Setup, Shortcuts, Pricing, and Advanced Real-World Uses

Procedure Codes in AllMed PM are far more powerful than a basic CPT list. They are the backbone of fast claim entry, flexible pricing, patient-only billing, and advanced workflows that many users don’t realize are even possible.

This article covers everything from basic setup to advanced, real-world scenarios that save time and increase revenue.

Overview

Procedure Codes in AllMed PM can be used to:

• Bill insurance (CPT / HCPCS)

• Apply payer-specific pricing

• Create shortcuts for faster entry

• Bill patients directly for goods or services

• Track costs and profitability

• Apply payments at the claim level

Unlike many systems, AllMed PM allows full editing of Procedure Codes at any time, including the code itself, description, pricing, and units.

Accessing Procedure Codes

1. From the Top Navigation Menu, click Set Up

2. Select Procedure

This opens the Procedure Lookup screen where you can create, edit, duplicate, or import codes.

Importing Procedure Codes

AllMed PM includes access to a comprehensive collection of codes.

To import:

1. Open the Procedure Lookup

2. Click Import

3. Select the desired codes

4. Complete the import

Best practice: Imported codes should always be reviewed for pricing, units, and descriptions before use.

Creating and Editing Procedure Codes

Code Field

• Enter the CPT or HCPCS code

• In AllMed PM, the code itself can be edited if needed

Best practice: If a code has already been used on claims, changing it later may affect reporting clarity. For major changes, consider creating a new code instead.

Description

• Up to 500 characters

• Used internally and optionally on claims

Print Description on CMS-1500

• Enable only if required by the payer

• Only 59 characters will print

Procedure Type

Used for organization and reporting, such as:

• Office Visit

• Lab

• X-Ray

• Therapy

• Custom categories

Units and Pricing

Units

• Enter 1 for most procedures

• Leave blank for Anesthesia codes

$ Per Unit

• Enables per-unit pricing

• Units × amount = total charge

On a claim, pricing can always be overwritten manually without changing the Procedure Code setup.

Modifier Defaults

If a procedure always requires a modifier:

• Select it under Modifier Defaults

• It will auto-populate during claim entry

Shortcuts (S-Cut)

Shortcuts (S-Cut) are one of the most powerful and underused features in AllMed PM.

They allow payer-specific pricing and faster claim entry without duplicating CPT codes.

How Shortcuts Work

A Shortcut is created by adding up to 8 alphanumeric characters before the CPT or HCPCS code.

Examples:

• CPT: 99212

• Medicare: MED99212

• Blue Cross: BC99212

• Aetna: AET99212

When entering charges:

1. Type the shortcut

2. AllMed PM inserts the correct CPT/HCPCS code

3. The fee tied to that shortcut is applied automatically

Important Rules About Shortcuts

• Shortcuts do NOT print on:

  • CMS-1500 forms

  • Electronic claims

  • Patient statements

• Only the actual CPT/HCPCS code is submitted

• Shortcuts exist only inside AllMed PM

Using Shortcuts for Unlimited Fee Variations

Shortcuts allow unlimited payer-specific fees for the same procedure.

Example:

• CPT: 99212

• Medicare pays: $60

• Blue Cross pays: $83

Set up:

• MED99212 → $60

• BC99212 → $83

This eliminates:

• Manual price edits

• Complex fee schedules

• Duplicate CPT codes

Using Procedure Codes to Sell Goods (Patient-Only Billing)

Procedure Codes can also be used to bill retail goods or non-covered items directly to patients.

Examples:

• Braces

• Supplies

• Vitamins

• Convenience items

• No-show fees

• Report copies

Example: Selling a Brace to a Patient

Scenario:

• Your cost: $10

• Patient price: $25

• Insurance should NOT be billed

Setup:

• Description: Drop Foot Brace

• Do Not Bill Insurance (Patient Only): Checked

• Units: 1

• $ Per Unit: $25

• Actual Cost: $10

How It Works on a Claim

When creating a claim:

• Add insurance-billable procedures as usual

• Add the patient-only Procedure Code

Behavior:

• The item is excluded from insurance billing

• The item appears on the patient statement

• The item can be paid at the time of service

You can apply the payment directly on the CMS-1500 screen if a balance exists.

Canceled Visits and No-Show Charges

Procedure Codes can track cancellations and missed appointments.

Canceled Visit

• Enable Canceled Visit

• Totals appear in the Patient Summary

No-Show Charges

Create a code such as:

• NOSHOW

• 99999

This allows consistent billing and reporting.

Why Procedure Codes Are a Hidden Gem in AllMed PM

With proper setup, Procedure Codes allow you to:

• Bill insurance and patients on the same claim

• Track profit on retail items

• Control pricing by payer

• Enter claims faster

• Reduce errors

• Avoid EMR-style fee schedule headaches

Most systems force workarounds.
AllMed PM gives you direct control.

Key Takeaways

• Procedure Codes are fully editable

• Shortcuts allow unlimited payer pricing

• Patient-only billing is clean and integrated

• Payments can be applied at claim entry

• One system handles services, goods, and balances