SUPERBILL

[podiatryrookie]

HI there, cam anyone help me out with a podiatry superbill sample?

Thanks in advance

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[Feli]

It works better if you make it up yourself... you learn a lot by doing one, you know the format, and it is tailored to you. Otherwise, is it tinea pedis or athlete's foot? Are biopsy codes by wart codes or by lesion codes? It is just better if you know the format for max efficiency, and nobody can make the ideal one for you.

APMA Coding Resource Center is a good subscription... sample on the homepage I believe. Billing services have them, you can get many free online. Again, you'd want to use any as loose outline and customize for what you do. No sense wasting space on inpt codes if you don't do consults. No sense having trauma icds on the list if you don't see that, etc. You would be stupid to omit nursing home codes if you do that. Some have ICD on one side and CPTs on the other... it's all personal preference.

I can probably send you mine if you PM your email, but it is useless to you other than a general guide (just like anyone else's or any you'd google).

 

[NobodyDPM]

I know I'm going to get flamed for this, but no one should be using a super bill anymore.

Every EMR has a billing side that is very efficient and worlds better than any paper trail. Too much to deal with with super bills, resource wise.

Everything should be in your medical record and with a push of one button all billing can be sent and tracked easily.

 

[Feli]

I know I'm going to get flamed for this, but no one should be using a super bill anymore...

I would totally disagree on this one. I don't think we'll ever get away from paper superbills.

I don't know how busy you are, but I frequently go from room to room to room without charting, so the papers are the most efficient way to let the biller get started, remember which chart need to be done, and have notes to be a skeleton for my EMR chart. Yeah, the codes will get put into the EMR later when I'm caught up... but who knows when that will be.

Also, if you are way behind on notes, but a you can always just xerox a stack of superbills, send the originals to the coder, and still have the codes and maybe a brief note on the superbills or your paper schedule list to help you do the charting later. You are unlikely to remember all of the patients by name and left/right, all procedures done, etc with no notes whatsoever.

Lastly, even if you chart after every single patient (nobody I've ever met), even if you use iPad or similar, there will inevitably be days with internet outage, software glitches, etc. If you lose your internet, you also lose your ability to look up codes. The paper superbills will be your saving grace. It is just like how you will never see a ER without many paper forms for downtime.

 

[NobodyDPM]

I would totally disagree on this one. I don't think we'll ever get away from paper superbills.

I don't know how busy you are, but I frequently go from room to room to room without charting, so the papers are the most efficient way to let the biller get started, remember which chart need to be done, and have notes to be a skeleton for my EMR chart. Yeah, the codes will get put into the EMR later when I'm caught up... but who knows when that will be.

Also, if you are way behind on notes, but a you can always just xerox a stack of superbills, send the originals to the coder, and still have the codes and maybe a brief note on the superbills or your paper schedule list to help you do the charting later. You are unlikely to remember all of the patients by name and left/right, all procedures done, etc with no notes whatsoever.

Lastly, even if you chart after every single patient (nobody I've ever met), even if you use iPad or similar, there will inevitably be days with internet outage, software glitches, etc. If you lose your internet, you also lose your ability to look up codes. The paper superbills will be your saving grace. It is just like how you will never see a ER without many paper forms for downtime.

I'm likely as busy as you are. All my notes get done on the same day, and I do all my records immediately after seeing my patients. I see a patient and do the EMR right away after seeing them. I have never been behind doing my medical records. Not one day. Ever. And that's only because I've created three templates within my EMR that I use exclusively. Even the most complex new patient visits take me less than 3 minutes to complete. RFC visits take me less than 30 seconds to document. I have a template I created for all post op visits. Takes again, about 30 seconds to complete. The only couple of situations that take longer is when I do MIPS once a year and if the patient has a complex wound. I don't see many of those because there are other doctors in the practice that do that, almost exclusively. I'm also lucky that I can type and do other things at the same time. I don't have to think to type.

When the internet goes out, I use the hotspot on my phone.

I don't have to look up codes, because 99.9% of the codes we use everyday are in an excel file I created and on my desktop. I also have most of the common ICD-10 and CPT codes memorized after all these years.

There is no reason to use paper for medical records or billing anymore. You can maximize your efficiency and minimize your overhead this way with a little effort.

 

[G0dFather]

I'm likely as busy as you are. All my notes get done on the same day, and I do all my records immediately after seeing my patients. I see a patient and do the EMR right away after seeing them. I have never been behind doing my medical records. Not one day. Ever. And that's only because I've created three templates within my EMR that I use exclusively. Even the most complex new patient visits take me less than 3 minutes to complete. RFC visits take me less than 30 seconds to document. I have a template I created for all post op visits. Takes again, about 30 seconds to complete. The only couple of situations that take longer is when I do MIPS once a year and if the patient has a complex wound. I don't see many of those because there are other doctors in the practice that do that, almost exclusively. I'm also lucky that I can type and do other things at the same time. I don't have to think to type.

When the internet goes out, I use the hotspot on my phone.

I don't have to look up codes, because 99.9% of the codes we use everyday are in an excel file I created and on my desktop. I also have most of the common ICD-10 and CPT codes memorized after all these years.

There is no reason to use paper for medical records or billing anymore. You can maximize your efficiency and minimize your overhead this way with a little effort.

Do you mind sharing what EMR you use ? and are your three templates geared towards themes vs pathology then ? With the many issues we see im trying to fugure out how three temps can be all encompassing ... i would love something like that actually

 

[Steveington]

Do you mind sharing what EMR you use ? and are your three templates geared towards themes vs pathology then ? With the many issues we see im trying to figure out how three temps can be all encompassing ... i would love something like that actually

I am curious as well

 

[NobodyDPM]

Do you mind sharing what EMR you use ? and are your three templates geared towards themes vs pathology then ? With the many issues we see im trying to fugure out how three temps can be all encompassing ... i would love something like that actually

We use STI, but truthfully it's awful. Very unfriendly unless you spend the time to customize it.

Basically, I have many sub-templates within the master templates I made. So pretty much for every podiatric pathology, I created a template with drop down menus, then inserted that into the master template. For example, for Vascular, I created 3 sub-templates. One for poor vascularity, one for normal vascularity, and then one full of drop downs. So for someone with poor vascularity, I hit one button and it populates the whole exam. I can also manipulate it once it populates.

Another example is for the Orthopedic exam, I pretty much have about 25-30 sub-templates in there with drop downs, so if the patient has a bunion, I hit one button, then hit a few others for the drop downs I've included, and done.

Pretty much all the EMRs have this capability. The only one that doesn't do this well at all is Practice Fusion. Which is the free Podiatry created EMR. They keep saying they are going to add that functionality, but as of about a year ago, it's still not very fluid.

Yes, it takes time to create all these templates. I did them while hanging with the family at home, watching TV.