Billing Report

Created by HealthArc Support, Modified on Thu, Jul 8, 2021 at 7:51 PM by HealthArc Support

Click on Reporting in the left panel.
Reporting screen opens on the right.
Select Billing Report from the Select Report Type dropdown.
Select Month from the dropdown for which the report has to be generated
Click on the Generate button to download the report.

The sample billing report is shown below: The headers of the report are explained below.

Patient Name – Name of the patient registered.

MRN – Monitoring Report Number of the patient provided by the hospital

DOB – Patient's Date of Birth

Phone – Patient's contact number

Doctor in Charge – Current doctor in charge of the patient

Start Date - Patient’s monitoring start date.

Monitoring Status - Monitoring status can be Active or Inactive.

Monitoring Off Date - The monitoring end date is available when the patient's Monitoring Status is Inactive.

Days on RPM - “Days on RPM” are the total nos of days for which the patient has taken vitals reading either 'Manually' or via 'Devices' which is updated in the Patient Management Database.

Current Period - No of days in a month.

Active Days - Total number of days where Patient Vital reading was taken by devices.

Compliances % - Based on active days, compliance percentage is calculated.

Device Type - The patient has chosen either 'Bluetooth' or 'Cellular'.

Last Reading Date - Last Date the patient has taken reading from the vitals.

RPM Time - RPM time is added from Web Portal it is time spent by Nurse/ Doctor for a patient in Patient Management System like Edit Patient Screen, Adding Notes, etc, whenever there is a timer on the screen.

CCM Time - 'CCM Time' is the time added manually if the Patient type is selected 'RPM and CCM' during patient creation.

Audio/Video Time - Total time doctor/Nurse spends on Audio and Video with every individual Patient.

Billing Code 1 – This will contain billing code 99453 which is generated the moment the patient is onboarded by the hospital.

Billing Code 2 – This will contain billing code 99454 which is generated when a patient takes a minimum of 16 days reading from devices.

Billing Code 3 – This will contain billing code 99457 which is generated when the nurse/doctor spends a minimum first 20 minutes rpm time.

For example: When the time generated is 28 mins of rpm, hence corresponding code will be 99457 under billing code 3.

Billing code 3

Billing Code 4 – 99458 is generated when the doctor/nurse spends more than 20 minutes of RPM time.

For example, 1- If a nurse spends 40min of rpm, hence for the first 20 minutes corresponding code will be 99457 under billing code 3 and another 20 minutes 99458 under billing code 4.

Billing Code 4

For Example 2 - If the time spent is 61minutes (20+20+20) hence, the corresponding code for the first 20 minutes generated code will be 99457 and for the next 20 minutes and hence after code generated will be under Code 4 as 99458*2.

Billing Code 5 - 99490 is generated when the nurse/ doctor will add a CCM time of more than 20 minutes.

Billing Code 6 - G2058 is generated when CCM time is 40 min. The billing code generated will be always 99490 and G2058 together.

For example- let us assume, the RPM time is 1:16:37 which means a total of 77 minutes, so for the first time onboarding, the code generated will be under billing code 1 i.e 99453, thereafter for the first 20 minutes of rpm time code will be generated under billing code 3 i.e 99457, the remaining minutes left again will be ( 57- 20+20+17 ) hence billing code generated will be 99458 *2 for ( 20+20 ) and rest 17 minutes will have no billing code generated since it has not covered a minimum 20. Similarly, 99490 code will be generated under billing code 5 for 20 minutes of CCM time given by the nurse or doctor.

So, the final bill for the patient will be 99453, 99457, 99458*2 and 99490.

**This doc is shared with insurance companies.