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GoRev Coding Tutorial

Welcome to the GoRev Coding Tutorial. In this tutorial, we will focus on the process of navigating the Coding module in GoRev.

Note: If you need assistance with a particular portion of this tutorial, please use the Table of Contents on the left hand side of this screen to navigate to the topic that you require.

1 : Begin Navigating to the Coding Module

As a GoRev user, the Coding module will allow you to complete the Coding process for Patient Accounts in preparation for their Batching. To begin, click on the “Coding” button present in the GoRev Homepage toolbar.

2 : Navigating & Understanding the Coding Buckets

At this point, the Coding Buckets should, now, be visible. In GoRev, Patient Accounts are sorted into Coding Buckets, which categorize Patient Accounts by their Coding Statuses. For instance, if the Coding Status for a Patient Account is set to Deficient Medical Records, then the account would be present in the Deficient Medical Records Coding Bucket.

In the GoRev Coding Buckets, the list of Coding Buckets available to you are unique to your GoRev Facility. However, below is a list of common GoRev Coding Buckets and their definitions:

Coding Bucket Definitions


IconCoding Bucket NameCoding Bucket Description
Ready for Coding Coding Bucket containing all Patient Accounts that are ready to be Coded by the user. Patient Accounts can either be automatically identified as Ready for Coding by the GoRev system or manually identified as Ready for Coding by the user.
Coding Approved Coding Bucket containing all Patient Accounts that have completed the Coding Process and the Claims are ready to be Batched. Once a Claim Batch is dropped, the Patient Accounts in this Coding Bucket will automatically be sent to the Coding Complete Bucket.
Coding Complete Coding Bucket containing all Patient Accounts that have completed both the Coding and the Claim Generation processes
Completed
Needs Review
Pending Medical Records Coding Bucket containing all Patient Accounts that are not Ready for Coding due to Pending Medical Records
Pending Charge Entry
Deficient Medical Records Coding Bucket containing all Patient Accounts that the user has manually identified as either missing a medical record or having a medical record with a partial deficiency, such as a missing T-Sheet or a missing IV Start Time.
Transfer
Inpatient Coding Bucket containing all Patient Accounts that are classified as Inpatient Claims
Error Coding Bucket containing all Patient Accounts that the GoRev System has identified as having an Error in the Coding process that will prevent the Claim from entering the Coding Approved Bucket and being subsequently Batched.
Missing Primary Insurance Coding Bucket containing all Patient Accounts that have completed the coding process. However, when the GoRev System attempted to generate a Claim, the system found the Primary Insurance information to be missing. For Patient Accounts in this Coding Bucket, the user must add the Primary Insurance information to the account and then manually move the accounts to the Coding Approved Bucket.
System Import Coding Bucket containing all Patient Accounts that have been imported automatically. For example, if a Facility Claim exists, a Pro Claim will be created automatically and placed in this bucket.
Hold Coding Bucket containing all Patient Accounts that would lead to a duplicate Claim and any Claim that a Coder needs to temporarily save. We recommend that Billers should audit this Coding Bucket weekly to ensure that any Claims that can be Billed are placed into Coding Approved by the user.

3 : Entering a Coding Bucket

Once you have determined which coding bucket you require, please enter the Coding Bucket by clicking on the corresponding tile in the Coding Buckets window.

Note: While many Coding Bucket tiles will take you directly to the Coding window, some Coding Bucket tiles will prompt you to select additional Patient Account filters. In this instance, please select the filter(s) that you require by clicking on the corresponding filter tiles provided.

4 : Selecting a Patient Account to Code

After selecting the filter(s) that you require, the selected Coding Bucket will be visible. In order to begin Coding a Patient Account, please click on the corresponding Patient Account from the list in this window.

If you have difficulty locating the Patient Account that you require, please utilize the Search box in this window to aid in your search.

5: Patient Overview Coding Module Access

Note: In addition to the GoRev Homepage toolbar, you may, also, access the Coding module for a known Patient Account in the account's Patient Overview window by clicking on the “Coding” button in the window's toolbar.

6 : Navigating & Understanding the Coding Module Sections

At this point, the Coding module for the selected Patient Account will be present on your screen. The Coding Module is made up of 8 major sections titled “Patient”, “Visit”, “Place of Origin”, “Diagnoses”, “CPTs”, “Procedures”, “Files”, and “Account Notes”.

Patient

The “Patient” section of this window contains the Patient's Name, Date of Birth, and Gender, which will be auto-filled using the information on the Patient's Account.

Visit

In the Coding Module, the Visit section is comprised of two sections titled “Account” and “Insurance”. First, the “Account” section contains a myriad of Patient Visit Information that is relevant to the Coding process.

Second, the “Insurance” section of the “Visit” area contains the Patient's Insurance information that is on file in GoRev for this Patient Visit.

Note: If the Patient Visit was Inpatient, please utilize the “Inpatient Visit” checkbox in this section to make this distinction.

Place of Origin

In the Coding Module, the “Place of Origin” section contains the Patient's “Point of Origin for Visit or Admission” and “Priority (Type) of Visit or Admission”.

Diagnoses

However, the “Diagnoses” section of the Coding Module is the section where you will enter the Patient's Diagnoses Codes for this Visit/Admission.

CPTs

Additionally, in the Coding Module, the “CPTs” section is the area where you will enter the Patient's CPT Procedure Codes for this Visit/Admission.

Note: In the event that you are having difficulty locating a CPT code from the entered list, please utilize the Search field in this area to aid in your search.

Procedures

In the Coding Module, the “Procedures” section is the area where you will enter the Patient's Procedure Codes for this Admission.

Note: The Procedures section of the Coding Module will only be present if the Inpatient checkbox in the Visit section is checked, as Procedure Codes are only applicable to Inpatient Claims.

Files

The “File” section of the Coding Module contains any Patient File that has been uploaded to the Patient's Account since its creation in GoRev.

Account Notes

Lastly, in the Coding Module, the “Account Notes” section contains all of the Notes for this Patient Account.

7: Navigating & Understanding the Coding Module Toolbar

In addition to the 8 major sections of the Coding Module, this window, also, contains 14 Ribbon Tools in the Coding toolbar.

Save

First, the “Save” icon in the toolbar will allow you to Save the Coding information for the selected Patient Account.

Coding Sets

Second, the “Coding Sets” button in the toolbar will allow you to select which Coding Set(s) that you require for this Patient Account.

Quick Status

Third, the “Quick Status” drop-down in the toolbar will allow you to quickly change the Coding Status of this Patient Account.

Overview, Financials, Workflow, & Charging

Additionally, the Coding Toolbar contains “Overview”, “Financials”, “Workflow”, and “Charging” buttons, which will allow you to navigate to the account's Patient Overview window, Financials window, Workflow window, and Charging window, respectively.

Anesthesia

In the Coding toolbar, the “Anesthesia” tool, if applicable, will allow you to access the Anesthesia Module for the Patient Account.

Other Codes

The “Other Codes” menu in the Coding toolbar will allow you to add “Condition Codes”, “Occurrence Codes”, and “Value Codes” to the Patient Account.

Go To

On the other hand, the “Go To” menu in the Coding toolbar will allow you to navigate to the Diagnoses, the CPTs, and the Procedures sections of the Coding Module by clicking on the corresponding options in this menu.

Additionally, the Go To menu will allow you to Comment on the Patient Account, save the Coding for this account and go to the previous account in the Coding Bucket, save the Coding for this account and go to the next account in the Coding Bucket, and access the Patient Encounter History by clicking on the corresponding options provided.

Coding History

In the Coding Toolbar, the “Coding History” button will allow you to view the Coding History with User information for the Patient Account.

Coding Ledger

The “Coding Ledger” button in the Coding Toolbar will allow you to view the Coding history for all of the Patient's Visits/Admissions.

Zirmed History & EOB

Lastly, if applicable, the Coding Toolbar will allow you to view the Claim's Zirmed History and Zirmed EOB by clicking on the corresponding buttons in the toolbar.

8 : Coding a Patient Account

Step 1: Opening Medical Records

In order to start the Coding process for a Patient Account, first, begin by opening the Medical Records for this account by clicking on the corresponding file in the File Management area.

Step 2: Adding Diagnosis Codes

Next, please enter the Diagnosis Codes for this Patient Account into the fields present in the Diagnoses section of this window.

Step 3: Adding CPT Codes

Once you have entered the appropriate Diagnosis Codes for this Patient Account, please add the necessary CPT Codes to this account using the fields present in the CPTs section of this window.

Note: As you are adding CPT Codes to the Patient Account, a new CPT Code box will appear each time you add a new CPT Code, ensuring that you will always have an available CPT Code box for entry of additional codes.

Important Information on Coding in GoRev

  • Please check the Charging module as you are Coding a Patient Account to ensure that CPTs already charged by the Front End Staff are not added to the Claim again during the Coding process.

  • If you discover that a CPT Code charged by the Front End Staff is not the correct code, please reverse this CPT Code using the Financials module, and then add the correct CPT Code to the CPTs section of the Coding window.

If you accidentally code a CPT that has already been charged to the account, the GoRev System will ignore your code and automatically combine it with the Charge on the Patient Account.

  • If you need to add more than one of the same CPT Code, you must use Modifiers because failing to do so will cause the system to add the CPT Code to the Charges only once.

Step 4: Adding CPT Codes

Once you are finished Coding the Patient Account, please set the Coding Status to Coding Approved. To begin, click on the “Quick Status” menu in the Coding Toolbar.

Then, select the “Coding Approved” option from the list.

Step 5: Finalizing the Coding Proccess

After changing the Coding Status, please finalize the Coding process by clicking on the “Save” button in the toolbar.

Additional Resources

GoRev Support Team

If you have any questions, concerns, or problems regarding the GoRev Coding module, please contact the GoRev Support Team by submitting an IT Support Ticket, by phone at 1-(317)-794-3900, and/or by email at ask@gorev.com.

Note: Always submit an IT Support Ticket detailing the problem that you are experiencing with this portion of GoRev, if possible, as this will give GoRev Support Agents access to information that will help expedite the resolution of your issue.

If you are not sure how to submit an IT Support Ticket in GoRev, please see the GoRev IT Support Ticket Creation Tutorial for assistance.

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