Overview

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

The Anesthesia Procedures tab specifies the anesthesia procedures calculated by the fee schedule. Use the tab to add anesthesia procedures manually or import them from the master set of procedures.

If the fee schedule will be used to calculate anesthesia services, you must specify at least one anesthesia procedure. For an expected fee schedule, add only the anesthesia procedures for specific procedures, for example, labor and delivery. If you add anesthesia procedures, you must complete the options on the Anesthesia Billing Information tab.

See the Configuring Fee Schedules topic for additional details.

How to Get Here?

To open the Anesthesia Procedures tab for new fee schedule:

From the Home Page:
From the Menus:
Via Shortcut Keys: 
  1. Click Fee Schedules from the Admin list.
  2. Click Create.
  3. Click the Anesthesia Procedures tab.
  1. Open the Admin menu and select Fee Schedules.
  2. Click Create.

  3. Click the Anesthesia Procedures tab.

  1. From the Fee Schedules page, press [Alt] + [C].
  2. Click the Anesthesia Procedures tab. 


To open the Anesthesia Procedures tab for existing fee schedule:

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

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

  1. Open the Admin menu and select Fee Schedules.

  2. Select the fee schedule to be modified.

  3. Click Update*.
  4. Click the Anesthesia Procedures tab.

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

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

 

(Click an image below to enlarge.)

Fee Schedule: New Page / Anesthesia Procedures Tab

Fee Schedule: [name] Page / Anesthesia Procedures Tab


Field Definitions

Field

Type

Required

Description

Filters

Filter

No

Allows the list of Anesthesia 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 Anesthesia Procedures, clear the contents of the filters.

Procedure Fields


Year

Drop Down

Yes

The year that the procedure code was released by the AMA according to the American Society of Anesthesiologists (ASA). 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 DownYesThe 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 TextNoThe modifier for the procedure.
Description Read-onlyYes

The description of the procedure code. Populates based on the Code selection.

ASA Base Units Fields 


StandardRead-only YesThe base units for procedure as defined by ASA.
Override 

Free Text

(Numeric)

No

The value for the base unit override for the procedure, if applicable. This value will be used instead of the standard ASA base unit.

  • If specified, this value will appear in red.

  • This value must be a whole number, up to two decimal places.

Minutes Fields


Maximum

Free Text

(Numeric)

No

The maximum number of minutes used for calculating an anesthesia procedure. Use this value to specify the maximum billable minutes for an anesthesia procedure that is flat rate billed. The service fee will never be more than the flat rate. 

  • Override values appear in red.

  • Zero is not a valid value. If a zero is entered, the cell value is cleared when moving to the next cell.

  • This value must be a positive whole number, up to four digits (9999).

Time Unit Calcs Fields


Override time unit calculations for this procedure

Checkbox

NoThe override for the time unit tier structure for billing segments of anesthesia for the procedure. If specified, this value will appear in red.
Fee Fields 


Override 

Free Text

(Numeric)

NoThis column is used to override the standard fee set for the chosen procedure.

Button Descriptions

Button

Shortcut Keys

Description

Step-By-Step Guides

AddNot applicableTo add an anesthesia procedure code to the fee schedule.

  1. Click Add. The Update Anesthesia Procedure window opens.

  2. 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.

  3. To override the ASA base units, enter the amount of the override fee for the procedure in the Override field in the ASA Base Units section.
  4. To override the maximum minutes, enter the number of minutes for the override in the Maximum field in the Minutes section.
  5. To override the calculated time units, specify the override values via the Calculation Scale section fields (section is enabled upon selecting the Override time unit calculations for this procedure checkbox).
    1. Select the Override time unit calculations for this procedure checkbox.

    2. Specify the intervals for the segments.

  6. To override the fee associated with the procedure, enter the new fee amount in the Override field in the Fee section.

  7. (Optional) Click Save & Add Next to add additional procedure codes. Repeat the above steps for each procedure being added.

  8. Click Save once all procedure codes have been added.
UpdateNot applicableTo update an anesthesia procedure code.

  1. Select the code to be modified.

  2. Click Update. The Update Anesthesia Procedure window opens.

  3. Update the code information, as needed.

  4. Click Save.

RemoveNot applicableDelete an anesthesia procedure code.
  1. Select the procedure code from the list to delete.
  2. Click Remove. The Remove Procedure window opens.
  3. To confirm the removal, click Yes. To cancel the removal, click No. 
ImportNot applicable

A two-step process:

  1. Define the rules to use for importing the procedures.
  2. Select which procedures to import.
Importing Procedure Codes





 

Related Topics

Fee Schedules

Fee Schedules Page

Fee Schedule / General Fee Schedule Information Tab

Fee Schedule / Anesthesia Billing Information Tab

Fee Schedule / General Procedures Tab

Fee Schedule / Miscellaneous Tab

Fee Schedule / Audit Tab

Configuring Fee Schedules

Updating Fee Schedules

Deleting Fee Schedules

Cloning Fee Schedules

Recalculating Fee Schedules



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