An Explanation on drchrono Basic Billing Concepts
- When a patient comes in for an appointment, they receive treatments and services, then are charged correspondingly. Their charge will be split up into two categories: charges billed to insurance and charges billed to the patient.
- Charges billed to a patient will show up in a patient's balance. Payments can be recorded as a cash, check, or credit and specified as Amex, Visa, Mastercard, or Square. You can track a patient's balance through the 'Patient Payments' feature in the drchrono EHR.
- Periodically, you can choose to send a patient their statement explaining the services and charges that they have received in that given time period. You can do this in the 'Patient Statements' feature in the drchrono EHR.
- Charges billed to insurance will be recorded in claims that can be tracked in the 'Live Claims Feed' in the drchrono EHR. Claims are queued into the drchrono EHR until 7:00 PM PST when they are sent as a batch to our third-party clearinghouses, Emdeon or Trizetto (Apollo Plus and Custom Apollo Premium Accounts). Your claim is scrubbed twice--once by us and once by the clearinghouse. Once the claim has been scrubbed, it is transmitted to the payer.
- In order for your claim to be processed, it is required that you fill out include patient demographics (name, address, DOB, gender) and insurance information (insurance name, payer ID and policy ID and billing codes, NPI, tax ID, provider name and billing address).
- The payer will process the claim and return an electronic remittance advice (ERA) that details the payment, adjustment, and denial information. You can track your ERAs under the 'Remittance Reports'. You can also view some ERA information in the 'Live Claims Feed'.
- To view a snapshot of your billing, you may view the 'Billing Summary'. Here you can view your financials by monthly, quarterly, or yearly summaries.