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Manual Data Entry/Revise Origin

 
The manual data entry page is used to create new encounters from scratch and to edit the initial state of existing encounters.
 
When creating a new encounter the encounter is added to the current workpool.
When editing an existing encounter, any changes previously made to the account will remain but will not be shown on this window. Any changes made in this window will not be considered errors or shown as changes in the audit page.
 
Manual Data Entry/Revise Origin
 
1

Demographics

1. Demographics
Demographics are added to the chart here. A medical record number is the only field that is required and must be unique to the Facility.
2

Physician

2. Physician
You can select an existing physician from this dropdown or create a temporary one by clicking on + icon.
3

Coder

3. Coder
You can select an existing coder from this dropdown or create a temporary one by clicking the + icon.
4

Disposition

4. Disposition
Choose the discharge disposition of the encounter from this dropdown.
5

Financial Class

5. Financial Class
Select an existing financial class for the chart. The financial class setting will determine which hospital reimbursement values to use as well as whether the chart is ICD-9 or ICD-10.
6

Remittance Advice Date

6. Remittance Advice Date
Choose the remittance advice date here. By default, financial classes give 60 days to rebill. If the chart is edited within the timeframe of the days allowed to rebill from the remittance advice date, a message will appear on the screen indicating how many days are left.
7

Remittance Advice Payment

7. Remittance Advice Payment
Add the amount for remittance advice payement.
8

Unlisted DX/PRX

8. Unlisted DX/PRX
Some times an encounter may be audited without all of the diagnoses or procedures listed on the worksheet. Use this control to add the number of unlisted DX/PRXs so that the error calculations are correct.
9

Set all POA to Yes

9. Set all POA to Yes
This link sets all POAs on the chart to 'Yes'. This will keep the coder from having to manually do so on a chart that could have over a dozen codes.