Superbill is an elaborate document imperative to bill health insurance companies for various services provided by healthcare professionals. Healthcare providers use the Superbill as a data source for insurance claims for reimbursement to medical practices. An accurate Superbill significantly reduces the chances of an insurance company denying the claim.
Essentially, a Superbill is an itemized list of all services provided to a patient during their office or telemedicine virtual visit.
In ophthalmology, these services may comprise of external and internal eye examinations, imaging, as well as surgical procedures.
Superbill Chart
Components of Superbill
The superbill has specific components comprising the following information critical to validate a claim. This may include:
- Provider details
- NPI number
- Office location where the visit took place
- Provider contact details
- Provider signature
- Referral provider name
- Referral provider NPI number
Patient Details
The patient details involve all the information essential for an insurance claim for reimbursement. This includes:
- First and last name
- Date of birth (DOB)
- Address
- Contact details
- Patient insurance identification numbers from the primary and secondary insurance companies.
Demographic Details
Insurance Details
The Visit Information
The details of the patient visit should contain certain vital data which are necessary to avoid rejection of claims. This information includes
- Date of visit
- Procedure Codes along with the details (CPT codes)
- HCPCS CODE (Drug Supply Code)
- Diagnosis Codes along with details (ICD-10)
- Units or Minutes
- Treatment Charges
- Modifiers to indicate visit level and laterality
How does Doctorsoft’s Superbill generation and submission to the practice management system contribute to saving time?
Doctorsoft enhances time efficiency as multiple technicians, while creating the bill, consolidate the data of the entire visits simultaneously, thereby saving time as the whole process is updated realtime in the cloud. This results in a faster pace in accomplishing tasks when compared to manual intervention. Moreover, it reduces any errors encountered when compared to writing down on traditional paper charts.
Doctorsoft’s state-of-the-art software enhances patient billing at lighting speed. All you need to do is to click a button to save and retrieve the information. This helps reduce human error and involvement.
Our brand new integration with bot technology, the revenue cycle management process can also be automated adding to round-the-clock efficiency, thereby, increasing the reimbursement rates and improving cash flow.
Conclusion
Superbills are a list of services provided to the patient during their encounter with the servicing provider. This summary of services (claims), a Superbill is required to bill the insurance company (s) for the services rendered by the provider and reimbursement of claims.
Superbills are documents with critical medical data from a patient’s visit to a provider needed to process an insurance claim. This comprises details involving the provider, patient, and consultation or visit, including diagnosis and procedures.