Fee Schedules play a crucial role as they establish standardized rates, ensure billing accuracy, maintain consistency across providers, facilitate efficient reimbursement, support regulatory compliance, promote transparency for patients, and enhance billing efficiency.
Adding a new fee schedule
Click Utilities.
Click Practice Setup and then select Fee Schedules.
Click, New Fee Schedule.
Add a Procedure Code to the Fee Schedule by selecting the + button. Once you have completed this page, click Save.
Attaching fee schedules to procedure codes
Click Practice Setup and then Procedure Codes.
Search for the correct Fee Schedule by typing it into the code search bar.
If the CPT code you are searching for does not show up, try deselecting "Only Favorite Records" and search for the CPT code again. You will then want to click the hollow heart in order to favorite the code.
Click on the Procedure Code.
Click the + sign at the bottom of the Charge Transaction Code screen to add a fee schedule.
Add the Fee Schedule you just created, as well as the fee amount, expected rate, and status.
Additional information
Setting default fee schedule for self-pay encounters
Associate the company preference Default Self Pay Fee schedule with a fee schedule so that any new encounter (with a Self Pay case) added to the system or imported from another system will automatically get populated with the selected fee schedule.
For further information on the CMS Medicare Fee Schedule, click here!
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