A FeeSlip consists of up to eight lines of billing data (note that the CMS-1500 is capable of only six claim lines, so we recommend you split a FeeSlip if you will have more than six lines). Each line represents a billable procedure code or product. In general, ezChartWriter uses standard CPT procedure codes, as well as ICD-9 diagnosis codes.
The parts of the FeeSlip billing lines are:
CODE - either the numeric CPT code for the procedure (e.g. 92004) or a custom created code (e.g. NSF for a non-sufficient funds returned check fee). See the section on creating custom Fee & Product Codes.
DIAGNOSIS - Uses the standardized ICD-9 codes (e.g. 367.4 for presbyopia). You can also enter your own code directly on the line (this must be done manually each time).
INSURANCE PLAN - Assuming you indicated the patient had an insurance plan when creating their chart, you can select from the available insurances. Otherwise, leave blank to indicate "self-pay".
QTY - Typically used with product codes (e.g. V2020) to indicate quantity purchased.
U&C FEE - The "usual and customary" fee you charge for this service or product (before all insurance or other discounts).
DISC - Discount amount which can be entered in your local currency or as a percentage (use the % sign to indicate which).
DISC REASON - When you give a discount, you will need to indicate a reason.
TAX - The amount of tax for the line item. Can be entered in your local currency or as a percentage (use the % sign to indicate which).
INS - This is the dollar amount (or other currency if outside USA) of the portion of the bill to be submitted to insurance. You can manually adjust this amount at any time (and it automatically adjusts the patient column).
PAT - This is the dollar amount (or other currency if outside USA) of the portion of the bill to be by the patient.
DELETE - By clicking the delete button (small red "X"), you will remove the current FeeSlip line. Be careful, as there is no undo feature.
DETAILS BUTTON - Calls up the FeeSlip Line Details for this particular line. This includes the ability to edit modifiers, date of service for individual lines and place of service codes. Typically used infrequently.