Loading...
Loading...
When an encounter is created, the Billing Status field on the Encounter Maintenance window on the Billing & Collections tab in the Encounter Rate sub-tab defaults to Undecided for primary, secondary and tertiary encounter rate billing.
Once the encounter is billed, the Billing Status automatically changes to indicate the action taken: ER Applied, Exempt, or Non ER Payer.
Encounter Rate Billing Statuses include the following:
| Status | Description |
|---|---|
| Undecided | Indicates the encounter has not yet been billed. This is the default status used when an encounter is created. |
| ER Applied | Indicates the encounter was billed and that encounter rate billing was applied during the billing process. |
| Exempt | Indicates the encounter was billed and that encounter rate billing was not applied during the billing process because it was exempt due to the billing rules setup. |
| Multi Yes | Used when multiple same day encounters exist for the same encounter rate payer. This status is selected to indicate that encounter rate billing should apply during the rebilling process and a claim should be created for the encounter. |
| Multi No | Used when multiple same day encounters exist for the same encounter rate payer. This status is selected to indicate that encounter rate billing should not apply during the rebilling process and a claim should not be created for the encounter. |
| Non ER Payer | Indicates the encounter was billed and that encounter rate billing was not applied during the billing process because the payer is not an ER payer. |