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Overview

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The Fee Schedules page allows you to access and manage billing and expected fee schedules for the practice. There are three available types of fee schedules: Billing, Expected, and Compensation.

The billing fee schedule 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 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.

The compensation fee schedule is used for practices that compensate providers per procedure. This fee schedule contains the rates and fees that are going to be calculated based on compensation.

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

See the Configuring Fee Schedules topic for additional details.

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To open the Fee Schedules tab:

From the Home Page:	From the Menus:
Click Fee Schedules from the Admin list.	Open the Admin menu and select Fee Schedules.

Field Definitions

Field	Type	Required	Description
Type	Display Only (pulled from created/updated Fee Schedules)	Yes	The categorization, or type, of fee schedule. Options include: Billing, Expected, and Compensation.
Name	Display Only (pulled from created/updated Fee Schedules)	Yes	The name of the fee schedule as established in the fee schedule configuration.
Description	Display Only (pulled from created/updated Fee Schedules)	No	The description of the fee schedule as established in the fee schedule configuration.
Effective	Display Only (pulled from created/updated Fee Schedules)	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	Display Only (pulled from created/updated Fee Schedules)	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.
Status	Display Only (pulled from created/updated Fee Schedules)	Yes	The current active status of the fee schedule. The values are Active or Archived. The status displays as Archived if the Archive checkbox is selected on the Fee Schedule / General Fee Schedule Information tab.

Button Descriptions

Button

Shortcut Keys

Description

Step-By-Step Guides

Search

[Alt] + [S]

Search for a fee schedule(s) in the list.

Click Search.
The Search Criteria window opens.
Enter the search criteria.
Click OK.

Create

[Alt] + [C]

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] + [N]

Creates a copy of a fee schedule.

Cloning Fee Schedules

Recalculate

[Alt] + [R]

Update expected amount on all applicable lines.

Recalculating Fee Schedules

View Attachment

[Alt] + [V]

Opens the Image Viewer page to display or add an attachment to the fee schedule.

Select the fee schedule.
Click View Attachment. The Image Viewer page opens.

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If the fee schedule has any attachments, open the Set ID drop down list and select the attachment to view. If no attachments currently exist, a new attachment can be added to the fee schedule record by scanning or importing the image and attaching it.