Overview
The Practice: New and Practices: [name] pages are comprised of fourteen tabs:
- General Practice Information Tab
- Affiliated Facilities Tab
- Affiliated Providers Tab
- Fee Schedules Tab
- Group Numbers Tab
- Statements Tab
- Pre-Collections Tab
- Guarantor Collections Tab
- Insurance Collections Tab
- External Collection Agencies Tab
- Refunds Tab
- Outcomes Tab
- Miscellaneous Tab
- Provider Groups Tab
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 is 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:
- General Fee Schedule Information Tab
- Anesthesia Billing Information Tab
- General Procedures Tab
- Anesthesia Procedures Tab
See the Configuring Fee Schedules topic for additional details.
(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 Text | No | 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. | |
| 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 | |||
| Create | [Alt] + [T] | Add a new fee schedule to the table. | Configuring Fee Schedules |
| Update | [Alt] + [P] | Modify the selected fee schedule configuration. | |
| Delete | [Alt] + [E] | Removes the fee schedule from the master list. | Deleting Fee Schedules |
| Clone | [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 |