PCPCM Billing

Billing Updates

Healthquest has added a Program Setup option to support the physician's need to be able to switch back and forth between their FFS BA doctor card and their PCPCM doctor card. Enabling the setting will allow the provider with the ability to retain the patient in the billing window even when changing the billing provider. To access the setting, go into Setup -> Program Setup -> Billing -> AHC -> Client. 

You will need to select both 'repeat client when billing' as well as 'retain client when changing doctor'. These are both user settings and will need to be applied by each physician 

Time Tracking Service Codes

With the 4.4.68 Healthquest update the four service codes required for time tracking will be available in the EMR. To update your Healthquest to include these codes, go into Setup -> Load AH Tables. Ensure that you have 'Import HQ Service Codes Table and Rules' as well as 'Import HQ Service/Modifier table' selected, then click 'Go'.

      

AHC Billing Reconciliation

When billing through PCPCM, in-basket service codes are paid at 68.5% of the submitted value. The 99c explanatory code will be automatically accepted when doing reconciliations.

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