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Overview

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The Practice: New and Practices: [name] pages are comprised of fourteen tabs:

The Fee Schedules tab allows you to manage billing and expected fee schedules for the practice. There are two sections to the page: Billing Fee Schedules and Expected Fee Schedules.

The billing fee schedule is used for non-contractual fees and contains the fee structure for the following procedure types: anesthesia, medicine  services, pathology and laboratory, radiology services, surgery, and pain management, including professional modifier (26) and technical modifier (TC). This fee schedule contains the fees for services, conversion factors, modifiers, and relative value units (RVU).

The expected fee schedule contains the expected payment for the following procedure types: anesthesia, medicine  services, pathology and laboratory, radiology services, surgery, and pain management, including professional modifier (26) and technical modifier (TC). This is often used for contractual fees and contains the fee structure for calculating the allowed amount expected for services rendered to an insured of a specific payer. This fee schedule contains the flat rates and fees that are not going to be calculated by the billing fee schedule. Typically, the expected fee schedule contains only anesthesia procedures that will be charged a flat fee or percentage.

When creating or updating a fee schedule, the information displays in four tabs:

See the Configuring Fee Schedules topic for additional details.

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titleHow to Get Here?

To open the Fee Schedules tab for new practice:

From the Home Page:
From the Menus:
Via Shortcut Keys: 
  1. Click Practices from the Admin list 
  2. Click Create
  3. Click the Fee Schedules tab
  1. Open the Admin menu and select Practices
  2. Click Create
  3. Click the Fee Schedules tab
  1. From the Practices page, press [Alt] + [C]
  2.  Click the Fee Schedules tab

 

To open the Fee Schedules tab for existing practice:

From the Home Page:
From the Menus:
Via Shortcut Keys: 
  1. Click Practices from the Admin list 
  2. Select the practice to be modified
  3. Click Update*
  4. Click the Fee Schedules tab

*Alternate Navigation: Double-click the practice from the list

  1. Open the Admin menu and select Practices

  2. Select the practice to be modified

  3. Click Update*

  4. Click the Fee Schedules tab

*Alternate Navigation: Double-click the practice from the list

  1. From the Practices page, select the practice to be modified
  2. Press [Alt] + [U]
  3. Click the Fee Schedules tab

 

(Click an image below to enlarge.)

Practice: New Page / Fee Schedules Tab

 

 

 Practice: [name] Page / Fee Schedules Tab

 


 

Field Definitions

Field

Type

Required

Description

Fee Schedule Name

Free Text

Yes

The name of the fee schedule as established in the fee schedule configuration.

Description Free TextNo

The description of the fee schedule as established in the fee schedule configuration.

Effective Date (mm/dd/yyyy)Yes

The date the fee schedule became effective. The fee schedule is used to calculate fees for procedures with a date of service from the Effective date onward.

Expiration Date (mm/dd/yyyy)No

The date the fee schedule is no longer used for calculating fees for procedures. The fee schedule is used to calculate fees for procedures with a date of service prior to, and including, the Expiration date.

Button Descriptions

Button

Shortcut Keys

Description

Step-By-Step Guides

Billing Fee Schedules Section   
Create[Alt] + [R]Add a new fee schedule to the table.Configuring Fee Schedules
Update[Alt] + [U]Modify the selected fee schedule configuration.

Updating Fee Schedules

Delete [Alt] + [D] Removes the fee schedule from the master list.Deleting Fee Schedules
Clone [Alt] + [L] Creates a copy of a fee schedule.Cloning Fee Schedules
 Expected Fee Schedules Section   
Creat[Alt] + [T] Add a new fee schedule to the table.Configuring Fee Schedules
Update [Alt] + [P] Modify the selected fee schedule configuration.

Updating Fee Schedules

Delete [Alt] + [E] Removes the fee schedule from the master list.Deleting Fee Schedules
Clon[Alt] + [N] Creates a copy of a fee schedule.Cloning Fee Schedules
Recompute [Alt] + [M] Update expected amount on all applicable lines that do not contain a payment.Recomputing Fee Schedules