CPT Codes and Modifiers
|Create both CPT codes and CPT modifiers relevant for the treatments offered by your practice.
|Billing rates apply to medical services described by individual CPT codes. In BrainCloud, multiple billing rates can be attached to the same CPT code, and each billing rate may be distinguished by payor (a specific insurance provider or a self-pay rate), and also by year, price, and currency.
Apply Procedure Codes
|For TMS and ketamine treatment sessions, E&M encounters, or initial patient evaluations, one or more CPT codes may be added to document which services were provided. The user account who performed the service(s) specified by the CPT can be added, their role described, and optionally, any modifier codes can be added to the same CPT code.
|As CPT codes are applied to various procedures, a picture of how much revenue a practice generates for specific services, based on which billing rate was selected per CPT code, will appear. Trends across months, weeks, quarters are easy to generate.
|Generate invoices (downloadable as PDF files) that document medical services provided by member(s) of your practice, including the dates, times, locations, and specific CPT codes and billing rates for each invoice item. Trends across months, weeks, quarters are easy to generate.
Most insurance plans require patients to pay a co-pay charge for an outpatient visit, and most practices charge a patient's credit or debit card. BrainCloud digitizes this process, securely storing a patient's credit card, without their credit card number, for future billing. A patient's existing insurance coverage (see the Insurance tab on this page) and their default card are both auto-selected, meaning that a staff member need only input the insurance co-pay amount and, optionally, a clinical site within your practice.
You can also quickly pull up a patient's entire history of online co-payments with a click, refund an existing payment, and view specific details and results regarding the payment.
Typically a patient or their insurance company typically pays for a pre-specified number of treatment sessions with TMS or ketamine/esketamine.
BrainCloud, details regarding the payor, the payment method, receipts, and other relevant financial data can be documented for initial approval and then updated to reflect additional treatment authorizations.
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Every procedure with a CPT code can have rates tied to payment source. Have you negotiated different rates with different payors? No problem, simply specify the rate for each insurance source and when it takes effect; historical rates are archived as they are retired so auditing is easy and new rates are applied reliably once they take effect.
BrainCloud comes pre-filled with the most common CPT codes for TMS, ketamine, and E&M psychiatric care, so the system is ready for use as soon as your account is activated. Is there another procedure you offer that is not currently on the list? Simply add it (green button below). Perhaps the AMA adds a new CPT code? One click and done.
A patient's insurance coverage can be documented and updated, or, for self-paying patients
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