Overview
What is 12 Diagnosis Code Support?
Elation Billing now supports up to 12 Diagnosis Codes per claim, even with only one charge line. This feature aligns with CMS-1500 form requirements and supports value-based and quality programs that require more reporting on patient conditions.Why is 12 Diagnosis Code Support important?
More value-based and quality programs require comprehensive reporting on patient conditions. Having support for 12 diagnosis codes ensures you can capture all relevant diagnoses for accurate claims and program compliance.Workflow Instructions
Using 12 Diagnosis Codes
- Analyze the Visit Note - Review the patient’s Visit Note for all relevant diagnosis codes.
- Prioritize Codes - Identify the 12 most relevant codes to include on the claim.
- Update the Superbill - Update the superbill diagnosis codes in Elation Billing accordingly.
Important Notes
- Changes made to the superbill for billing purposes will not affect the patient’s medical record in the EHR system
- This separation helps maintain the distinction between clinical and billing data
- Comprehensive patient diagnosis history remains intact in the EHR
Regularly review the diagnosis codes on each claim and confirm alignment with CMS-1500 form requirements. Coordinate with your billing team to prioritize and optimize claims for accuracy.