2015 User Conference Creating Insurance Contracts April 23rd, 2015 April 24th, 2015 Presented by: Jen Novakovich PM/EHR Trainer PM Session

2015 Office Practicum User Conference Survey Have you tracked your insurance contracts previously in Office Practicum or another system? Have you used our previous version of insurance contracts called reimbursement schedule? Have you begun using our new insurance contracts?

2015 Office Practicum User Conference What is an Insurance Contract? Billing service contracts are written agreements between you and your insurance payers, making sure that the terms of the working relationship are understood by everybody.

2015 Office Practicum User Conference Recent Improvements to Insurance Contracts 1.Unlimited 2.Trackable Insurance Reimbursement Trends 3.Multi-Purpose 4.Method of Allowed Amount

2015 Office Practicum User Conference Recent Improvements to Insurance Contracts Unlimited: There are no limits on the number of insurance contracts you can create! Unlike previous versions, clients were limited to 20 total fee schedules to utilize for charging out, and tracking reimbursements back it OP.

2015 Office Practicum User Conference Recent Improvements to Insurance Contracts Trackable Trend: Office Practicum retains the history of how payment schedules change over time.

2015 Office Practicum User Conference Recent Improvements to Insurance Contracts Multi-Purpose: If your payment schedules are not uniform across your entire practice, you can apply contracts to specific locations and/or providers.

2015 Office Practicum User Conference Recent Improvements to Insurance Contracts Method of Allowed Amount Contracts allow you to indicate non-covered and capitated services, so charge pricing and adjudication are much simpler and more accurate to manage.

2015 Office Practicum User Conference Creating Insurance Contracts

2015 Office Practicum User Conference Creating Insurance Contracts

2015 Office Practicum User Conference Creating Insurance Contracts

2015 Office Practicum User Conference Creating Insurance Contracts

2015 Office Practicum User Conference Creating Insurance Contracts

2015 Office Practicum User Conference Creating Insurance Contracts Let’s take a closer look at the Method

2015 Office Practicum User Conference Creating Insurance Contracts The Method options include: ●Fee for Service: This is the most common and is the default for all converted fee schedules. ●Capitation: Selecting this indicates that this service is covered by a capitation agreement under which no itemized payment is expected.

2015 Office Practicum User Conference Creating Insurance Contracts ●Copay only: This is a variation of capitation, mostly intended for E&M services where the payment amount varies based upon each patient’s copay. ●Patient Responsibility Only: This is used for services that are known to be non- covered such as form fees.

2015 Office Practicum User Conference Let’s Try It!

2015 Office Practicum User Conference Copying an Insurance Contract 1.Select the contract to clone. 2.Click on the Clone button. 3.OP displays the Insurance Contract Clone Confirmation window informing you that the current contract will be superseded. 4.Select the Effective Date for the cloned contract. To do so, click the drop down arrow in the Effect Date field and select a date from the drop down calendar. 5.If you want the system to assign the cloned contract automatically to every payer who is associated with the existing contract, select the Update Associated Payers check box

2015 Office Practicum User Conference Copying an Insurance Contract Very Important: Are you copying an Insurance Contract that you want to keep?? If yes, you must do the following steps: 1.Make sure you uncheck the Show current contracts only box 2.Remove the Expiration Date that is automatically added when copied. 3.Save Yield

2015 Office Practicum User Conference Let’s Try It!

2015 Office Practicum User Conference Editing an Insurance Contract

2015 Office Practicum User Conference Let’s Try It!

2015 Office Practicum User Conference Associating/Linking an Insurance Contract

2015 Office Practicum User Conference Associating an Insurance Contract

2015 Office Practicum User Conference Utilizing Insurance Contracts During Posting

2015 Office Practicum User Conference Utilizing Insurance Contracts During Posting One Touch Posting

2015 Office Practicum User Conference Insurance Reimbursement Trends

2015 Office Practicum User Conference Insurance Reimbursement Trends

2015 Office Practicum User Conference Open your system and give it a try!

2015 Office Practicum User Conference Questions ?

2015 Office Practicum User Conference We want your feedback!