Monday, February 27, 2012

Who Are My High-End Patients?

You may need to market to your top patients. You could be bringing in a line of expensive eyewear, or have a new cosmetic procedure, that may only apply to patients in a certain price bracket.

So, how do you find these patients to market to them?

You use the Custom Patient Search.

Below, I will describe how to find the patients seen in the last four years who have had a invoice which totalled over $1500.

This is how to get your top patients:

1) Make sure you are logged in as Practice Owner.

2) Choose CUSTOM PATIENT SEARCH from the Patients menu.

3) Click the SEARCH BY ALL OTHER PATIENT CRITERIA button.

4) Select ALL TABLES from the pop-up menu beneath where it says: AVAILABLE FIELDS.

5) Scroll down in the available fields until you see [Transactions] and click the arrow next to it to expand it.

6) Scroll down further now to find DateOfService and click on it.

7) In the COMPARISONS side, click on IS GREATER THAN

8) In the VALUE area at the bottom of the screen, enter 01/01/2008

9) Click the ADD LINE button (just above the QUERY button)

10) Go back to the available fields list and select Total.

11) In the COMPARISONS area select IS GREATER THAN.

12) In the VALUE area enter 1500.

Your window should look like the enclosed screenshot below.



If so, click the QUERY button.

This will give you a list of all the patients who have had an invoice after 01/01/2008 over $1500.

From here, you can generate custom letters, mailing labels, and/or marketing reports to effectively market your new product or service.

Friday, February 3, 2012

Entering Drug Pricing Information into KIP

If you bill J Codes with injections, you will need to enter the Drug Pricing information including the NDC Code into KIP.

Drug Pricing information is entered along with the CPT Code information.


First, open the CPT Code for each J Code associated with the drug you administer.

In this example, let's use J3301 - Kenalog 10 mg/ml.

Click on the image to enlarge


Enter the Drug Pricing information in the lower left hand corner of the window.


1. Enter the NDC Code without the dashes.

The NDC Code is on the actual bottle of medication you administer. NDC Codes should be 11 digits. If the drug you are using has a 10-digit NDC Code, you must convert this code to an 11-digit code.

All NDC Codes must be in the 5-4-2 format. If your NDC Code is in a different format, add a zero in the appropriate place according to the chart below to convert the code to a 5-4-2 format.


2. Enter the Unit Type.


Most medications are pre-mixed and so the Unit Type should be ML - milliters.  If you must reconstitute your own medication, use GM - grams.


3. Enter the Unit Count.


In this example, we are using Kenalog 40 mg/ml. however the only J code that exists is for Kenalog 10 mg/ml. You must therefore enter the Unit Count as 0.25 because one unit of J3301 is actually 0.25 ml of the medication we are administering.

Please note: If you administer 1.0 ml of Kenalog 40 mg/ml to the patient, you are administering four units of J3301. This means you should be billing J3301 times four on your claim form.



4. Enter the Unit Price.

You must check on your invoice for price of the vial of Kenalog 40 mg/ml and calculate what 0.25 ml of the medication costs you.

A 5 ml bottle of Kenalog 40 mg/ml has twenty 10 mg units. If you paid $41.00 for the 5 ml vial, you should enter $2.05 for the unit cost ($41.00 divided by 20).

Once you enter the Drug Pricing information, click the SAVE button.


You will need to enter the Drug Pricing information for all medications for which you submit a J Code for reimbursement.