hi @nursejeff, since that is a limitation would have to consider that to be a new feature on the encounter page. Also worth noting that the POS code varies payer to payer with most being 02 but some using 99 so it could be customized in the billing area as well.
Under administration/facilities you have to create a new facility you can call telehealth and you have to check it as a billing and service location. Then when you create a visit for the patient you plan to see you can change the facility to telehealth. That should sent POS as 02 for that claim.
right, believe @nursejeff doesn’t want to make a new facility which has ripple effects, most obvious the calendar.
also want to clear up confusion about 99 pos, that’s for telephone calls that are being covered as office visits for new and established patients by some payers during this emergency.
I am strictly office based so haven’t messed with this before. It seems however that this would be a similar issue for anyone who goes from their office to see a patient at the hospital or at a nursing home or a home visit etc. Any input how people have handled those before this recent disruption.
@nursejeff, @cverk :
Maybe I missed the intent of original question. What we did is :
Set up new facility as E-Health with PoS code 02. If you do not have latest patch, descrtiption may show as ‘unassigned’ but billing forms and EDI formats only transmit 2 digit code. If it does become issue, you can always apply the patch or make changes to file.
When making appointments, be sure to set new facility instead of normal / default.
If encounter is created automatically, the facility should get carried forward. If not set the facility to E-Health in encounter header.
Now billing will automatically have CMS required 02 as PoS.
You have probably done this already. We have not had any problems with this process. But if you did, post the pictures.
PS:
The settings of appointment get carried forward to encounter only at creation. So if you want to avoid any calendar issues, you can continue appointments with single clinic but change the encounter to E-Health facility for billing to work correctly.
Best.
For anyone interested in the description, (In case you want to edit [library/classes/POSRef.class.php]. CMS defines it as; “Use of telecommunications technology having audio and video capabilities that are used for two-way, real-time interactive communication.”
@nursejeff Just wanted to make sure. Encounter occurs at a facility which has one and only one PoS. When you bill, programs will include that PoS for each claim line/encounter date using facility set in encounter header. Name of facility in EMR is merely for your convenience. So whatever facility you plan to use for telehealth, be sure to set PoS code to ‘02’. If you are using older version, the description in the dropdown selection box may not say ‘Telehealth’ which is OK since only the code is used for billing.
at least on 5.0.2.1 you can choose the Admin->Global->Billing->Set POS in encounter
it grabs the default and allows you to change on the fly
sorry for blowing this one