<< Click to Display Table of Contents >> Navigation:  Grouper > Procedures > New Procedure

To add procedure codes to an account, make sure that Procedures is selected from the drop-down menu. Then select New Procedure.

 

The Procedure Detail screen will be displayed. Information completed on this screen will apply to all the procedure codes selected from the Procedure List.

 

 

Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Procedures > New Procedure

 

Procedure Detail

 

 

The following fields are available on this screen:

 

•Revenue Center: Used to designate the place of service where the procedure was performed. When entering the code associated with where the service was incurred, TruBridge EHR will pull the HCPC to the correct line on the insurance claim. Setup is required to make this happen, for more information please see the additional documentation on Revenue Centers.

 

•Date: This field is the date the procedure was performed.  A Date Picker is available.

 

•Physician: These fields reference the physician that performed the procedure. Up to two physicians may be associated with the procedure. Select the magnifying glass icon to display the physicians on the Patient's Physician List. Double-click the correct physician from the list. If the physician is not listed the Add and Add Type options may be used to update the list, see Patient's Physicians.

 

NOTE: The Attending, Primary, Secondary, and ER physician's will automatically pull to this list from the Census screens. If the surgeon is also the Attending physician, then the Attending physician will need to be added again with the type as Surgeon.

 

Once the fields have been addressed, select Continue. The Procedure List will display. The Billing Code Set will display the code set that is currently accepted by the Financial Class; this should display ICD-10.

 

The Filter gives the ability to search for the diagnosis code by Description, ICD-10, or CPT (HCPC).

 

 

Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Procedures > New Procedure > Continue

 

Procedure List

 

 

Once the search criteria is entered the search results will display in the Procedure Lookup List. Double-click the desired code to move it to the Selected Procedures list. Selecting a Procedure from the Procedure Lookup List that has an "*" in any column will allow the best grouping for the procedure to be selected. If a procedure code is added to the Selected Procedures list in error, double-click the Procedure code to remove it from the list. Continue adding the procedure codes until all the procedures are displayed in the Selected Diagnosis list.

 

NOTE: If the procedure occurred on a different date, has a different place of service (Revenue Center) or a different Physician, then you will need to add them separately.

 

 

Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Procedures > New Procedure > Continue

 

Procedure List

 

 

After all codes have been added, select Update to return to the procedures screen.

 

 

Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Procedures

 

Procedures