Specifying System Options

To configure your system optimally and assure maximum efficiency, be sure to go through the System Options thoughtfully.

Find and expand Settings in the navigation bar on the left of your screen, as shown above. In the example above, we have expanded Option Category: Billing to reveal several types of settings, and we also have expanded the first of these, Billing defaults when adding a NEW patient. We now see that there are several specific settings listed, along with each setting’s current value.

It might be that our organization normally charges interest, so we can save time by setting the default value to “Yes” instead of the current setting of “No”. To make the change we double-click the Charge Interest option (or highlight the option and press <ENTER>). Here is the option form:

Important: Note that changing the default in the top portion of the screen, has no effect on any dataset-specific settings in the list at the bottom of the screen. Rather, it is the default for any datasets that are NOT listed at the bottom. (If you have imported data from the old version of SOS, you will see a row in the list at the bottom of this screen for each of your datasets, even if it matches the default value.)

On the other hand, you may have two or more datasets and you want to default Charge interest to “No” in your second dataset, number 103. In that case, prior to saving you can specify the exception in the list at the bottom of the form. Click the NEW button in the toolbar at the top of that list panel, or use the <CTRL><N> hotkey. Select the dataset in which you want a different setting, change the setting to the desired value, and save.

The list at the bottom of the System Option now shows that the Charge interest default for dataset 103 will now be “No”, while the default for dataset 101, and any other new datasets, will have the default value, which we set to “Yes” in the upper portion of the screen.

You can review and set any other system options in a similar fashion.

How Do I Add New Selections to Lookup Lists?

The SOS screens you work on every day (such as Patient form, Charge form, Credit form, Progress Note form, and Appointment form) include selection lists of many kinds. The Charge form, for example, provides quick entry thanks to lookup lists of providers, services, place of service codes, sort codes, CPT modifiers, and diagnoses. Some of these, for example, place of service, are ready for use as soon as you install your software. Others, like providers, are unique to your organization, so you have to enter the data for those lists yourself.

Depending on the SOS features you have licensed, you will find “Lookups” in at least two sections of the Navigation bar. If you have licensed all of the SOS feature sets, then you will see Billing Lookups, Clinical Lookups, Scheduler Lookups, and Common Lookups. The last of these contains lookup lists that all of the feature sets require. The other three, as you might guess, are specific to billing functions, clinical records, and appointment scheduling.

 

Clicking the little “+” to the left of one of these kinds of Lookups will expand it. For example, if we expand Billing Lookups, this is what we see:

With the exception of the last of these sub-menu options, these options all work the same way: double click to see of list of items of this type. From the list, you can add a new item, view and change an existing item, or delete an item that has never been used. So, looking at our menu in the figure above, we would come here to add or change a Billing Provider (used to be called “Supplier”), an Insurance Carrier, a Non-Insurance Payer, a Claim Adjustment Reason Code, a Place of Service Code, or a Sliding Scale Fee configuration. The other Lookups menus are similar.

The “Other” Lookups, however, on the Billing, Clinical, and Common Lookups menus, are different. For more information please see the article entitled Managing Other Lookups.


KEYWORDS:
[ PROVIDER, BILLING PROVIDER, CARRIER, PAYER, CAR, CLAIM ADJUSTMENT REASON, PLACE OF SERVICE CODE, SLIDING SCALE, ASSET, INTERVENTION, OBJECTIVE, OBSTACLE, PROBLEM, MEDICATION, PHARMACY, APPOINTMENT STATUS, APPOINTMENT TYPE, APPOINTMENT RESOURCE, ALLERGY, CITY, DIAGNOSIS, EMPLOYER, FACILITY, GLOSSARY, PROVIDER TYPE, REFERRAL SOURCE, REFERRING PROVIDER, SERVICE, SERVICE CATEGORY, SERVICE MACRO, GROUP  ]

Managing Other Lookups

Other Lookups, specifically Other Billing Lookups, Other Clinical Lookups, and Other Common Lookups, offer a way to maintain pick lists of simple items that consist of just a code and a description. Instead of featuring a special list window for each of these simple lookup types, SOS groups them in just a few expandable lists. As an example, here are the Other Billing Lookups:

Clicking Other Billing Lookups in the navigation panel opens the list on the right. Expanding several of the Lookup Types by clicking the little “+” button to the left of a type, you can see the existing lookup items of that type nested below the type description.

To add a new item of a particular type:

  1. Highlight the type description or any item of the desired type.
  2. Click the “New” button at the top left of the main toolbar (or right-click and select New on the pop-up menu).
  3. Complete the form with the desired code and description.
  4. And save, using Save and Close to save the new item and return to the list, or Save and New to save this one and immediately add another without returning to the list first.

Entering a New Patient, Step 3: Patient Communications

At the bottom left of the Main tab of the Patient Form you will find a panel titled “Patient Communications (Addresses, Emails, Phones)”. It is here that you can record an unlimited number of, you guessed it, street addresses, email addresses, and phone numbers.

Notice the “New” icon on the left side of the toolbar at the top of the Communications panel. Use the little arrow just to the right of the icon to select the type of information you want to add.

You can add information in any order you like, but we’ll just start with an address. The City field is a pick list. After a while all the combinations you normally use will be in the list. Type a couple of letters of the desired city to quickly get to the right part of a long list. Use the “New” button at the bottom to add a new City-State-Zip.

Use Save and Close in the top toolbar (or the <Ctrl><Return> hotkey) to save your new address and return to the patient’s Communications list.

Use the same steps to add additional addresses, emails, and phone numbers. If you put more than one of any type into the list, SOS will mark the first one you enter as the “default”. You can designate a different entry to be the default by highlighting your choice and clicking the star icon in the toolbar at the top of the Communications panel. Your designated default in each category will be highlighted green. If you make a mistake, just make sure that the last one you click is the one you want to be the real default. If you save and refresh the screen (using the icons in the top toolbar), you will see that only one entry in each category shows as the default. If there is only one item in a category, the system will mark it the default when you save the patient form.

Previous:

Entering a New Patient, Step 2: Basic Demographic Data Fields

Next:

Entering a New Patient, Step 4: Contacts

Other Articles in this Series:

Entering a New Patient, Step 1

Related Articles:

Managing Patient Insurance Payers
Managing Patient Non-Insurance Payers
Managing Patient Care Episodes
Managing Patient Posted Charge Entries
Managing Patient Posted Payments and Adjustments
Recording Patient Psycho-Social History
Managing Billing and Clinical Documents for a Patient
Creating a Patient Treatment Plan
Recording Progress Notes
Recording Prescriptions
Recording Allergies
What Are User-Defined Fields?

Managing Patient Non-Insurance Payers

You can link a single patient account link to any number of non-insurance payers, including the patient herself, a family member, an attorney, a grant agency or any other person or organization. Likewise, you can link many patients to a single non-insurance payer.

To set up the non-insurance payers on a patient account, start by opening up a patient’s list of Non-Insurance Payers as follows:

  1. In the Navigation Bar on the left side of your screen, expand Patients, then select Patients or Patients – Billing.
  2. Locate the desired patient in the list and double-click it to open it.
  3. In the lower part of the Patient screen, select the Payers tab.
  4. On the Payers tab, select the Non-Insurance Payers tab.

Add the Patient as a Payer on the Patient’s Account

Most often, children are not payers on their own accounts, but when the patient is an adult, she will almost always be responsible for some charges, even if she has good insurance. For this reason, one of the first tasks when setting up her account will be to see that she is a listed payer. For your convenience, SOS provides a button to do just that.

When you click this “Create Patient Payer” button, a new row will appear in the Payers list, showing that the patient is responsible for 100% of the charges not covered by insurance. Double-click this new row to adjust any of the payer settings you would like. There are actually only three:

  • Percent responsibility for non-insurance charges.
  • Whether or not to charge interest for unpaid balances.
  • Whether or not to hide this payer in the payer list on a new charge entry for the current patient.

Note that there are some other options, such as whether to include this payer with printing statements, that are available to review and change. These options default in accordance with your system settings, so they only need adjustment if this particular patient has unusual billing requirements. These options can be found on the payer’s detail screen (Billing Lookups > Patient (Self) Payers). That screen looks just like the screenshot shown in the section just below this one.

Add a Parent or Other Third Party as a Payer on the Patient’s Account

To add a parent or other third party to a patient’s Non-Insurance Payers list, you must first add the payer to the master list of Non-Insurance Payers. Once that has been done, you can add the new payer to the patient’s list.

  1. On the left hand Navigation Bar, expand Billing Lookups.
  2. Select Non-Insurance Payers. The list should open on the right.
  3. Click the New icon at the far left of the top toolbar. A blank Non-Insurance Payer screen should open. Remarks about completing this form appear below the screen image.

Remarks

  • This Payer Is A
    Select either “Person” or “Organization”. If you select the “Organization”, then the three name fields will be replaced with just Organization Name.
  • Show This Payer in All Datasets
    Un-check this option if the payer should be displayed only in the current dataset. For example, if the current payer is a parent, you will not want the payer to appear in any other datasets. On the other hand, if the payer is a public one, such as an attorney or a public agency or department, it may be appropriate to have the payer available for use in all of your datasets. When in doubt, SOS recommends that you leave this option un-checked.
  • Sent To Collections On
    If you employ and outside collections agency, and this payer account has been turned over to that company, then enter the date that occurred in this field. In the future you may want to know when that action took place. In addition, SOS will suppress additional statements for this account once it has become the responsibility of your collections agency.
  • Optional GL Account #
    If you plan to export Accounts Receivable data from SOS to an external General Ledger Accounting package, you can enter the appropriate account identifier from that package in this field.
  • Payer Communications
    Add all desired mailing addresses, phone numbers, and email addresses in this Communications panel. These are added in exactly the same way as in the Patient screen. For details, refer to Entering a New Patient, Step 3: Patient Communications .

Additional Non-Insurance Payer Tabs

The Non-Insurance Payer screen includes several other useful tabs:

  • Patient Accounts
    Select the Patient Accounts tab to see Accounts Receivable data for each patient for whom the current payer is responsible. For example, if the current payer is the father and payer for each of three children, look at the Patient Accounts tab of the father’s Non-Insurance Payer screen to see a row for each of the children, detailing the date last billed, the aged balances, and other related information.
  • Checks, Credit Cards, EFT, Cash, Other
    There is a separate tab for each type of payment, so you can see the details of all the payments that have been made without having to comb through each related patient ledger. Each tab displays information appropriate to that type of payment.