Program billing groups are the next item to be configured in the setup process. They enable you to combine programs that share the same payer, billing type, procedures, and rates into one group and to bill for that group with a single invoice batch. Once you create a program billing group, you will be able to add programs to the group in the next step of the setup process.
IMPORTANT! Invoice batches are always created for program groups rather than for individual programs. As a result, even if there is only one program that does a particular type of billing, a program billing group must still be created for it.
To configure a new program billing group, complete the following steps:
Agency Sender ID/Submitter ID
Agency Tax ID
Sender location code
CMS place of service code (837P)/Uniform Bill Type Code (837I)
If values are missing from any of these fields after the billing type has been selected, configure them at this time.
TIP: The Revenue code is used to classify the type of service being provided.
NOTE: This field is only shown if the program billing group is associated with a billing type where "837P" has been selected from the Whether to generate the 837I, 837P option.
The process of configuring new program billing groups is now complete.
TIP: If it is later necessary to update or delete a program billing group, complete steps 1 through 5 above, select the program billing group in question, and then click Update or Delete as appropriate. Keep in mind:
When updating - If changes are made, be sure to click Save on the program billing group configuration page to have those changes applied.
When deleting - A program billing group can only be deleted if there are no programs in it. If you choose to delete an empty program billing group you will be asked to confirm your choice after clicking Delete. Be sure to click OK at that time to complete the deletion process. Once deleted, a program billing group cannot be restored.