View Supplemental Billing History by Account

Supplemental Billing is an optional feature. If your facility has elected to use this feature, you can use this procedure to select criteria for account research on in-house and discharged, but not final-billed patients.

  1. Access the Supplemental Billing History by Account page.
    • Select Go To > Account Research > SB Account Research. The Supplemental Billing Account Research page opens.
    • Specify the SB research criteria and click Display Accounts. The Supplemental Billing History by Account page opens.
  2. Review the accounts.

    Calculation method refers to one of the following:

    • R–repriced successfully.
    • D–the expected reimbursement default method; also the method for Medicare patients.
    • Y–no new information since yesterday.
    • N–not processed successfully.

      Note: Not all accounts have complete information.

  3. Optionally, specify different options and click Refresh View.
    • In Filter by, select Message Code, type a message code in the space beside it and click Refresh View to limit the results to accounts with that message code.
    • In Accounts, you can select a time period—Since production or Before production—that the supplemental billing was recorded, or you can show all records.
    • Click a link in the Patient Number column to display the same page with just the selected account.
    • Click a link in the Msg Code column to display a description for that message.
    • Click a link in the DRG column to display a description for that DRG.
    • Select Show account audit information if claim exists to research account audit information for the account number you typed, if a claim exists. It finds supplemental billing history information if a claim does not exist for the account number you typed.
    • Clear Show account audit information if claim exists to find only supplemental billing information for the account number you typed, regardless of whether a claim exists.
  4. To export the information to Microsoft Excel® or a text file, select an entry in Export To.
    • Select Microsoft Excel to open Excel. Then, you can work with the data in Excel; for example, to move or delete columns, re-sort or re-format the data.
    • Select Text File to save the data as plain text (with no formatting). Typically, you select this option if Excel is unavailable on your computer or if you have Excel version’97 or older.

The following table explains fields on the Supplemental Billing History by Account page.

Field

Description

Admit Date

Date of admission for the account

Bill Date

Date the charges were billed

Calculation Method

Method of calculating the reimbursement (explained at the top and bottom of the page)

CPT4

CPT4 code

Discharge Date

Discharge date (if applicable)

DRG

Diagnosis Related Group code. If the DRG was submitted with a Severity of Illness code, it displays as DRG-Severity Code, for example, 001-2.

Expected Discount

Billed Charges minus non-covered charges, minus Total Expected Reimbursement

Expected Reimbursement

Preliminary expected reimbursement

Financial Class

Financial class code

HSVC

Hospital service code

Message Code

Repricing message code (a link to the message code description)

Patient Number

Patient account number (for UB claims) or insured ID (for CMS-1500 claims)

This field is not present if you entered a specific account number.

Patient Type

Patient type assigned to the account: Inpatient/Outpatient

Payor Code

Payor code associated with the product

Primary Diagnosis

Primary diagnosis code. This field provides a link to additional information about the code.

  • Click the link to view basic information about the code.
  • KnowledgeSource subscribers can log in to KnowledgeSource to view detailed information about the code.

Primary Procedure

Primary procedure code

Supplemental Billing Date

Supplemental billing date sent to FinThrive

Service Type

Service type code

Total Charges

Total charges for the account