Treatments

The Treatments section of the Properties tab will allow you to add treatment codes to your database. To add a new Treatment, click “Add” in the upper left-hand portion of this screen. The Treatment editor window will then open. TRAKnet comes with a comprehensive set of standard CPT codes per the AMA.

Treatment Editor Window

The treatment editor is divided into several tabs.

Treatment

The Treatment tab will be the primary location for entering the Code, the Description of this code, and the Charge/Fee applied to this code. You may set this treatment code as either a service or a product, whether or not it is taxable, whether or not it is an institutional code, and whether or not this code will always be patient responsible.

The information contained in this tab is as follows:

  • Code — The alphanumerical code for the treatment. E.g., 99212, L3030.
  • Description — The description of the code. E.g., Office Visit - Est. Patient (Level 2) or Custom Molded Orthotic
  • Charge/Fee — The amount to be charged for this charge.
  • Global Days — The length of a global period for this charge. The system will track this information and warn the user if a charge is being used within a global period.
  • Several checkboxes:
    • Service — Is this charge a service rendered? Checked means yes, unchecked means it is a product.
    • Taxable — Is this charge taxable? Checked means yes.
    • Institutional — Is this charge an institutional code? Checked means yes.
    • Patient Responsible — Will this charge always be patient responsible? Checked means yes.
  • An inventory category:
    • Quantity — How many are currently in stock.
    • Cost — How much the office pays for them.
    • MSRP — The manufacturer's recommended resale price.
    • Divide By — How many units per each use.
    • Minimum — How few should you have in stock at any time.
    • Maximum — The max of how many should be in stock at any time.
  • Modifiers — Modifiers can be set here if the charge will always have set modifiers.

Claim Details

The Claim Details tab will allow for additional billing information to be entered, such as NDC code for injections and DME codes for DMERC. The information is divided into three categories.

Claims

The claims category has one setting.

  • Send CLIA — A true or false setting. If true, then the provider's CLIA number will be sent on an electronic claim, when available. If false, then the provider's CLIA number will not be sent.

DME

The DME category has three settings.

  • Code: An associated HCPCS code to use when billing when the system identifier is a non-HCPCS code. This typically applies to treatments that are products (DME) or supplies and need to be billed accordingly.
  • Rental Price: The rental price of the DME product.
  • Billing Period: The frequency at which the rental unit is billed. 1 (weekly), 4 (monthly), 6 (daily)

Medication Dispensation

*NDC: A National Drug Code that is submitted when billing. In certain instances, an association with a NDC may be needed when dispensing a medication is part of the treatment. Generally, the clearing house or the insurance being billed will want to see the NDC represented in an 11 digit 5-4-2 format. Review the following conversion sheet for more information on how to properly enter 10 digit NDC's into the system.
*Dispensed Quantity: The amount, quantity or units of the dispensed medication.
*Medication Units: The unit of measure for the dispensed medication.

History

The History tab shows the frequency of the code's usage per month for the past 12 months.

Comments

The Comments tab will allow for any additional internal notes to be added to this treatment code.

Fee Schedules

Fee schedules for specific insurance companies can be applied to this treatment code from the Fee Schedules tab.

Surgical Visit

The Surgical Visit tab will allow ICD-10 Procedure Codes, ICD-9 Procedure Codes and Revenue Codes to be associated with the treatment for use in surgical billing.

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