RCM Billing Settings

How to configure the settings of the Alleva Billing platform.

There are various tabs in settings that allow you to configure your Alleva Billing platform to meet the needs of your organization.


Here is a list of what is editable in each Settings tab:

  • Providers - Any users who are the primary provider associated with individual and group sessions in the EMR (the leader of the group session or clinician/medical provider associated with an individual session) will flow into this list. Here you can add or edit additional information like state license #, NPI, address, and more.

  • Facilities - Lists your different locations (if applicable). Billing-related information like tax ID and address can be edited here, while other details are only editable in the EMR. Select whether each facility is a billing facility or not (if you will bill with this facility's NPI info or under another facility).

  • Referring Providers - Add referring providers here for insurance claims. Once added, they can be selected from a dropdown list on claims if that is a part of your billing process. 

  • Code Master - Access codes on a facility/location level. These include Revenue Codes, Modifiers, ICD 10 codes, Service Codes, Occurrence Codes, Occurrence Span Codes, Value Codes, and Condition Codes. Some like ICD 10 codes and modifiers are view-only but editable in Billing Settings in the EMR. Others, like Occurrence Codes and Value Codes, are editable here.

  • Drop-downs - Customize drop-downs that are found throughout the Billing platform. Here are the available drop-downs that are managed in settings:

    • Account Status - Custom statuses for patient accounts like "in collections."

    • Billing Indicator - This is a manual dropdown on the Claim Management page that allows you to indicate the status of the claim to your team, for example, paid, denied, cancelled, re-submitted, and more.

    • Reason - Reasons for a service status on Service Management. For example, if the status of the service is "needs review", you would be able to select the reason "authorization needed" in this dropdown.

    • Level of Care - All available LOC's are editable from both the EMR and Billing.

    • Adjustment Types - When adjusting a balance due, you are able to select an option from this dropdown. Examples include "charity", "sliding scale", and "billing error".
       
  • Insurance Companies - View and add insurance companies, specifying if they are in-network or out-of-network. You can also create specific claim settings per insurance in the "Billing Settings" tab when editing a specific insurance.



  • Statements - Customize your statement template with company remit information, contact details, logo, and a custom message: