BillingBuilder Processing Frequently Asked Questions







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The following frequently asked questions provide details on the most commonly asked about pieces of BillingBuilder processing.  Click a question from the list here to navigate directly to the corresponding answer, or scroll through the full list of questions and answers below.

Can data entered in FormBuilder forms be used to generate invoices using the BillingBuilder?

Can the Consumer Billing Dashboard be used to record multiple payments toward a single service?

How can I tell which services have been billed/not billed?

How do I troubleshoot a claim file if I receive a response file that indicates the claim has been rejected?

I uploaded my 835 remittance statement and then created a remittance worksheet, but it does not show the same statuses on the invoice as in the 835.  Why?

When using the re-bill setting, how do the month and year selections affect the invoices that are generated?

Why does a batch I posted a remittance worksheet for still display under open batches when I attempt to remit other batches?

Why is the Billing Services Report not showing all of my posted invoices and payments?

Can data entered in FormBuilder forms be used to generate invoices using the BillingBuilder?

In general, data entered in FormBuilder forms does not interact with the BillingBuilder; however, there are two exceptions:

    1. You can generate invoices in BillingBuilder based off of a FormBuilder form that is associated with a Charting Timetable event for which a done date has been entered.

  NOTE: In such instances you are not billing based on the contents of the form, but rather on the fact that the form has a done date entered.

    1. You can generate invoices in BillingBuilder based on the selection made for the E&M Code option in the E&M Code FormBuilder form when it is included in a progress note.

  NOTE: The E&M Code FormBuilder form is not turned on by default, but it can be downloaded using the Download Shared Forms component of the FormBuilder.

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Can the Consumer Billing Dashboard be used to record multiple payments toward a single service?

The Consumer Billing Dashboard can only be used to make the first payment (using either the Entering Co-pay Amounts process or Entering Self-Pay Amounts process).  All subsequent payments must be reconciled through A/R as detailed under Adding a Payment or Making a Payment Toward an Outstanding Balance.

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How can I tell which services have been billed/not billed?

A data variable called Invoice ID (Batch ID) is available in the following Services module ReportBuilders for all agencies that use the BillingBuilder:

- Contacts Log ReportBuilder
- Group Notes ReportBuilder
- Progress Notes ReportBuilder
- Service Contacts ReportBuilder

When the Invoice ID (Batch ID) variable is included in one of these ReportBuilders and populated with data, it indicates that the service has been billed/invoiced (meaning that an invoice has been generated and posted to A/R for that service).  If a service is associated with multiple posted invoices, all invoice IDs are reported in the order of the oldest to the newest invoice.

  NOTE: This data field is only populated for program services that are linked to configured billing types.  AWARDS hard coded billing types/program services are not included.

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How do I troubleshoot a claim file if I receive a response file that indicates the claim has been rejected?

Once a 997 response file is uploaded, you will need to review the file to identify any errors that need attention.  First find the original claim file whose submission resulted in receipt of the response file, and then parse that claim file so that you can identify the lines in it which have errors.

To parse a claim file, complete the following steps:

    1. Locate the claim file in the location to which you previously saved it - on your computer or in an external data location such as an external hard drive, CD, or DVD.
    2. Open the file as a Word Document.
    3. Press <Ctrl-F> to open the Find and Replace dialog box.
    4. Click the Replace tab.
    5. In the Find what field, enter a tilde (~).
    6. In the Replace with field, enter a tilde (~) followed by a manual line break symbol.  (Manual line breaks are entered by clicking More on this dialog box, followed by Special, and then selecting "Manual Line Break.")  The resulting entry appears as ~^|.
    7. Click Replace All.  The claim file is parsed.
    8. Insert line numbers into the document.  When using Word 2007, this can be done by clicking the Page Layout tab, and then clicking Line Numbers and selecting "Continuous."  Otherwise, you can cut and paste the entire document into a Microsoft Excel file so that the lines can be counted there.
    9. Remove the first three lines (which contain header information), and then go to the lines specified in the 997 file to view the data elements in question.
    10. After identifying the lines with errors, make corrections to the billing setup or clinical documentation as necessary, and then create a new claim file using the original invoice batch.

The process of parsing and troubleshooting a claim file is now complete.

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I uploaded my 835 remittance statement and then created a remittance worksheet, but it does not show the same statuses on the invoice as in the 835.  Why?

If you only upload the 835, but do not read it before creating the remittance worksheet, the worksheet will not recognize that an 835 is present.  If you did just upload the 835, delete the worksheet, make sure to read the 835, and then create a new worksheet.

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When using the re-bill setting, how do the month and year selections affect the invoices that are generated?

When you generate a re-bill batch, AWARDS looks at the Month/Year selected to see what procedures to look for to re-bill.  If you are re-billing for procedures that have an end date in the past, you may have to adjust these settings, since they default to the previous month of the current year.

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Why does a batch I posted a remittance worksheet for still display under open batches when I attempt to remit other batches?s

Batches continue to appear under open batches in the remittance worksheet area if there are any pending payments or partial payments outstanding in the posted remittance worksheet.  If you no longer want the batch to display, change the status of the pending invoices and partial payments, for example to paid, void, or re-bill.

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Why is the Billing Services Report not showing all of my posted invoices and payments?

The Billing Services Report will only be accurate if there are no "scratch" batches under BillingBuilder > Edit Invoice Batch.  If there are any that aren't posted, delete them and the report will work correctly.

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