The Procedure Codes screen (Fig. 21) allows you to edit the procedure codes required when processing insurance claims. Procedure codes related to optometry and ophthalmology are initially installed with My Vision Express.
When entering a claim, procedure codes are automatically filled in the ‘Charges’ tab of Insurance screen (box 24D of the HCFA/CMS1500 paper form) if the claim is generated from an order whose items have been assigned a procedure code during inventory setup. All the information defined for the procedure code is automatically brought into the corresponding fields for the product or service in the insurance claim. For more information, refer to Chapter 7.
To access the Procedure Codes setup screen, go to File > Setup > Procedure Codes from the main menu.
To add a procedure code, click Add and fill in the fields in the ‘Procedure Code Details’ section at the bottom of the screen. You can remove a procedure code by highlighting its record and clicking Delete. You can also change a procedure code by selecting its record and editing the fields in the ‘Procedure Code Details’ group box. You can also import procedure codes from a comprehensive list by clicking Import… to open the Lookup Service dialog (Fig. 22). Here you can search for a procedure code, select it and then click OK to finish importing it.
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Fig. 21 - The Procedure Codes setup screen |
The ‘Code’ textbox is where the procedure code itself is entered. Each code could apply to the “Contact”, “Frame”, “Other” or “Spectacle” inventory item type. Select the proper one from the ‘Type’ drop-down box.
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Fig. 22 - The Lookup Service screen for procedure codes |
Specify your usual and customary price for the selected code in the ‘U&C’ field. If the selected code has already been assigned to one or more inventory items and you make a change on this field, you will be prompted if you want to update the pricing for the inventory item or items in question when you save your changes.
The description for the selected procedure code is entered in the ‘Description’ text box. You can also associate up to four diagnosis codes to it in the drop-down boxes provided.
If you want the procedure code to be available in other areas of the application, make sure that the Active checkbox is checked.
Click Save and Close on the main application toolbar when you are finished making changes to this screen.