In the patients Chart Tab, available services appear on the right side of the screen.
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Creating New Services
As much or as little information as desired can be entered when creating a service, and additional information can be added later. The service may not function correctly, however, until the configuration is complete.
When adding a new service item it is advisable to first check if the code already exists. If a duplicate code is used, a prompt will appear saying that this code is already in use. To check if a code is already in use, type the code into the ‘Sort By Code’ box at the bottom of the screen. If it already exists the service will be highlighted in the area above.
When deciding on a new code bear in mind that the service list is sorted alphabetically, and also divided into sub-sections, such as Crowns. Therefore, it is advised that the new item code starts with the first letter of the group it is to appear in. For example if adding a Procera crown, the code would begin with C, e.g. 'CPRO'. If this were added into the service file as 'PRO', it could appear in the Perio section.
To Create a New Service:
Select Configure > Services. The List Service Items window (List Service Items screen, Using the List Service Items window (Service File)) will appear.
After checking that the code is not already in use, press the [+1] button.
The Add Service Item window will appear.
Configure the areas of the List Service Items window:
Add a Service - A (Code, Description, Pricing Method)
Add a Service - B (Details tab)
Add a Service - C (Fees tab)
Add a Service - D (Notes tab)
Configure the Details Tab information as necessary, i.e., selecting a price code, graphic and colour for the service and adding it to any categories. These options control what the service will look like and how it will function.
In the Fees Tab, enter pricing information as appropriate.
If required, enter Standard Clinical or’ Invoice/Estimate’ notes for this service.
Press the OK button to create the new service and return to the List Service Items window.
Adding Service Items
Click the [+1] button at the bottom right to access the Add Service Item window, which will open at the Details sub tab
See The Service Item Details tab for details on how to change the fields.
This window controls how a service looks and functions.
Services can be edited as required, in the Edit Service Item window.
NOTES:
The fields above the list of sub tabs are discussed in the Service Item Details Tab section.
Information on tabs can be saved independently, therefore each sub tab has its own OK and Cancel buttons
The Add Service Item Window
Open the List Service Items screen (List Service Items screen, Using the List Service Items window (Service File)) by selecting Configure > Services...
Select the [+1] button at bottom right of the List Service Items
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This window controls how a service looks and functions.
Service details can be edited as required at any time in the Edit Service Item window.
To add a service you need to configure four areas of this window:
Add a Service - A (Code, Description, Pricing Method)
Add a Service - B (Details tab)
Add a Service - C (Fees tab)
Add a Service - D (Notes tab)
IMPORTANT:
When creating a service item you can load the usual fee. The price can usually be changed while creating a treatment plan by the Provider. However, some pricing methods will not allow the Provider to change the price while charting, regardless of security permissions, so only use these pricing options for fees that will not need to be adjusted.
The Pricing Methods that lock fees are By Jaw | By Tooth | Filter by Group | Per Appointment | Per Plan
Changing a Code
The codes for services cannot be altered, as this would create problems for existing treatment which includes these service codes. However, if you feel you need to change a code for a private service there are two alternatives:
Use the ‘Payor Code’ field to assign an alternate code and view the Services by Payor Code in the Chart Tab.
A new Service can be created with the code of choice, private and payor fees set if necessary and then the ‘List in Chart Tab’ box un-ticked for the old Service.
Add a Service - B (Details tab)
Add a Service - A (Code, Description, Pricing Method)
Add a Service - B (Details tab)
Add a Service - C (Fees tab)
Add a Service - D (Notes tab)
Chart Graphic
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The graphics box dictates how the Service will be charted and displayed on the Tooth Chart.
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Some chart graphics are not editable:
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Others are partially editable and you can choose the colour only:
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Select graphic and it's colour:
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Examples of available graphics:
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Filling
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Use your mouse to chart fillings on different surfaces.
Click a tooth surface with the left mouse button to chart a one-surface filling.
Click a tooth surface with your right mouse button to add additional surfaces to the existing filling.
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Crown
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Click to creates a coloured circle around the tooth as shown.
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Bridge
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Create a series of tooth graphics with lines joining them.
Use your right mouse button to select the teeth for the Denture.
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Tooth Frame
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This outlines the tooth sections.
Extraction
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Initially this graphic is a diagonal line through the tooth.
When the extraction has been completed a cross will appear through the tooth and the tooth graphic will disappear from the display.
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Tooth Specific
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This graphic will note the code of the Service either above or below the tooth but will not change the graphical appearance of the tooth.
This graphic type is ideal to use when entering notes for a particular tooth.
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Eruption
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The Tooth Frame becomes pale indicating the tooth is unerupted.
In the case of exfoliated deciduous teeth the tooth graphic will disappear.
Hold your mouse cursor over a tooth that is either unerupted or exfoliated to display a tool tip confirming this.
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Up, Down, Left and Right Arrows
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Use these graphics primarily to indicate tooth movement but you can also use them to chart supernumerary teeth.
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None
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Use this graphic to chart Services that cannot or do not require a graphic.
Chart by double-clicking the Service, which is then added to the current treatment plan area but is not displayed on the Tooth.
Use this graphic type for general Services such as; exams, x-rays and scalings, that are not specific to a particular tooth.
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Character
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Use this graphic to chart characters on a tooth, rather than use any of the other available graphics, e.g. a crown graphic could be replaced with CR, or a root filling RF.
Characters are limited to 2 letters only.
When you select the character graphic an additional Characters field becomes available. To create a character; click into this box and type in the required characters.
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Drawing
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This graphic will allow drawing on the tooth in the tooth chart, e.g. tooth jewellery.
Select the service and click a tooth to see a 3D representation of the tooth which appears with a colour and size selection available.
Simply draw the desired shape on the tooth and click OK.
This will not be visible on the initial tooth chart but will be visible on the 3D tooth chart
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Invoice Summary
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The Invoice Summary field can display a summary group for the Service for reporting purposes.
This requires setting up for each related Service.
Advantage of setting up Invoice Summary groups: the Invoice Summary Report (see the appropriate Reports Tutorial) can then be run to identify the total amount invoiced for different groups of related Services, e.g. the total amount invoiced for Crown and Bridgework in a specified period, or the total amount invoiced for Hygiene Services.
Click in this field to display the List button or scroll box from which you can select or add the appropriate Invoice Summary group to the available list.
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Watch Type
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A Watch Type also summarises Services into groups for assistance in clinical patient management.
If a treatment is allocated a Watch Type (for example x-rays) within the Watch tab of the Patient Chart screen, all x-ray Services that have been allocated the Watch Type will be listed in date order under the Watch Tab.
Advantage: By selecting a particular Watch Type in the chart you can view a condensed treatment history of a certain group of Services. For example, for x-rays you will save time time when wanting to check the date last x-rays were taken, or whether x-rays exist of a particular tooth.
You can set up multiple Watch Types. Typical examples include Perio, fillings, crowns, and examinations.
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Failure Category
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If applicable, specify a Failure Category. Failure Categories are attached to services for which a failure is used for clinical audits. The Failure Categories can be viewed and edited via any of the screens on which services are listed, such as the Service List tab in the Patient Chart, or you can access services directly from the Configure > Services menu item.
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List in Chart tab
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With the checkbox ticked, this Service displays in the Chart Tab in the patient file.
Ensure that this is ticked if you currently provide the selected Service.
If you do not currently provide this service but it has been provided in the past, or you intend using it in the future, un-tick the checkbox. This removes the Service from the list in the Chart Tab but the service still exists in the
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Only for Provider
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This field is only used if only one provider provides this Service, for example an Orthodontist would be the only provider needing to view orthodontic codes.
Only the provider specified in this field will see this Service in the list of Services displayed in the Chart Tab.
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List in Appointment Book Quick Services
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If you tick this checkbox, the Service will not display in the chart tab but for appointment booking purposes will show in the Quick Service dropdown menu in the Edit Appointment window (e.g. Tooth Ache).
Receptionists can then quickly select the service while editing an appointment.
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Appointment Category
Optionally specify an appointment category for colour grouping in the appointment book.
This field allows treatments to be grouped under Appointment categories, which can then be displayed as different colour blocks in the Appointment book, if this feature has been activated.
This can then identify the type of Service/treatment booked in the View Week Area in the Appointment book.
This option is also used in conjunction with ‘Clinics’ to ensure certain treatments are booked at appropriate times.
From the Services List Details tab you can specify, add, edit and delete Appointment Categories:
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Appointment Length
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field indicates the usual appointment length required to complete the Service. This length can be changed at the time of charting or booking the appointment.
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The Service list grid behaves similarly to the Edit appointment window, but the appointment interval time does not adhere to the appointment book time interval rules because services are not directly associated with an appointment book. The time interval defaults to 5 minute intervals.
If the grid is not visible, and the multi column Appointment book is being used, check the Appointment book configuration and tick [ ] Coordinated Duties.
This grid defines which type of provider is required at various stages of an appointment, and is generally used to co-ordinate appointments between the dentist and hygienist.
Clicking in a box will colour that box red, identifying that provider type is required for the selected time of the appointment.
The light grey lines represent 5 minutes and dark grey 10 minutes. The Red Blocks show the time the patient will spend with each provider.
The Start Time and Length indicators display information for a Red Block.
Simply position the mouse pointer over a block and details will appear.
In the image above both the dentist and hygienist are required. The hygienist will treat the patient for the first 20 minutes, followed by a 10 minute gap and then followed by 10 minutes of treatment with the dentist.
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Auto
The Auto Charting fields enable you to select up to five other services that will also be charted with the current service.
These services will automatically inherit any features of the original item, such as quantity and tooth notation.
To select each service, click in the field, and use the
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or buttons.
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Auto charting does not occur when an item is charted as part of a Quickplan.
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Custom Screen
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Use this field to associate a specific custom screen with the service.
Custom screens can be a useful way of making sure that clinical notes are entered relating to a service, for example, recording root canal measurements.
Click the selector to open the View Custom Screens window, from where you can select an existing custom screen, create a new one or edit an existing screen.
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Popup selector
Use the Popup button to set one of three possible statuses for this custom screen:
Popup disabled stops it displaying - this is the initial default while you set up.
Popup when planned displays the custom screen when you add this service item to a course of treatment.
Popup when completed displays the custom screen when the course of treatment is completed.
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Stock Items
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Discount allowed - check (tick) to allow it
List as Stock Item - check (tick) so that
The service can be viewed in the payments screen
It can easily be added to a patient’s account without having to chart it as a service item in the Chart tab.
Number in Stock - the current inventory
Full Stock Number - how many there should be when this item is fully stocked
The difference in the two figures is the number that your practice should order.
Barcode Number - if the stock item has a barcode number it can be recorded here.
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Categories
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Services can be grouped into Categories to enable smaller, more manageable subsets of the complete Service list. e.g. crown and bridgework, cosmetic work, hygiene treatments, frequently used private Services.
You can see this in the Chart tab where it helps dentists to quickly locate and use categorised services:
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A Service can belong to more than one category.
To manage Service Categories:
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Payor Code
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Enter a code as a means to identify this service to a payor when claiming for treatment.
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Code
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To alter it, use the Code field at the top of this window:
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Add a Service - C (Fees tab)
The layout of this screen will vary depending upon the Pricing Method selected.
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(Optional) To prevent Providers changing fees when charting, tick the checkbox Editing of fee on chart is disallowed.
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Price Code
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Provider
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Roger Preston
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2
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Andrew Price
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3
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Sherin Merry
Fee Schedule
Use Fee Schedules whenever there is a need to apply different fees for the same treatment.
See also this portal video: Creating new Private Fee Schedules
Create fee schedules for different Providers:
When Providers have their own unique prices, create a fee schedule per Provider.
In a Provider file, specify the applicable default fee schedule so that this schedule's prices display by default in that Provider's treatment plans (Providers may still select non-default fee schedules and prices during treatment).
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To view the different prices for each fee schedule, click in the 'Fee Schedule' field and select the appropriate fee schedule from the list. Once selected, the fees will be displayed in the Price 1, 2, and 3 fields.
Prepare a Fee Schedule in advance, to apply from a specific date:
Set up a pricing review in advance, where you create a new schedule, named for the date it applies, edited with the new fees.
This method is not used often as there is a % Fee Adjust button that can easily be used to immediately increase/decrease all fees by a percentage.
However, it does have advantages over the % Fee Adjust button:
Pricing changes can be set up over over time, without affecting current patient charges, then introduced as an entire schedule when required.
You can alter fees individually, by any amount up or down, rather than as a group by a set percentage.
Example:
Create a new fee schedule such as June2017.
For each service item, while June2017 is selected in the Fee Schedule field, enter the revised price.
Save the changes.
On the date that the price change is to begin, change the Fee Schedule for each provider in their Provider file to June2017. All new treatment charted will use the revised prices.
Clinical Time
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The time required for each service can also be set within the 'Fees' tab. This is the time that will appear alongside the service when it is selected in the chart. It is beneficial to enter time here as this assists clinicians in estimating required treatment time and whole appointment lengths. This information is then available to reception personnel to ensure that when the appointments for planned treatment are booked, they work from the times specified.
Enter here the most common Clinical Time for each Service; adjustments can easily be made in the Patient’s Chart Tab.
Add a Service - D (Notes tab)
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In the Notes Tab you can create preset notes relating to a Service. Each time the Service is selected for a patient these notes will appear as attachments.
You can easily edit Notes for an individual patient by double-clicking the service within the treatment plan area of the chart tab.
The notes are divided into two categories:
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Clinical notes, which will not print on patient stationery.
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