Fee Schedule / General Procedures Tab

Overview

The Fee Schedule: New and Fee Schedule: [name] pages are comprised of six tabs:

The General Procedures tab contains the list of the general procedures that are included in the fee schedule. Use the tab to add general procedures manually or to import them from the master set of procedures.

For fee schedules that calculate fees for general procedures, at least one general procedure is required for the fee schedule. For an expected fee schedule, add only the procedures charged as a flat fee.

See the Configuring Fee Schedules topic for additional details.

How to Get Here?

To open the General Procedures tab for new fee schedule:

From the Home Page:	From the Menus:	Via Shortcut Keys:
Click Fee Schedules from the Admin list. Click Create. Click the General Procedures tab.	Open the Admin menu and select Fee Schedules. Click Create. Click the General Procedures tab.	From the Fee Schedule: New or Fee Schedule: [name] page, press [Alt] + [R]. Click the General Procedures tab.

To open the General Procedures tab for existing fee schedule:

From the Home Page:

From the Menus:

Via Shortcut Keys:

Click Fee Schedules from the Admin list.
Select the fee schedule to be modified.
Click Update*
Click the General Procedures tab

*Alternate Navigation: Double-click the fee schedule from the list.

Open the Admin menu and select Fee Schedules.
Select the fee schedule to be modified.
Click Update*.
Click the General Procedures tab.

*Alternate Navigation: Double-click the fee schedule from the list.

From the Fee Schedules page, select the fee schedule to be modified.
Press [Alt] + [U].
Click the General Procedures tab.

(Click an image below to enlarge.)

Fee Schedule: New Page / General Procedures Tab

Fee Schedule: [name] Page / General Procedures Tab

Field Definitions

Field	Type	Required	Description
Filters	Filter	No	Allows the list of General Procedures to be filtered by Code. As you type, the Procedures in the list are filtered to show only those that match what was typed. To restore the list to all General Procedures, clear the contents of the filters.
*Procedure Fields*
Year	Drop Down	Yes	The year that the procedure code was released by the AMA. When in edit mode, you can either type the year, or select the appropriate year from the list that appears when you begin typing in this cell.
Code	Drop Down	Yes	The code that identifies the procedure. When in edit mode, you can either type the procedure code, or select it from the list that appears when you begin typing in this cell.
Mod	Free Text	No	The modifier for the procedure.
Description	Read-only	Yes	The description of the procedure code. Populates based on the Code selection.
Facility Amount Fields
Calc Amount	Read-only	Yes	The system-calculated fee for the procedure when it is performed at a facility, which defined by HCFA is a hospital, skilled nursing facility, community mental health center, or ambulatory surgical center.
Override	Free Text (Numeric)	Yes	The amount of the override fee for the procedure, if applicable. This amount appears in red.
Non-Facility Amount Fields
Calc Amount	Read-only	Yes	The system-calculated fee for the procedure when it is performed at a non-facility, which defined by HCFA is any facility other than a hospital, skilled nursing facility, community mental health center, or ambulatory surgical center.
Override	Free Text (Numeric)	Yes	The amount of the override for the procedure, if applicable. This amount appears in red.

Button Descriptions

Button	Shortcut Keys	Description	Step-By-Step Guides
Add	Not applicable	To add a general procedure code to the fee schedule.	Click Add. The Update General Procedure window opens. Open the Code drop down list and select the procedure being added. To find a procedure, type the digits of the procedure code in the space provided. As you type, the first procedure that matches the digits typed becomes highlighted. To see a procedure that is not visible in the list, use the scroll bar to scroll down the list. To select a procedure, click on it. If the CPT Code contains an NDC Code, the NDC Code field will be populated accordingly. It can be edited as needed. (Optional) Enter a modifier in the Mod field. To override the calculated amount for a procedure performed in a facility, enter the amount of the override fee for the procedure when it is performed at a facility in the Override field in the Facility Amount section. To override the calculated amount for a procedure performed in a non-facility, enter the amount of the override fee for the procedure when it is performed at a facility in the Override field in the Non-Facility Amount section. (Optional) Click Save & Add Next to add additional procedure codes. Repeat the above steps for each procedure being added. Click Save once all procedure codes have been added.
Update	Not applicable	To update a general procedure code.	Select the code to be modified. Click Update. The Update General Procedure window opens. Update the code information, as needed. Click Save.
Remove	Not applicable	Delete a general procedure code.	Select the procedure code from the list to delete. Click Remove. The Remove Procedure window opens. To confirm the removal, click Yes. To cancel the removal, click No.
Import	Not applicable	A two-step process: Define the rules you want to use for importing the procedures. Select which procedures you want to import.	Importing Procedure Codes

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Overview

Field Definitions

Field

Type

Required

Description

Button Descriptions

Button

Shortcut Keys

Description

Step-By-Step Guides

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