
submission.
Attending Physician
• Who treated - Name of the
Attending Physician
• Attending Physician is the one who treats
the patient.
Facility Address
• Which hospital - Facility Address
• Facility address is the location where the
treatment is rendered to the patient

Facility
NPI
Billing Address
• Billing address is the provider’s address
where the EOB and payment check would
be sent by the insurance company.
Sample Charge Sheet
THANK YOU

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