Ambiki Release Note: Custom Billing Codes & Key Fixes For Orders and Portal Access

Stay up to date on new features and improvements to Ambiki - Ambiki release notes is where the Ambitious Idea Labs team publicly communicates new functionality added to Ambiki so that our users can stay on top of everything that is new.

Samuel Okoth avatar

Samuel Okoth 5 days ago

Date: 08/07/2025

Summary by Persona


πŸ‘©β€βš•οΈ Clinicians / Therapists

  • Guardian Portal Status Fix: Accurate display of guardian access avoids confusion when sharing notes or documents.

  • Custom Billing Codes: Indirectly benefits sessions by ensuring correct rates and modifiers are applied automatically.


πŸ§‘β€πŸ’Ό Admins

  • Physician Order Error Handling: Improperly created orders now surface clear errors, speeding corrections.

  • Guardian Portal Status Fix: Eliminates false β€œinvited” states after guardians join.

  • Custom Billing Codes & Modifier Guide: Create practice-specific codes, automate required modifiers, and consult the new guide for payer requirements.


πŸ’³ Billers / Guardians

  • Custom Billing Codes: More precise rates and automatic modifiers reduce claim denials.

  • Physician Order & Portal Fixes: Fewer back-office errors mean cleaner invoices and smoother communications.


πŸ› οΈ Fix: Proper Error Display for Invalid Physician Orders


πŸ‘₯ Audience: Admins
 ❗ Issue: Fixes an issue to correctly display errors when adding a physician order that is improperly created.
Β βœ… Action Steps: No steps needed.


Β πŸ› οΈ Fix: Accurate Guardian Portal Status


πŸ‘₯ Audience: Therapists, Admins
 ❗ Issue: Fixed an inconsistency that could lead to showing that a legal guardian had joined the patient portal but was still in an invited state.
Β βœ… Action Steps: No action needed.


πŸš€ New Feature – Add Custom Billing Codes & New Modifier Management Guide


πŸ‘₯ Audience: Admins
Β πŸ› οΈ Steps to Access: All Admins have the new manageOrgBillingCodes permission by default. To add a new billing code, visit the Billing page in the left navigation, then Billing codes in the top Organization billing settings and management section.
πŸ“’ What's New
Organization admins can now create custom billing codes tailored to your practice. These codes can be used alongside Ambiki's system billing codes to support:

  • Special rate configurations (e.g., private pay pricing)

  • Modifier management (e.g., assistant-provided services, multiple procedures, teletherapy)

  • Specific payer or service documentation needs

Why You Might Want to Add a Custom Billing Code

To Create Different Rates for the Same Procedure
Let’s say you’re a private pay practice and want to charge different rates based on session duration:

  • 92507 (Speech therapy – 45 min) β†’ $110

  • 92507 (Speech therapy – 60 min) β†’ $150

You can now create two custom billing codes, set up different rates for them, and cleanly differentiate sessions for documentation and billing purposes.

To Build in Required Modifiers Automatically
Let’s say some services require modifiers based on the therapist's credentials or the payer’s rules. Instead of relying on manual modifier entry (which can be forgotten), you can create a custom billing code that includes them.

Example: Services by Assistants
Create a code like:

  • 92507-UB labeled "Speech therapy provided by SLPA" β†’ This includes the UB modifier (required by some payers to indicate assistant-provided service)

Example: Modifier 59 for Multiple Procedures in One Session
When two services are billed on the same day, the second needs modifier 59:

  • 92526-59 labeled "Feeding therapy when billed with speech"

πŸ“˜ New Guide: Ambiki Billing Modifier Guide
Understand when and where to apply modifiers, common payer-specific requirements, and how Ambiki automatically combines them from:

  • Service rates

  • Payer-specific rates

  • Patient payment methods

  • Treatment reports

  • Built-in billing codes

The guide includes:

  • Real-world scenarios

  • A Quick Decision Guide for admins

  • A complete Modifiers Reference Table

By leveraging these updates, your billing can become more accurate, streamlined, and resistant to payer denials.


Thank you for choosing Ambiki.