Charge Capture

Irrespective of whether a physician intends to submit claims via Connect Care (AHS) professional billing services or a third-party billing service, physicians can use Connect Care to capture and record the services provided. This section is about how service events ("charges") can be recorded using the desktop (Hyperspace) user interface.

Charge Capture - Hyperspace

A "Service Code Navigator" is available in both inpatient and outpatient contexts. It assembles all the information needed to support a billing claim, including patient demographics, date of service, providers and linked encounters. This facilitates rapid entry of professional billing codes for visits, procedures and other interactions.

Insured Services

Billing workflows are simple and consistent for all prescriber services covered by Alberta Health. The following resources describe and demonstrate details:

Uninsured Services

Some attention is required when entering information for services that will be billed directly to the patient or to other jurisdictions (e.g., traveller insurance).

Workers' Compensation Board

Services performed as part of WCB assessments are submitted by Connect Care but will not be satisfied if the provider does not complete a form that includes all required information. This is embedded in the relevant charge capture event and can also be pulled into submissions with a ".wcb" SmartPhrase.

For those who bill with Connect Care (real or shadow billings), dedicated WCB work queues are being created. The minimum requirements for a successful WCB claim submission include

      • Consultation letter completed in Connect Care following the usual workflow for an ambulatory care assessment and summative communication. The letter must be saved to the patient chart.

      • Appropriate outpatient service code entered using the Service Code Navigator.

      • Add "WCB" to the "Additional Comments" section of the billing entered to the Service Code Navigator (this redirects the claim to a WCB Billing Analyst)

It is important to complete these steps promptly, ideally on the day of the patient encounter. WCB specialist report fees degrade depending upon whether an assessment is received same-day, on-time or late.

WCB billing processes continue to be refined, with this section revised accordingly.

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