1. Short Guide to SoftMic Supplemental Billing
SoftMic Billing Setup
Short Guide to SoftMic Supplemental Billing

2. 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
SoftMic
SoftBank
SoftDonor
SoftID
SoftPath
SoftReports
SoftMedia

3. 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)

4. 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

5. 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

6. Example Bill Only MIC Test

7. Example Flags For Bill Only Test

8. Lasso That Bill Only Code and Attach to your SoftMic Build

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

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

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

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

13. 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

14. 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

15. 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

16. 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

17. Set Timing of Drop Bill in AR or Hosparam

18. Validation

19. 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

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

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

22. Validation Example

23. 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

24. 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

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

26. Questions
Questions?