Affiliated Provider Billing/Coding

Affiliated Provider Billing/Coding ED BILLING USING FIRSTNET Table of Contents Affiliated Provider ED Billing...2 icentra FirstNet...2 Accessing FirstNet...2 To access FirstNet:...2 Checking In as a Provider...2 To check in as a provider:...2 Frequently Used FirstNet Buttons, Tools, and Icons...4 Assigning Patients...5 To assign yourself to a patient:...5 To unassign yourself from a patient:...5 Running the ED Activity Log Report...5 To run the ED Activity Report:...5 Reviewing a Patient s Chart...7 Frequently Reviewed Patient Chart Sections...8 Remove Patients from the ED Billing Tab in FirstNet...9 To remove a patient from the ED Billing tab in FirstNet:...9 Checking Out as a Provider...9 To check out of FirstNet:...9 Exiting FirstNet... 10

Affiliated Provider ED Billing There are up to three different icentra applications that affiliated providers who do ED billing may use: FirstNet, Batch Charge Entry, and Charge Viewer. icentra FirstNet Affiliated Provider (3 rd party) ED billers and coders use the icentra FirstNet application to: View a list of patients needing ED billing Run an ED Activity Log report Review patient chart information, such as demographics, insurance, physician documentation, and orders Note: Most ED billers will only have access to FirstNet. Accessing FirstNet To access FirstNet: 1. Log in to icentra. 2. Double-click the FirstNet icon. 3. Enter your Username and Password, and click OK. Checking In as a Provider When you login to FirstNet at the beginning of your shirt, you are prompted to make yourself available as a provider. The provider check in process allows you to enter your provider role, your initials, and a visual indicator so that you can keep track of patients you have assigned to yourself. This helps you manage and keep track of your billing work. To check in as a provider: 1. After logging in to FirstNet, you are prompted to make yourself available as a provider (see Figure 1). Figure 1: Provider Check-In Prompt 2. Click Yes. The Provider Checkin Window appears (see Figure 2, on the following page). 2015 Confidential and Proprietary January 2015 v. 1 2

Figure 2: Provider Checkin Window 3. (Optional) In the Display Name field, type your initials (see Figure 2, above). 4. Select the ED Coder option from the Provider Role drop-down list (see (see Figure 2, above). 5. Select the ED Biller option from the Default Relation drop-down list (see Figure 2, above). 6. (Optional) Select the Associated Provider Color check box and select a color from the window that appears (see Figure 2, above). 7. Verify that the Available Provider checkbox at the bottom of the screen is selected (see Figure 2, above). 8. Click OK. 9. The ED Billing tab of the Tracking List is displayed (see Figure 3, on the following page). This tab displays all of the discharged ED patients that need billing. 2015 Confidential and Proprietary January 2015 v. 1 3

Figure 3: FirstNet Tracking List: ED Billing Tab Frequently Used FirstNet Buttons, Tools, and Icons The table below lists the FirstNet buttons, tools, and icons that are most frequently used by 3 rd party ED coders and billers. Table 1: FirstNet Buttons, Tools, and Icons Icon/Button Name Location Description Charge Entry FirstNet tool bar Launches the Batch Charge Entry application Note: Only some 3 rd party ED Billers will have access to the Batch Charge Entry application. Open Patient Chart Tracking List tool bar Allows the biller to navigate to any section of the selected patient s chart. ED Reports Tracking List tool bar Launches available ED Reports. 3 rd party billers will use this icon to run the Activity Log report. Modify Event Tracking List tool bar Allows the biller to reset the coding event or change the status once you ve completed the coding. (Billers can also modify events by selecting an item from the Coding column drop-down list.) Assign Provider Tracking List tool bar Allows the biller to assign a provider if one isn t already noted. (It should be included previously according to the ED workflows.) Provider Check In Tracking List tool bar Allows the biller to check into the system and assign themselves to patients 2015 Confidential and Proprietary January 2015 v. 1 4

Icon/Button Name Location Description Assign Provider to All Tracking List tool bar Assigns the provider to all the patients on the list Unassign Provider Tracking List tool bar Unassigns the provider. Open Patient Chart First cell in the row of a selected patient Double-click to open the patient chart if you already have a relationship with the patient. If you do not have a relationship with the patient, double-clicking prompts you to select a relationship before opening the patient chart. Billers can also open the patient chart by right-clicking the patient s name, selecting Open Patient Chart, then clicking one of the patient chart sections Assigning Patients You can assign yourself to a patient to more easily keep track of the workload. To assign yourself to a patient: 1. From the ED Billing tab of the Tracking List, select the row containing a patient s name and click the Assign Provider icon in the Tracking List tool bar. 2. You are assigned to the patient and the Assign Provider icon is replaced with the Unassign Provider icon. To unassign yourself from a patient: 1. From the ED Billing tab of the Tracking List, select the row containing a patient s name and click the Unassign Provider icon in the Tracking List tool bar. 2. You are assigned to the patient and the Unassign Provider icon is replaced with the Assign Provider icon. Running the ED Activity Log Report The ED Activity Log report can to help you keep track of patients needing charges and/or credits. To run the ED Activity Report: 1. From the ED Billing tab, click the ED Reports icon in the Tracking List tool bar. The Launch Report window appears (see Figure 4 on the following page). 2015 Confidential and Proprietary January 2015 v. 1 5

Figure 4: Launch Report Window 2. After ensuring that the Emergency Report Type is selected, click the ED Activity Log option, then click OK. The ED Activity log report parameters window appears (see Figure 5, below). Figure 5: ED Activity Log Window 2015 Confidential and Proprietary January 2015 v. 1 6

Note: The location will always be defaulted in, based on the Tracking List selected when the ED Reports icon was clicked. 3. You can adjust the Report Name, Start and End dates, Sort Order, Location View, and/or Nurse Unit as desired. 4. Click Run Report to run the report with the parameters you specified (see Figure 6, below, for a sample ED Activity Log report). Figure 6: Sample ED Activity Log Report 5. By clicking on a Patient Name hyperlink in the ED Activity Log report, you can open the patient s chart. Reviewing a Patient s Chart The ED Summary screen of the patient chart is displayed when you: Double-click the blue triangle in a patient name row on the FirstNet Tracking List Click the Open Patient Chart icon in the Tracking List tool bar and select the ED Summary option Right-click on a patient name on the Tracking List and click Open Patient Chart, then ED Summary A sample ED Summary screen is displayed in Figure 7, on the following page. 2015 Confidential and Proprietary January 2015 v. 1 7

Figure 7: Sample ED Summary Screen Components displayed on the ED Summary screen display various data elements as they relate to the selected patient s encounter. To view more information about the data displayed on this page, click the headers of the various components to navigate to that area of the patient s chart. Frequently Reviewed Patient Chart Sections In addition to the ED Summary, you can also use the Menu (on left side of the screen) to navigate to areas of interest in the patient s chart. Refer to Table 2, below, to learn about some of the patient chart areas that you may use frequently. Table 2: Frequently Reviewed Patient Chart Sections Section of Patient Chart Description of Available Information Orders Clicking Orders displays all orders that were placed on a patient and their most recent status. Interactive View and I&O Clicking Interactive View and I & O (also referred to as IView) displays a wide variety of Nursing documentation for the selected patient encounter. Notes Clicking Notes displays a textural rendition of the Physician s notes, Discharge Information, as well as Nursing Triage information. Note: This information is also available (in a different format) if you click the Form Browser item in the Menu. Demographics Clicking Demographics displays patient demographic and insurance information. Form Browser Clicking Form Browser displays the Physician s notes, Discharge Information, and Nursing Triage information. Note: This information is also available (in a different format) if you click the Notes item in the Menu. 2015 Confidential and Proprietary January 2015 v. 1 8

Remove Patients from the ED Billing Tab in FirstNet Once you have finished reviewing a patient s charges, you can mark the patient as complete and remove them from the ED Billing tab in FirstNet. This will help you manage your workflow. To remove a patient from the ED Billing tab in FirstNet: 1. With the ED Billing tab of FirstNet displayed, locate the patient you want to remove from the Tracking List. 2. In the Coding column for the selected patient, click the drop-down arrow and select the Complete option (see highlighted area of Figure 8, below). Figure 8: Completing a Patient in FirstNet 3. The selected patient is removed from the ED Billing Tracking List. Checking Out as a Provider When you are finished working with charges in icentra, you should check out of FirstNet. To check out of FirstNet: 1. Click the Provider Check-Out icon in the FirstNet tool bar. The Provider Checkout Window appears (see Figure 9, on the following page). 2015 Confidential and Proprietary January 2015 v. 1 9

Figure 9: Provider Checkout Window 2. Verify that the Available Provider checkbox at the bottom of the screen is deselected (see highlighted area of Figure 9, above). 3. Click OK. Exiting FirstNet To exit FirstNet, click the Exit button in the tool bar, or click the red X in the top right corner of FirstNet. 2015 Confidential and Proprietary January 2015 v. 1 10