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Use this task to modify a practice.

The practice configuration includes information collected on the following tabs:

Step-By-Step Guide

Step

Instructions

Additional Information

1

General Practice Information Tab

From the Practices page, select the practice to be updated.

 
2

Click Update. The Practice: [name]page opens with the General Practice Information tab displayed to collect or modify demographic information and business rules for aging accounts receivables and determining the rendering provider on anesthesia cases.

Update the relevant information via the applicable steps below...

 
3

In the Practice Name and Address section, select the Practice Type option:

  • Group
  • Solo Provider
 
4Enter the name of the practice in the Practice Name field. 
5(Optional) If Solo Provider is selected for the Practice Type, enter the name of the provider who owns the practice in the Solo Name field.
Note

Last and First names are required for a solo name, with the Middle and Suffix field being optional.

6Enter of the street address for the practice in the Address line 1 and line 2 fields, if applicable. 
7Enter the zip code for the practice in the Zip Code field. 
8(Optional) Enter the name of the city for the practice in the City field.
Note

The City field auto-populates based on the value entered for the Zip Code field, but can be updated, if necessary. 

9(Optional) Open the State drop down list and select the state for the practice.
Note

The State field auto-populates based on the value entered for the Zip Code field, but can be updated, if necessary. 

10(Optional) Select the Use practice's state as default checkbox if the state of the practice will be the default value for all states entered when creating records that require a state 
11In the Remittance Address section, select the Same as physical address checkbox to use the same practice address entered in the Practice Name and Address section for the remittance address. 
12If the Same as physical address checkbox is not selected, then populate the remittance address details in the Address, City, State, and Zip Code fields.
Note

If the Same as physical address checkbox is selected, then no further address information is needed in this section, and you may proceed to the next step.

13In the Anesthesia Rendering Provider Selection section, open the Rendering drop down list and select the option for determining the rendering provider for billing purposes. 
14In the Phone Numbers section, enter the name of the primary contact for the practice in the Contact Name field. 
15Enter the phone number for the primary contact of the practice in the Contact Number and Ext. fields. 
16(Optional) Enter the facsimile number of the practice in the Fax Number and Ext. fields. 
17(Optional) Enter the telephone number where you want to direct billing inquiries in the Billing Inquiries and Ext. fields. 
18In the Tax ID section, open the Tax ID Number drop down list and select the format the practice uses for reporting tax information. 
19In the EIN or SSN field, enter the practice's Employer Identification Number or Social Security Number.
Note

This field varies depending on the option selected in the Tax ID Number field.

20In the AR Aging Buckets section,  specify the number of days for each aging bucket in the Intervals (days) fields. 
21In the Account Dates section, select the Charge option to specify the date used for recording charges in Back Office: Date of Service, Posted Date, or Accounting Date.
Info

By default, Date of Service is selected, indicating charges are tracked and reported by the date of service, regardless of when the charge is posted or entered.

22Select the Payment option to specify the date used for recording payments in Back Office: Posted Date or Accounting Date. By default, Posted Date is selected, indicating payments are tracked and reported by the date the payment is posted regardless of when the payment is entered.
Info
By default, Posted Date is selected, indicating payments are tracked and reported by the date the payment is posted, regardless of when the payment is entered.
23If Accounting Date is selected for the Charge option, then enter or select the date that charges can be accepted in charge entry in the Active Date field.
Info

This step is skipped if Date of Service or Posted Date is selected above.

Note

After Accounting Dates are configured, do not change the method of tracking financial activity. If you do, reports will not reflect accurate information.

24In the Account Prefix section, enter a 1 to 3 letter alpha prefix.
Info

The account prefix populates on statements and collection letters.

25Click Apply.  
26

Affiliated Facilities Tab

Click the Affiliated Facilities tab to update the facilities affiliated with the practice or modify a facility-specific, custom billing provider address.

 
27

Select the checkboxes next to the facility names of all facilities associated with the practice.

OR

Remove the checkmark from the facility to remove the affiliation to the practice.

Info

When the facility is no longer affiliated with the practice, clear the checkmark.

28

(Optional) To assign a facility-specific billing provider address:

  1. Select the facility in the table.
  2. Select the Facility Specific option in the Custom Billing Provider Address section.
  3. Enter the address in the Address, City, State, and Zip Code fields.
  4. Click Save.
Note

The Facility Specific option can only be used for Medicare claims within the state of Texas.

29Click Apply.  
30

Affiliated Providers Tab

Click the Affiliated Providers tab to update the affiliated providers list used in Connect Back Office for specifying the provider who treated the patient on the case.

 
31

Open the Filter drop down list and select which list of providers to view. Options include:

  • All Providers (default)
  • Affiliated Providers
  • Unaffiliated Providers
 
32

Select the checkbox of any provider to affiliate to the practice.

OR

Remove the checkmark from the provider to remove the affiliation to the practice.

Info
  • If viewing All Providers, select the checkbox of any provider to affiliate to the facility. Once selected, the provider appears in the Affiliated Providers list.
  • If viewing Affiliated Providers, select the checkbox of any provider to remove from the Affiliated Providers list and automatically add it to the Unaffiliated Providers list.

  • If viewing Unaffiliated Providers, select the checkbox of any provider to remove from the Unaffiliated Providers list and automatically add it to the Affiliated Providers list.

33Click Apply. 
34

Group Numbers Tab

Click the Group Numbers tab to record or modify the general or facility-specific group NPI numbers for the practice.

 
35

Select the Group NPI Type option to identify how individual provider groups are identified for the practice:

  • General
  • Facility-Specific 
 
36

If General was selected for the Group NPI Type, then enter the group NPI numbers for the following provider groups:

  • Physicians Group
  • PA Group
  • CRNA Group
  • AA Group
Info

The group NPI number is validated to make sure that it has a valid check digit. If it does not, an error message is displayed.

37In the Taxonomy Codes section, open a provider group's drop down list and select a specialty. 
38

If Facility-Specific was selected for the Group NPI Type, the Facility-Specific table is enabled for input. Enter the gropus NPI numbers for the following provider groups at each facility:

  • Physician Group
  • CRNA Group
  • PA Group
  • AA Group
Info

The group NPI number is validated to make sure that it has a valid check digit. If it does not, an error message is displayed.

39Click Apply. 
40

Statements Tab

Click the Statements tab to update the configuration rules for generating statements.

 

41

In the Content section, select the relevant option(s):

  • Include Rendering Physician Name
  • Only Use Remittance Address on Statements 
 
42

Select the Show credit card payment options checkbox, if applicable.

  • If selected, mark the relevant credit cards accepted by the practice. Selected options will display on the statement.
 
43Enter the office hours in the Office Hours field. e.g., Monday - Friday, 8am - 5pm 
44Open the Statement Language drop down list and select the language in which the statement is printed. 
45

Enter the message to print for the aging interval.

Info

A different message can be entered for each internal. The interval periods are based on the intervals defined on the General Practice Information tab.

46Select the Payment resets statement message level checkbox, if applicable. 
47

In the Procedure Description section, select the procedure description to be printed on the generated statement.

  • If Custom is selected, enter the text for the different scenarios:
    • Non-anesthesia procedure
    • Anesthesia procedure performed by Physician
    • Anesthesia procedures performed by non-Physician 
 
48In the Frequency section, enter the interval (in days) which statements will be generated in the Allow statement to be generated for an account every ___ days field.
Note

The value defaults to 28 days, but can be updated to a number between 1 and 28.

49

In the Suppression section, select the relevant option(s):

  • Do not generate if account has a credit balance, a zero balance, or a balance less than $___
    • If this option is selected, enter the balance amount in the open field 
  • Do not generate if the account is flagged as Returned Mail
 
50

In the DMA Address Correction section, select the relevant option(s):

  • Automatically apply NCOA/ACS address updates
  • Automatically apply Returned Mail Status
Note

These fields are read-only and not editable if DMA services have not been set up by Solutions for the practice.

51Click Apply. 
52

Pre-Collections Refunds Tab

Click the Pre-Collections Refunds tab to define configure or modify the rules for selecting and managing service fee lines for pre-collections done by a pre-collections service, such as Transworld.

Info

Thresholds are rules for selecting service fee lines with overdue outstanding balances.

Exclusions are rules for excluding the service fee lines selected for the pre-collections service if payment activity has occurred within a specified number of days after selection. Exclusion rules are optional and only need to be defined if you want to apply these rules to the pre-collections process.

These fields are read-only and not editable if the practice is not set up for pre-collections services. If that is the case, skip to the next tab to update.

53

In the Transworld Letters section, set the thresholds for selecting service fee lines for the Transworld pre-collections service by entering:

  • Day Threshold
  • Dollar Threshold 
 
54To set the flag in the Stop file to alert the pre-collection agency to send a Thank You letter, select the Send thank you letter when fees are pain in full checkbox. 
55

In the Transworld Exclusions section, enter the following information to exclude service fee lines that have been selected for pre-collections after payment activity has occurred, but before the service fee line is sent to the pre-collections service:

  • Payment made with ___ days
  • Payment made dollar minimum
  • Payment made percent minimum 
Tip
 To include all service fee lines, regardless of payment activity, enter zero (0) as the number of days, minimum dollar amount, or minimum percentage amount.  
56If a service line's last transaction code is EXCOL (external collections), you can opt to exclude this from Stop files by selecting the Exclude External Collection Adjustments in Stop File checkbox. 
57Click Apply. 
58

Guarantor Collections Tab

Click the Guarantor Collections tab to configure or modify the guarantor collection rules and actions for executing the internal collector effort for the practice.

 
59

Select the Enable Guarantor Collections checkbox to enable guarantor collections for the practice. A confirmation message opens.

Image Removed

Info

If the Enable Guarantor Collections checkbox is already selected and it is unchecked, guarantor collections for the practice is disabled.

60Click Yes to continue. Click No to cancel the guarantor collections configuration. 
61In the Guarantor Collections Activation section, enter the dollar amount and number of days to use as criteria for tagging delinquent guarantor accounts for internal collections. 
62In the Payment Plans section, select the relevant option(s):
  • Enable Payment Plans
  • Force account to collections if a payment is missed
    • If selected, enter the Missed payment grace period (days). 
 
63

In the Guarantor Collector Assignment section, select the Role Type option to specify the assignment criteria:

  • Name Range
  • Balance Range 
 
64

In the Assignment Rules table, specify the criteria for selecting the accounts assigned to the internal collector.

  1. In the From field, select the starting letter of the alphabet (Name Range) or enter the beginning amount (Balance Range).
  2. In the To field, select the ending letter of the alphabet (Name Range) or enter the ending amount (Balance Range).
  3. In the Missed Payment Plan, select the checkbox if the collector is responsible for collecting on an account with a payment plan when a payment is missed.
  4. In the Collector field, select the person responsible for collecting on guarantor accounts that meet either the name range or balance range specified.
 
65Open the Default Collector drop down list and select the internal collector to which accounts are assigned based on the assignment rules. 
66

In the Action Types table, add action types that internal collectors perform related to guarantor collections.

Refer to the Guarantor Collections Tab topic for the steps necessary to add an action.

 
67Click Apply. 
68

Insurance Collections Tab

Click the Insurance Collections tab to configure or modify insurance collection rules and actions for executing collection efforts.

 
69

Select the Enable Insurance Collections checkbox to enable insurance collections for the practice. A confirmation message opens.

Image Removed

Info

If the Enable Insurance Collections checkbox is already selected and it is unchecked, insurance collections for the practice is disabled.

70Click Yes to continue. Click No to cancel the insurance collections configuration. 
71In the Insurance Collections Activation section, enter the dollar amount and number of days to use as criteria for selecting delinquent insurance accounts. 
72

In the Insurance Collector Assignment section, select the Role Type option to specify the assignment criteria:

  • Payer Name Range
  • Balance Range 
  • Payer / Plan
 
73

In the Assignment Rules table, select an assignment rule to update.

 
74Click Update. The Assignment Rule window opens. Note: The window varies depending on the Role Type selected in the step above.

Payer Name Range

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Balance Range

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Payer / Plan

Image Removed

Note

A new rule can also be added to the Assignment Rules table by clicking Add.

75

Update the criteria for tagging guarantor accounts assigned to the internal collector in the necessary fields.

 
76Open the Default Collector drop down list and select the internal collector to which accounts are assigned based on the assignment rules. 
77

In the Action Types table, add action types that internal collectors perform related to the internal collections effort.

Refer to the Insurance Collections Tab topic for the steps necessary to add an action.

 
78Click Apply. 
79

External Collection Agencies Tab

Click the External Collection Agencies tab to configure or modify the external collection agencies.

Info

The external collection agency configuration is optional and only applies if you want to assign external collection agencies and automate the external collection process in Back Office.

80In the Payment Exclusions section, enter the number of days used to rule out a service fee line to which a payment has been applied on guarantor accounts flagged as transfer to external collections in the Payment made with ___ days field.
Note

The number of days is required if payments will be a factor when selecting service fee lines for transfer to external collections.

81Enter the dollar amount used as a measure for the payment applied to the service fee line in the Payment made dollar minimum field.

 

Info

The payment must equal or exceed this amount for the service fee line to be excluded from external collections.

Note

You can specify both the minimum dollar amount and minimum percentage for the payment. However, if you specify both a dollar amount and a percentage, the larger value of the two will be used to determine whether the service fee line will be excluded from external collections.

82Enter the percentage value used as a measure for the payment applied to the service fee line in the Payment made percent minimum field.
Info

The payment must equal or exceed this percentage amount for the service fee line to be excluded from external collections.

Note

You can specify both the minimum dollar amount and minimum percentage for the payment. However, if you specify both a dollar amount and a percentage, the larger value of the two will be used to determine whether the service fee line will be excluded from external collections.

83In the Reassignments section, select the Auto reassignments checkbox to activate the automated external collection process.
Info

If checked, the threshold settings for Balance> and Age> in the external collection agency table are ignored.

84In the Returned Mail section, select the Automatically roll accounts flagged as returned mail to external collections checkbox to activate this rule for returned mail. 
85

In the external collection agency table, assign the external collection agency to the practice:

  1. Select the checkbox next to the Agency to add.
  2. Enter the threshold value for selecting service fee lines of guarantor accounts by outstanding balance in the Balance> column.
  3. Enter the threshold value for selecting service fee lines of guarantor accounts by age in the Age> column.
  4. To automatically post service fee lines pending transfer to external collections, select the Auto Approve checkbox.
  5. To automatically create the electronic file for the external collection agency, select theAuto Create Filecheckbox.
 
86Click Apply. 
87

Refunds Tab

Click the Refunds tab to configure or modify refund options for printing checks or exporting check information to a third-party accounting package, for example, Intuit® and QuickBooks®.

 

modify refund options for printing checks or exporting check information to a third-party accounting package, for example, Intuit® and QuickBooks®.

 
5388

Open the Print Options drop down list and select one of the available options:

  • Quickbooks
  • Deluxe DLM255
  • Deluxe DLM105
  • Deluxe DLT111
  • Deluxe DLT104
  • Deluxe DLT103
  • LMP06
  • LMP100
  • LMP12
  • Intuit Standard 3  
 

.

 
5489

Update the applicable fields to print on the check when processing refunds.

  • For Deluxe DLM255, open the Top: Reference Number drop down list and select Account Number or Blank to determine if the guarantor account number is printed as the Reference Number in the top voucher section of the check.
  • For Deluxe DLT104, DLT103, LMP100, or LMP12 checks, specify if you want to print the refund description in the Memo field on the check. By default, the Payee Name and Addressprint in the middle section, but can be removed by changing the selection to Blank.
  • For Intuit Standard 3, specify if you want to print the refund description in the Memo field on the check. By default, the Payee Name and Addressprint in the Address field, but can be removed by changing the selection to Blank.
  • For Export to Quickbook, the Export button is enabled on the Refunds page. By default, the check information entered during refund processing in Back Office is specified to print on the check.
Note

The Check Printing Format Options will vary depending on the Print Option selected.

9055Clint Print Preview to see the layout of the information will be print on the check. 
9156Click Apply. 
9257

Outcomes Tab

Click the Outcomes tab to manage outcomes at the practice level.

 
9358Select the checkbox in the Default column for each outcomes to auto-populate when clicking Add Group during charge entry. (Case > Outcomes > Add Group). 
9459Enter the alphanumeric modifier for the AQI ASA measure associated with the outcome in the Default Value Modifier field. This field can accept up to five characters.
Note

This field can accept up to five characters. It is required for each outcome in which the Default option is selected.

9560Click Apply. 
9661

Miscellaneous Tab

Click the Miscellaneoustab to set options for processing case information, payments, and other pertinent information in Connect Back Office and Connect Front Office.

 
9762

(Optional) Select and update the relevant miscellaneous options, if applicable.

Refer to the Miscellaneous Tab topic for additional details about the available options.

 
9863Click Apply. 
9964

Provider Groups Tab

Click the Provider Groups tab to group providers for viewing purposes in Connect Front Office.

 
10065To add a new provider group, click Create. The Provider Group: New page opens.
Info

An existing provider group can also be updated (add or remove providers, change name or description, etc.) by selecting the user group and clicking Update.

10166Enter the name of the group in the Name field. 
10267Enter a description for the group in the Description field. 
10368Select the provider(s) to add to the group from the Available Providers list.
Tip

Multiple providers can be selected by holding down the [Ctrl] key while selecting providers. 

 

 

10469Click the Add () arrow to move the selected provider(s) to the Group Members list.
Info

Repeat the steps for adding providers to the group as needed to add all relevant providers.

Note
Use the Remove () arrow to remove a provider from the Group Members list.
10570Click Apply. 
10671Click Save to save and close the page.