Billing User Manual

1.1 Charge Utility: Setting Your Fee Schedule

Go To: BILLING > CHARGE UTILITY > FEE SCHEDULE

The billing system already houses a database for all the CPT Procedure Codes & official description listings.

To Set A Procedure Code Fee:

  1. Select a Fee Schedule from the drop-down menu on the bottom of the page 
    1. All accounts are generated with a 'Default' blank fee schedule - this cannot be deleted
  2. Under Narrative search by description or under Standard Code you can search by CPT code.
  3. Enter: Standard Charge($) Amount
  4. Optional: Enter the Expected Reimbursement $ amount
    1. The expected reimbursement allows you to keep track of the dollar amounts you anticipate receiving from a payer and will populate on the Account Activity Summary report
  5. Eff. Date: Enter the earliest date you will bill for Patient DOS', the system will allow for any DOS' from this date forth.
  6. Default TOS: Most commonly used 'Medical Care'
  7. Default POS: Most commonly used '11 Office'
  8. Modifiers: If codes are used both with/without Modifiers, save code without & you can add modifiers to specific patients & system will memorize those for future visits.
  9. Click SAVE

Modifiers / TOS / POS: These can be customized in the next section & you can add your own if needed & then attach to Fees.

When entering charges, if you ever receive a pop-up message indicating 'INVALID CPT CODE' this is an indication that you have yet to set a fee for the CPT code you are attempting to use. You can revisit this area to set a fee for that code, then return to entering the charges & use the intended code. Until you set your fees, codes will appear as $0.00

To Create A New Fee Schedule:

  1. Click 'Create New Fee Schedule'
  2. Assign the Fee Schedule a Name
    1. Optional: You may use the 'Copy From' drop-down menu to duplicate and then edit an existing Fee Schedule
  3. Click Save

This Fee Schedule enhancement will allow you to save separate fee schedules both with and without modifiers.

To Delete A Fee Schedule:

  1. Select an existing Fee Schedule from the Fee Schedule drop-down menu
  2. Click Delete
    1. Note: You cannot delete the 'Default' Fee schedule

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