If you are part of a Capitation Payment Model (FHG, FHO, or FHT), you are eligible to submit your prevention bonus billings for the fiscal year ended March 30.
Billings are based on the total percentage of eligible patients covered in each of the 5 prevention categories:
- Pap Smears
- Flu Vaccinations
- Childhood Immunizations
- Colorectal Cancer Screening
Create a Blank Bonus Prevention Patient
The first step in getting your prevention bonus billings submitted is to create a blank, bonus prevention patient. You can do so from the "Add Patient" link in your schedule page. In the example below, we created a patient named "Bonus Billing" with a date of birth of 01-01-1990 and no health card information.
Create New Invoice for "Bonus Prevention" Patient
From your "Bonus Prevention" patient's master record you can now create a new invoice using the "Create Invoice" link.
In the "Create Invoice" view you will need to (1) select the Billing Physician for whom you'd like to submit the bonus codes; (2) set the billing type to "Bonus Codes"; (3) enter the appropriate bonus codes for each category (make sure to add an "A" at the end of each code); and, finally (4) click the "Next" button.
Review and Save
After clicking the "Next" button in the "Create Invoice" view, you will get a chance to review and save your bonus code claim. Once the claim is saved, it will be queued for submission when you generate your next Claim file.