How to Create Superbills

practiceQ allows you to create superbills based around your client's appointments, the services they received, and their diagnoses.

Enable the Superbill Feature

To enable this feature, follow the steps below:

  1. Navigate to "More > Settings > Features".
  2. Click the "Enable Diagnosis" and "Enable Superbills" buttons as both features are required for superbills (see image below).

Setup Superbill Settings

To create superbills, you first need to ensure certain business and practitioner information is in place. Follow the steps below to add this information to your account:

  1. Navigate to "List > Invoices > Invoice Settings".
  2. On the "Template" tab enter information for at least the fields "Business Name", "Address", and "Phone", we'd suggest completing the others if applicable as well.

  3. On the "Superbill" tab enter information for "NPI" and "Tax ID".

Multiple Practitioners

If you have an account with multiple practitioners, each practitioner can set their own NPI, Tax ID, and Licenses, which will override the default clinic settings noted above. Follow the steps below to do this for each practitioner in your account:

  1. Login to the specific practitioner account that you want to override the default settings on.
  2. Navigate to "More > Account".
  3. Under the "Clinical Information" section you'll see that you can enter your NPI, Tax ID, and Licenses.
  4. Click "Save" at the bottom of the page to save these settings, they will override the defaults for the clinic and appear on superbills generated by that specific practitioner.

Managing Diagnosis Codes

One requirement for superbills is to specify applicable diagnosis codes (i.e. ICD-10 and DSM-5 code sets). You can manage these codes as needed in various locations throughout the system, such as when creating a superbill, on the client timeline, or when adding treatment notes. To easily add, edit, or delete your diagnosis codes, follow the steps below:

  1. Navigate to "Lists > Invoices > Invoice Settings".
  2. Go to the "Superbill" tab.
  3. Under the Diagnostic Coding section, click "Manage Diagnosis Codes".
  4. You'll be presented with the following screen that gives you various options for managing your diagnosis codes.

  • Add New Code: This option will allow you to create a diagnosis code and give it a description. Once added it will appear in the list as you see in the above image.
  • 1: Click this icon to edit an already existing diagnosis code.
  • 2: Click this icon to delete an already existing diagnosis code.

Adding Diagnosis Codes to Clients

In order to add the required diagnosis codes to superbills, you need to assign specific diagnosis codes to your clients. These are added via treatment notes on the client timeline, follow the steps below:

  1. Navigate to the client profile via "Lists > Clients", selecting the client you wish to add diagnosis codes to.
  2. From the "Timeline" on the left side of the screen you either need to select an existing treatment note (shown in blue) or create a new one. You can also add diagnosis codes to the pinned note.
  3. With a treatment note open, make sure you're in edit mode. The button beside "Saved" on the upper right will say "Lock", if it doesn't click on "Edit" to enter the edit mode.
  4. To add diagnosis codes to the treatment note, click "More" (grey button) and select "Add Diagnosis".
  5. You'll be presented with a similar screen that you would have saw when managing your diagnosis codes. You can add new ones or edit existing ones if needed here. To add a diagnosis code to the treatment note, simply click on it's box (the box turns yellow when you mouseover it, this is where you click).
  6. Repeat Step 5 if you want to add multiple diagnosis codes to the treatment note. Once added you'll see them listed at the top of the treatment note like in the image below.

  7. If you need to remove them from the treatment note, simply click the "Remove" link beside the ones you want to remove.
  8. Remember to lock the treatment note when you're finished by selecting "Lock" from the upper grey menu.

Now that you've added diagnosis codes to the client, you'll be able to easily see them from the client's timeline under the "Diagnosis" tab. You can quickly access the specific treatment note that a diagnosis code was added to from this screen by clicking "open note" as seen below.

Managing Procedure Codes

Another requirement for superbills is to specify applicable procedure codes to denote services rendered (i.e. CPT code set). You can add these codes as needed when creating a superbill. To easily add, edit, or delete your procedure codes, follow the steps below:

  1. Navigate to "Lists > Invoices > Invoice Settings".
  2. Go to the "Superbill" tab.
  3. Under the Procedure Codes section, click "Manage Procedure Codes".
  4. You'll be presented with the following screen that gives you various options for managing your procedure codes.

  • Add New Code: This option will allow you to create a procedure code and give it a description. Once added it will appear in the list as you see in the above image.
  • 1: Click this icon to edit an already existing procedure code.
  • 2: Click this icon to delete an already existing procedure code.

Adding Procedure Codes to Services

You can assign specific procedure codes to your services, just follow the steps below:

  1. Navigate to "Bookings > Booking Settings > Services".
  2. Click "Edit" beside the service you'd like to modify and go to the "CPT Codes" tab in the dialog.
  3. First you'll see an option to set the "Place of Service", below that there is an "Add Procedure" button to add procedure codes to the service. You can add multiple procedure codes to each service, set the cost of each and the amount of units.
  4. Click the "manage codes" link to manage your procedure codes if needed.
  5. When finished click "Save" and this information will now be associated with your service.

Creating a Superbill

The first step in creating the superbill is to open up the invoice you'd like to generate the superbill for. Read our Introduction to Invoicing article for assistance with creating and sending invoices to your clients. You can generate superbills for paid and unpaid invoices, here are the steps in doing so:

  1. Navigate to "Lists > Invoices" and open the invoice you want to generate the superbill for (you can access invoices from the client profile or from appointments as well).
  2. Click on the "Superbill" button in the lower left corner of the invoice window.
  3. In this menu, select "Superbill Details". You can now select the diagnostic codes applicable to the superbill (click on "add diagnosis code" to add new codes), the place of service, and one or more procedure codes for each line item on the invoice (see image below for an example). Some of this information will be pulled from the appointment and client diagnosis (if applicable), but it can be customized on this screen if needed. You can have multiple procedure codes per line item, and can also specify the print and units for each procedure.
  4. Click "Save" when you are finished setting up these superbill details.

  5. In the "Superbill" menu, you can now choose to print/download the superbill as a PDF, or send it to a client via email or the secure client portal.

Allowing Clients to Print Superbills via Your Portal

NOTE: With Superbill Storage enabled you need to "Store" each superbill for your client to be able to access it via the portal – it is not automatic.

To make things easier for you, it's possible to allow your clients to access their own superbills via the client portal, so you don't have to generate them yourself. To enable superbills in your portal, follow the steps below:

  1. Click on the speech bubble located on the top menu.
  2. Click on the "Settings" button located on the top right corner of the page.
  3. Open the "Portal Features" tab.
  4. Enable the invoice feature and the superbill feature.

Once enabled, your clients will see a "Superbill" link for each paid invoice (as shown below).

Please note that superbills that are missing the required information (diagnosis, procedure codes, etc.) will not be generated. If the client attempts to generate one, they will receive an error message saying that the superbill is not ready.

Superbill Example

Here is one example of what the PDF printout would look like for a superbill. If you'd like to add a custom message to the bottom of your superbill PDFs, you can do so from "Lists > Invoices > Invoice Settings > Superbill", in the section titled "Superbill Bottom Text (PDF)".

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