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Primary Surgical Procedure
Svc Date
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Service Date for the primary surgical procedure.
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Procedure
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Enter/Select the primary surgical procedure code.
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ASA
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If the primary surgical procedure crosswalks to more than one ASA procedure code, select the appropriate ASA code from the list. Selection of an ASA procedure code will set the base units value.
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OR Suite
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Indicates the OR Suite in which the primary procedure was performed.
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Anes Type
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Indicates the Type of Anesthesia for the primary procedure performed.
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Modifiers
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Enter/Select up to four modifiers. Some modifiers are automatically handled by MedSuite. Setting the Medical Direction may set one of the modifiers to a medical direction modifier used by the plan. In addition, anesthesia types may be setup such that modifiers are set for certain anesthesia types (monitored anesthesia care) practice-wide or for a specific plan.
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Base Units
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Base units will be retrieved from the ASA Procedures table for the ASA code selected. Several methods exist which can be used to override the base units:
| • | Override by Plan and ASA Code |
| • | Override by Medical Direction (Directing 5-9 Anesthetists) |
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Modify
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If base units are overridden manually, check the Base Unit Modify checkbox. This will prevent the anesthesia charge calculation from performing its normal base unit processing. In effect, you are telling the calculation to use the base units entered.
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Medical Direction
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The Medical Direction will default as specified in the Division setup for the division that has been entered on the visit. This will be used to calculate the fee. Medical directions are tied to the anesthesia conversion factor (rate per unit). You should not normally need to change what is defaulted into this field. However, you may force the calculation to use a different medical direction and conversion factor. There is also a Medical Direction Override that is tied to procedure codes for primary procedures, only when they are entered in conjunction with a secondary procedure.
NOTE: If a primary and secondary procedure are entered on a visit the Medical Direction is calculated on the secondary procedure and the primary procedure takes on that Medical Direction if there is no Medical Direction override setup on the procedure code. If the Medical Direction Override is setup on the procedure code it follows the Medical Direction Override.
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File Insurance
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Indicates if the File Insurance indicator will be overridden for the Primary Procedure.
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Secondary Surgical Procedure
Procedure
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Enter/Select the secondary surgical procedure. This secondary billable procedure was designed for OB Cases, Epidural to C-section procedures, so the user could enter the 2 procedures on one Visit screen and bill for both.
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Svc Date
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Service Date for the secondary surgical procedure. If you have a case that spans midnight please enter the second time segment starting the following day. (i.e. Labor epidural Start date 03/01/05, Start Time 15:00 and Stop Time 02:00 AM. C-section is entered as a secondary procedure and the second time segment should be keyed – Start Date 03/02/2005, Start Time 02:00 AM to 03:00 AM.)
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ASA
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If the primary surgical procedure crosswalks to more than one ASA procedure code, select the appropriate ASA code from the list. Selection of an ASA procedure code will set the base units value.
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OR Suite
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Indicates the OR Suite in which the secondary procedure was performed.
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Anes Type
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Indicates the Type of Anesthesia for the secondary procedure performed.
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Modifiers
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Enter/Select up to four modifiers. Some modifiers are automatically handled by MedSuite. Setting the Medical Direction may set one of the modifiers to a medical direction modifier used by the plan. In addition, anesthesia types may be setup such that modifiers are set for certain anesthesia types (monitored anesthesia care) practice-wide or for a specific plan.
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Base Units
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Base units will be retrieved from the ASA Procedures table for the ASA code selected. Several methods exist which can be used to override the base units:
| • | Override by Plan and ASA Code |
| • | Override by Medical Direction (Directing 5-9 Anesthetists) |
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Modify
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If base units are overridden manually, check the Base Unit Modify checkbox. This will prevent the anesthesia charge calculation from performing its normal base unit processing. In effect, you are telling the calculation to use the base units entered.
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File Insurance
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Indicates if the File Insurance indicator will be overridden for the Primary Procedure.
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Additional Procedures 1-4
You may enter up to four(4) additional surgical procedures for a visit. MedSuite will automatically bill the procedure with the highest base unit value. This is frequently used when a multiple procedures are performed through the same incision such as an Appendectomy and a Hysterectomy.
(Procedure)
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Enter/Select the additional surgical procedure(s)
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ASA
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If the additional surgical procedure xwalks to more than one ASA procedure code, select the appropriate ASA code from the list. Selection of an ASA procedure code will set the base units value.
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Base
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Base units will be retrieved from the ASA Procedures table for the ASA code selected. Base units may be overridden by:
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Modify
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If base units are overridden manually, check the Modify checkbox. This will prevent the anesthesia charge calculation from performing its normal base unit processing. In effect, you are telling the calculation to use the base units entered.
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