Short Guide to SoftMic Supplemental Billing SoftMic Billing Setup Short Guide to SoftMic Supplemental Billing

4.0.7.1.6 2.5.1 Soft Modules Located in south central Pennsylvania 631 Beds 37,000 Inpatient Discharges 107,000 ED Visits 989,000 Ambulatory Visits 7,000 Employees 1200 Physicians Soft Modules HL7 2.5.1 SoftLab 4.0.7.1.6 SoftMic 4.0.7.1.2 SoftBank 25.1.0.5.1 SoftDonor 4.5.2.2.6 SoftID 2.6.0.2.7 SoftPath 4.4.0.1.13 SoftReports 1.1.9.0.5 SoftMedia 3.2.7.1.1

Why Micro Billing is Different Than Lab Basic culture billing setup is the same as lab tests Focus on extra billable items like MIC Demonstrate adding billing for extra testing Check your billing rules for your state or region (EX- NYS Medicaid Lab Codes)

3 Basic Steps for Extra Micro Billing Create Bill Only Test in Test Setup Attach Bill Only Test to SoftMic Build Timing to drop the bill

Bill Only Tests for SoftMic Will not go to Query Will not print Autoverified Use tube type that is auto-collected Use tube type that doesn’t print label Use your MIC Billing workstation Find out if you need to send the test code to your HIS or not to determine flag 34 necessity

Example Bill Only MIC Test

Example Flags For Bill Only Test

Lasso That Bill Only Code and Attach to your SoftMic Build

Attachment of Bill Only Tests to SoftMic Setup Panels Media Keypads Rules build to reflex media

Add Bill Only Test to Panels Add your bill only test ID to Panel Setup

Add Bill Only Test to Media Attach your bill only test to Media Build

Use Keypad to Add Bill Only Test Use keypad to reflex isolate and panels, including bill only test

Rules Can Reflex Media with Bill Only Test Add rule to reflex a media with specific criteria The media would have the bill only test attached

Bill Only Tests for Organism Identification Several Options of when and how to drop billing for identification Suggest that you make billing process consistent for your users Reflex by keypad Manually add ID in Isolate Tab in result entry (dummy ID panel) Reflex a media with attached billing

Timing When To Post Charges You can set the timing for billing to leave SoftLAB/MIC thru micparam, MIC_post_stat “PRELIM;INTERIM;FINAL;R;D;;” This way billable items (panels/media) are posted at every update

Timing When To Drop the Bill You can set the timing for a bill only test when the culture is complete Set MIC or KB to bill when order is final That way only reported susceptibilities will bill No need to send credits for work not reported if you set to bill at final

Set Timing of Drop Bill in AR or Hosparam

Validation

Billing Validation- Items to Include Make sure bill only tests are not on Instant reports or query Cancel a media with billing to make sure that associated bill code will not be sent Check your stain billing for stains added by MIC Process or Specimen Procedure Build Change isolate from number to letter and make sure billing for panels or ID will not occur Generate several MIC’s, ID’s, and other bill tests on one order to see correct volume is billing Testing to your billing system

Validation-Checking Your Build You can see your added bill only tests in OE

Validation Checks And You Can See How Many Bill Only Tests Post in the results tab in OE

Validation Example

Hosparams Several hosparams for MIC billing are available Check hosparam manual for options and settings Work with Soft to customize the various hosparams controlling SoftMIC billing

Params Required for Credits/non-Billing MIC_general_purpose  position #7 to “Y”   Alpha Isolates will not bill MIC_post_billing_test  “VVVA”     Nonverified Isolates will not bill          Pos 1  MIC panel          Pos 2  KB panel          Pos 3  BP panel          Pos 4  Media

Summary Create Bill Only Test Attach Bill Only Test to MIC Build Timing to drop the bill

Questions Questions?