Creating a billable service in the RCM is a 3-step process: make the service, create the billing profile, and reference it to establish the chargeable rate. Once this process is completed, the service can be recorded before being created and submitted as a claim in the RCM.
User Permissions
Only users with admin-level profiles can create and manage services. For more information on user profiles and permissions, click here.
Create and Manage a Service
Click here for information on how to create and manage a service in the RCM. Click here to learn about creating a service with the EMR integration.
Create and Manage a Service Billing Profile
For information on how to create and manage a service billing profile, click here.
Create and Manage Facility Rates
For information on how to create and manage a facility rate, click here.
Create and Manage Combined Service Sets
Combined Service Sets record two standalone services at once. They are required to record standalone authorization information on professional claims. For information on how to create and manage a combined service set, click here.
Create and Manage Service Rates (Single Case Agreements)
For information on how to create and manage a service rate (single case agreement), click here.
Create and Manage Non-Medical Services
Non-Medical Services are available for users with the Patient Billing module. Services configured as non-medical will generate a private-pay billable. Non-medical services do not require a billing profile since they will not be submitted for insurance reimbursement. For information on how to create and manage a non-medical (private pay) service, click here.
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