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In this video, we are looking into the billing process in OpenEMR. The billing process does not match that of McKesson MediSoft software. The focus in OpenEMR is not the billing like it is with MediSoft. But MediSoft does not handle patient records. Call 833-693-1972 --- A Detailed Look at the OpenEMR Billing Process This tutorial provides a comprehensive, step-by-step guide to billing in OpenEMR, covering the entire process from start to finish. 1. Create a Patient Encounter Go to a patient's chart and click **Encounter**. Choose the *patient status* (e.g., "established patient") and enter a **visit reason**. This will also serve as the chief complaint in the encounter. Set the *type* (e.g., "office type") and click **Save**. This takes you into the encounter. 2. Document the Visit (Optional for Billing) While documentation is crucial for patient records, it is not strictly required to generate a claim. To add documentation, fill out a *SOAP Note* or any other clinical forms (e.g., a GAD-7). Remember to *e-sign* the document or the entire encounter when finished. 3. Complete the Fee Sheet Go to the *Administrative* tab and click *Fee Sheet* (or go to *Fees Fee Sheet* from the top menu). Add your **CPT codes**. You can use shortcuts or manually enter them. Justify each CPT code with the appropriate **ICD-10 codes**. You can select multiple ICD-10s to justify a single visit by holding the `Control` key while clicking. Make sure your CPT codes have a *fee* attached. You can add a fee by going to **Coding Codes**, searching for the CPT, and updating the fee amount. *Save* the fee sheet to complete this step. 4. Process and Scrub the Claim Go to the *Billing Manager* to see the new claim you created. Check the box next to the claim you want to process. *Scrub the claim* for errors by clicking *Generate X12* and selecting **Validate Only**. **Review the logs**. The system will tell you if any data is missing. If the billing log is empty, the claim is clean and ready to go. 5. Transmit the Claim Once the claim is clean, go back to the **Billing Manager**. Check the box for the claim, click **Generate X12**, and select **Continue**. This will generate the X12 file and, if configured, automatically transmit it to your clearinghouse. You can track the status of the transmitted claim by going to **Fees Claim Tracker**. 6. Process Incoming Payments To process remits and payments, go to *Fees Batch Payments* and select **Posting Payments**. This is where you will *upload the ERA file* from your clearinghouse. You can then allocate the payments from the ERA to the corresponding patient claims in the system. You can view patient balances, including what is owed by insurance, by going to the *Billing* tab in the patient's chart. 7. Manage Collections and Aging To get a full overview of outstanding claims, go to the *Reports* section. Find the *Collection & Aging* report. This report will show you a 30, 60, 90-day view of all your outstanding claims.