OnSTAFF 2000
When Lab services are a part of any billable transaction there may be one of two types. Each type requires a slightly different set up depending upon whether the service is: No Purchased Services - the office bills for the drawing of the specimen or Purchased Service, Outside Lab Billing - the office sends the patient to the lab for everything, the lab bills the office, and the office bills the insurance.
Utility --►Procedure
1 - The Utility --►Procedure <Status> must be set to L.
2 - The Utility --►Procedure <Cost>.
No Purchased Services - must be left at 0.00 (zero).
Purchased Service, Outside Lab Billing - must be completed with the lab's fee.
Utility --►Provider
3. The Utility --►Provider <CLIA>
No Purchased Services - must have CLIA Number.
Utility --►Insurance
4. The Utility --►Insurance <Print CLIA (Y/N)>
No Purchased Services - must = "Y".
Utility --►Facility
5. – Create a Utility --►Facility for the lab where the specimen will be sent.
Purchased Service, Outside Lab Billing - must be completed with Name, Address, CLIA, and NPI
Charges
6. - The Charges --►Encounter <Referred Lab> must match the Utility --►Facility <Facility Code> for the lab where the specimen will be sent.
7. - Charges --►Charge <Facility> must match the Utility --►Facility <Facility Code> for the lab where the specimen will be sent.