Plan Setup – 837i and 837p
Plans are the insurance plans and payers who are billed to pay for the clients’ services in SmartCare. The plan contains information necessary for the 837 claim file creation. Within […]
Add-on Codes Overview
Add-on codes are services performed in addition to a “primary” or “parent” procedure/service. When recording services, SmartCare handles add-on codes in two ways. The first requires the end user to […]
Manual Add-on Codes
In order for a procedure to be used as either a manual or automatic add-on code while recording services, it needs to be setup in the Procedure/Rates record via the […]
Automatic Add-on Codes
Configure Automatic Add-on Codes via the Automatic Add On Codes (Administration) screen. Once configured the procedures will be created automatically and no manual end user intervention is needed. To configure […]
Billing Add-on Codes
When an add-on code is added in addition to the primary procedure, at the time of Service Completion the additional service with the associated charge will be created. Both the […]
Common Charge Errors
Timely Filing Limit – Delay Reason Code Required To correct, obtain Delay Reason Code, and add it via the Select Action menu, or in the Charge Details screen. Add the […]
Service Errors
As part of the Service Completion (job step #5), the system will look for Service Validation errors. If a service has one or more errors, the service will stay in […]
Overview of Overnight Billing Jobs
Step Name Description 1 835 Process Uploaded File Processes uploaded 835 files and applies payments, adjustments and transfers 2 Create Bed Services Creates bed services when the Census functionality is […]
Rate Calculations and Billing Units
When a service is entered with all required fields completed, the rate for the service will be automatically calculated based on the Procedure/Rates set up in the system. The rates […]
Overview of the Service Completion, Charge Creation and Ready to Bill Processes in SmartCare