The Visit Wizard allows you to quickly enter anesthesia cases on a single screen. There are several features available in the "full" version of Anesthesia Visit Entry that are not available in this Wizard. These functions include the following:
• | Entry of Primary and Secondary Surgical Procedures |
• | Entry of Additional Procedures (Billed with Modifier 51) |
• | Entry of Discontinuous (Multiple Start and Stop) Times |
• | Entry of Additional Procedures such as Post-Op Pain |
That being the case, you may still enter a Visit that requires one of the above options via the Visit Wizard. When the Wizard is complete, you will be placed in the "full" version of Anesthesia Visit Entry and may perform any additional functions that you require. We believe that the Visit Wizard allows you to enter in excess of 75% or your anesthesia visits on a single screen.
Billing Information
Select the account who is financially responsible for the visit must be selected. The default account will be initially selected, but any account attached to a patient may be selected.
Account
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Select the name of the account who is financially responsible for the visit. The default account will be initially selected.
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Class
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Account Class of the Account who is financially responsible for the Visit
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File Insurance
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Indicates how (or if) claims should be filed for the Visit
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Coverage Type
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Select the Coverage Type required for this visit. This will help you select from multiple effective insurance coverages that have been entered in Demographics.
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Hold Claim Days
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The number of days that claims for the primary insurance plan are to be held is displayed. This value may be overridden.
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Miscellaneous
Displays information about the patient and the insurance coverages that the patient has.
Patient Name
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Patient's Name
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Patient Age
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Patient's age as of the Visit Date
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Policy 1
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Displays the insurance carrier name for policy level 1
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Policy 2
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Displays the insurance carrier name for policy level 2
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Policy 3
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Displays the insurance carrier name for policy level 3
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Balance
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Displays Balance of the account
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Bal Age
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Displays age of the oldest open Visit on the account
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Details
Division
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Enter/Select the Division for which the Visit is being entered.
The Division is how Visits are tied to Divisions and their Tax IDs
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Visit Type
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Displays the Visit Type. The Visit Wizard is only used for Anesthesia.
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Visit Date
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Enter/Select the Visit Date (Service Date).
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Anesthesiologist
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Enter/Select the first Anesthesiologist on the visit
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Anesthetist
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Enter/Select the first Anesthetist on the visit
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Surgeon
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Enter/Select the Surgeon on the visit
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PCP
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Enter/Select the Primary Care Provider
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Facility
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Enter/Select the Facility in which the procedure was performed
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Location
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Enter/Select the Location (Place of Service) in which the procedure was performed
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OR Suite
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Enter/Select the O/R Suite in which the procedure was performed
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Anes Type
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Enter/Select the anesthesia type which was used for the procedure
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Physical Status
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Enter/Select the physical status of the patient.
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99140-Emergency Conditions
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Select this check box if Emergency Conditions are present
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Procedure
Procedure
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Enter/Select the primary surgical procedure
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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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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. If base units are manually overridden, changes that are applied to the MD will also be applied to the CRNA where appropriate.
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Case Times
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Enter the beginning and ending case times (military time). Case times may be required input fields.
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HH:MM
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Displays the time entered in the Case Times fields in hours and minutes
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Minutes
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Displays the time entered in the Case Times fields in minutes
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Medical Direction
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Enter/Select the Medical Direction that will be used to calculate the fee. Medical directions are tied to the anesthesia conversion factor (rate per unit). Medical direction defaults to 'S-System Calculated'. You should not normally need to change this. However, you may force the calculation to use a different medical direction and conversion factor.
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Diagnoses
You may enter up to four(4) diagnoses for a visit. They should be entered in descending order of importance from primary diagnosis to last diagnosis.
(Diagnosis)
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Enter/Select the diagnoses
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(Description)
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The diagnosis description is displayed
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Related
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Indicate if the diagnosis is related to the surgical procedure.
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PQRI
If the plan, procedure and patient's age qualify them for PQRI, you will be prompted to select the appropriate codes for each measure after entering the Diagnoses and selecting Ok. Use the Up and Down arrow keys on the keyboard to navigate the list and the Tab key to select the code to be applied. See Modify a PQRI Measure for additional details on how to set up the codes.

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