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Cardio Server's Solution to Interface Challenges: Billing

Posted by Sam Hunter on July 8, 2011 at 11:44 AM

HL7 Integration Developments – Technical Charges, Professional Charges, and Credits

Technical Charges and Credits

Flexible HL7 integration allows a technical charge for a procedure to be generated at the time of order closure. This corresponds to a promote action in Epiphany’s Cardio Server.

The technical charge code is flexible. It may be based on the diagnostic test result (e.g., ECG, Stress, Holter, PFT), the USID (order procedure code), or the site. It is most often a static value established by the modality.

The counterpart to a technical charge is a technical charge credit. We generate a technical charge credit when an order is re-opened. This corresponds to an unlink action in Cardio Server.

With technical charge and credit HL7 integration in Epiphany, there is no worry about manually billing or crediting patients for diagnostic test results.

billingProfessional Charges or Credits

A second charge, the professional charge, may be generated at the time of the physician signature. This corresponds to a confirm action in Cardio Server. The professional charge is also flexible, and can be based on diagnostic test result, USID, site, signing physician, or a combination thereof.

Administrative users can maintain sign-user based professional charge codes, similar to maintaining doctor mnemonics or Provider IDs, in the Epiphany user administration tool.

The counterpart to a professional charge is a professional credit, which is functionality scheduled for a future release. This occurs when a study is “unconfirmed”.

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Topics: Cardio Server, Technical Charges, HL7 integration, billing, diagnostic test result, modality, Professional Charges

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