Billing Code SetUp

Location in Alora: SetUp/Billing Code

The Billing code setup screen is where you will enter your charges for the services you provide to a patient. 

Enter the Service Billing Description, the Billing Code (abbreviation of the Service Description) and the Discipline the code is going to be used for. 

Next select the Revenue Code.  The Revenue code is listed by Discipline, then by charge per visit/hour/other.

Enter the CPT/HCPCS code.  You can review a list of Medicare G-Codes by selecting the blue link located under the CPT/HPCPS code entry window. If a specific payer has instructed you to use a HCPCS code other than a G-Code, you will type in that code in this area.

If the payer requires a Modifier, please enter the modifiers as indicated by the payer.

To make the billing code available to all patients with all payers, leave the “Payer” option blank. If you would like to make the code specific to a payer, select the payer’s name from the drop down box next to, “Payer”.  Once the payer has been selected and the code has been saved, you will only be allowed to use that billing code for the specified payer.

The charge per unit determines how much you are charging the payer for that service. Note: a Unit may be 15 minutes, 30 minutes or an hour – please enter the appropriate Dollar value per that unit of time.

Enter the Effective From and Through Date of the billing code.  You may leave the Effective Through date blank unless the code will be expiring.

If you enter the Receivable/Cost amount on the billing code setup screen, it will pull that information to the Profit/Loss by Claim report.  (Profit/Loss by Claim location: Report/A/R/Profit/Loss by Claim)

Calculate Units Based On determines how often the charge should be calculated.  If you have a payer like Medicare that pays per visit, you will select, “Visit (1 Unit = 1 Visit). If your billing code will be used for Private Insurances or used by Private Paying Patients, you can select, “Time”, and then select how often the charge should be calculated, 1 hour, 30 minutes or 15 minutes.

Advanced Tab - allows you to “Bill for travel time”. If selected, when a claim is generated, a service line will be added to the claim for travel time spent on providing this service.

To set the code up to bill for travel time, check mark the, “Bill for Travel Time”, option, then next to “Billing Code for Travel Time” choose the billing code you are tracking the travel time for.  (Should be the same Billing Code Description name as the one you are currently on. Example:  If you are setting up a billing code with the description SN – Direct Care – Medicare, the, “Billing Code for Travel Time”, should also be, SN – Direct Care – Medicare.)

You may print a list of all of the billing codes that you have in Alora by clicking on the blue link at the bottom right of the page labeled Print Billing Code List. You will be given the option to select a specific Payer, or just check mark “All” and run the report. The system will generate a list of all the billing codes listed for that specific payer, or for all payers.