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 5 days ago
Date: 08/07/2025
Summary by Persona
π©ββοΈ Clinicians / Therapists
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Guardian Portal Status Fix: Accurate display of guardian access avoids confusion when sharing notes or documents.
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Custom Billing Codes: Indirectly benefits sessions by ensuring correct rates and modifiers are applied automatically.
π§βπΌ Admins
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Physician Order Error Handling: Improperly created orders now surface clear errors, speeding corrections.
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Guardian Portal Status Fix: Eliminates false βinvitedβ states after guardians join.
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Custom Billing Codes & Modifier Guide: Create practice-specific codes, automate required modifiers, and consult the new guide for payer requirements.
π³ Billers / Guardians
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Custom Billing Codes: More precise rates and automatic modifiers reduce claim denials.
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Physician Order & Portal Fixes: Fewer back-office errors mean cleaner invoices and smoother communications.
π οΈ Fix: Proper Error Display for Invalid Physician Orders
π₯ Audience: Admins
Β β Issue: Fixes an issue to correctly display errors when adding a physician order that is improperly created.
Β β Action Steps: No steps needed.
Β β Issue: Fixes an issue to correctly display errors when adding a physician order that is improperly created.
Β β Action Steps: No steps needed.
Β π οΈ Fix: Accurate Guardian Portal Status
π₯ Audience: Therapists, Admins
Β β 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 β Action Steps: No action needed.
Β β 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 β Action Steps: No action needed.
π New Feature β Add Custom Billing Codes & New Modifier Management Guide
π₯ Audience: Admins
Β π 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.
π’ 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:
Β π 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.
π’ 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
Letβs say youβre a private pay practice and want to charge different rates based on session duration:
Letβs say youβre a private pay practice and want to charge different rates based on session duration:
- 92507 (Speech therapy β 45 min) β $110
- 92507 (Speech therapy β 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
Letβs say some services require modifiers based on the therapist's credentials or the payerβs rules. Instead of relying on manual modifier entry (which can be forgotten), you can create a custom billing code that includes them.
Letβs say some services require modifiers based on the therapist's credentials or the payerβs 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:
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:
When two services are billed on the same day, the second needs modifier 59:
- 92526-59 labeled "Feeding therapy when billed with speech"
π New Guide: Ambiki Billing Modifier Guide
Understand when and where to apply modifiers, common payer-specific requirements, and how Ambiki automatically combines them from:
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.
Thank you for choosing Ambiki.