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1.1 Charge Utility: Setting Your Fee Schedule
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:
- Select a Fee Schedule from the drop-down menu on the bottom of the page
- All accounts are generated with a 'Default' blank fee schedule - this cannot be deleted
- Under Narrative search by description or under Standard Code you can search by CPT code.
- Enter: Standard Charge($) Amount
- Optional: Enter the Expected Reimbursement $ amount
- 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
- Eff. Date: Enter the earliest date you will bill for Patient DOS', the system will allow for any DOS' from this date forth.
- Default TOS: Most commonly used 'Medical Care'
- Default POS: Most commonly used '11 Office'
- 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.
- 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:
- Click 'Create New Fee Schedule'
- Assign the Fee Schedule a Name
- Optional: You may use the 'Copy From' drop-down menu to duplicate and then edit an existing Fee Schedule
- Click Save
This Fee Schedule enhancement will allow you to save separate fee schedules both with and without modifiers.
To Delete A Fee Schedule:
- Select an existing Fee Schedule from the Fee Schedule drop-down menu
- Click Delete
- Note: You cannot delete the 'Default' Fee schedule
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