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

To add procedure codes to an account, select New Procedure.

 

 

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

 

Procedures

 

 

The Procedure Detail screen will display. Information entered 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 > Navigation Panel > Procedures > New Procedure > 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.

 

NOTE: Setup is required to make this happen, for more information please see the additional documentation on Revenue Centers.

 

•Date: The date the procedure was performed.  A Date Picker is available for ease of entry.

 

•Physician: These fields reference the physician(s) who performed the procedure. Up to two physicians can be associated with each procedure. Select the magnifying glass icon to display the Patient's Physician List. Double-click the correct physician. If the physician is not listed, use the Add and Add Type options to update the list, see Patient's Physicians for more details.

 

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 set to Surgeon.

 

Once the fields have been addressed, select Update. The Procedure List will display.

 

 

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

 

Procedure List

 

 

•Billing Code Set: Displays the code set currently accepted by the Financial Class. Typically, this will be ICD-10.

 

•Filter: Provides the ability to search for procedure codes by Description or ICD-10.

 

•Search: Allows the ability to search by description, ICD-10 or CPT, depending on the selection made in the Filter field.

 

 

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 asterisk "*" 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 Procedures list.

 

NOTE: If a procedure occurred on a different date, at a different place of service (Revenue Center) or involves a different Physician, it must be added separately.

 

 

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 > Navigation Panel > Procedures > New Procedure > Update

 

Procedure List

 

 

The coded procedure will list on the Procedure screen.

 

 

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

 

Procedures