Coding and Finalizing

As you document problems, diagnostic testing, and treatment, Encompass populates the billing area of the Visit Overview with suggested billing codes. Encompass suggests the highest level eye code (92-code) applicable based on the visit documentation. If the criteria for an eye code has not been met but the criteria for a medical code (99-code) has, Encompass suggests the medical code. If the criteria for eye and medical codes have been met, Encompass automatically defaults to the eye code, but you can chose the medical code on a visit-by-visit basis.

It's important to understand that Encompass suggests billing codes based on the documentation in the visit, but you are responsible for what is billed. You can use the options available in the billing area to override the suggested billing codes and a text box in which to enter rationale.

This section covers the following topics:

• Understanding Eye Codes
• Understanding E/M Coding Levels
• Understanding the Default E/M Complexity in Encompass
• Reviewing Medical Coding
• Overriding Billing
• Converting 99 Codes to 92 Codes
• Designating a No-charge Visit
• Viewing Note Outputs
• Sending Fees
• Finalizing Visits
• Assigning Visits to Other Providers
• Cosigning Visits
• Amending Visits