jineeshks wrote on Thursday, February 16, 2017:
Hello,
Can anyone please explain me the usage and functions of “Fee sheet, Charges, Payment and Checkout”. Also how to add “copay”. I am from India and i am really confused about these as i cant figure out which function i have to use for a normal insurance billing. I read the manual but i failed to understand. please help me with the work flow after the coding…
bradymiller wrote on Friday, February 17, 2017:
Hi raksh,
Recommend starting by checking out the information on the wiki regarding billing to get an idea of how it all works:
http://www.open-emr.org/wiki/index.php/OpenEMR_5.0.0_Users_Guide#Configuration_Topics
(Billing section)
http://www.open-emr.org/wiki/index.php/OpenEMR_5.0.0_Users_Guide#Wiki_Format
(several sections there)
http://www.open-emr.org/wiki/index.php/OpenEMR_5.0.0_Users_Guide#Billing_and_Claim_Generation
http://www.open-emr.org/wiki/index.php/OpenEMR_5.0.0_Users_Guide#EOBs.2C_Payments_.26_Accounts_Receivables
-brady
OpenEMR
htuckjr wrote on Saturday, February 25, 2017:
Hello Raksh-
As a basic framework of reference for your research into Brady’s links, let me add this. The Fee tab contains most of OpenEMR’s billing functions. There is no ‘Charges’ sub-menu item in the Fees menu, but ‘Payment’ and ‘Checkout’ are the 2 modules built to take payment in person for a visit (aka “encounter”).
‘Payments’ is most suitable for taking payments on account; ‘Checkout’ is handy for taking the patient’s payments for that day’s encounter, and is commonly used for clinics operating on a cash basis.
Co-pays may be registered in the account in 2 ways. It may be entered in the patient’s insurance information (look near the far bottom right of the patient’s insurance screen in Demographics), so that when the encounter’s fee sheet is being created it can be added with the ‘Add Co-pay’ button. Alternatively, the ‘Payment’ module allows you to specify “Payment against co-pay / Insurance Balance / Insurance balance”. The ‘Checkout’ module doesn’t accommodate an insurance co-payment.
Making what you call ‘normal insurance billing’ probably depends on the form those billings must take. The ‘Billing’ sub-menu item, aka the Billing Manager, lets you either generate x12 EDI files, or print out CMS 1500 billing documents. You might look more into that to see what OpenEMR can do that meets the requirements of your insurance payment methods.
The ‘Fee / Batch Payments’ and ‘Posting’ items are oriented towards 1) entering bulk payments from ERAs from insurance companies, 2) generating monthly billing statements or 3) making account adjustments.
‘EDI history’ is a useful but still experimental module for investigating electronic payment problems.
Hope that gives you something to work with.
Regards- Harley