We are currently updating the OP Help Center content for the release of OP 14.19 or "OP 19". OP 19 is a member of the certified OP 14 family of products (official version is 14.19.1), which you may see in your software (such as in Help > About) and in the Help Center tabs labeled 14.19. You may also notice that the version number in content and videos may not match the version of your software, and some procedural content may not match the workflow in your software. We appreciate your patience and understanding as we make these enhancements.

Fee Schedules

Version 14.19
Billing tab > Procedure (CPT) Codes

Overview

The Fee Schedule is a complete listing of fees charged for service.  Fee schedules may be viewed and/or edited for an individual CPT code or by CPT code category. If it is necessary to edit an entire fee schedule, users will find it easier to use the Modify Fee Schedules button rather than editing individual CPT codes or CPT Code categories. Once fee schedules are entered, they can be assigned to the specific insurance payers by going to Billing tab > Payers. The appropriate fee schedule must appear Fee Schedule field in order for that schedule to be used on claims for the specific Insurance Payers.

Note: Only users who have the permission to edit the CPT Code table may make edits to Fee Schedules. The necessary permission is Billing_FeeSched_Modify. If access to this code table is not given, the staff member needing access should contact their practice administrator.

View or Edit Fee Schedules for an Individual CPT code

  1. Navigate to the Procedure (CPT) Code table using the path provided above.
  2. Enter all or part of the CPT Code (if known) or a Description of the code.
  3. Click the Search button. Results for your code search will display. If your CPT code window is not enlarged, it may be necessary to scroll to the right to see more details of the CPT code or enlarge the window. In the image below, you can see the charge amount for Fee Schedule 1 for CPT code 99213 is highlighted.

  1. If edits are necessary, select the code you would like to edit. 
  2. Click Edit.
  3. Enter the desired value into the appropriate fee field.
  4. Click the Save buttonto save your changes.   

View or Edit Fee Schedules for CPT Codes by Category

  1. Navigate to the Procedure (CPT) Code table using the path provided above.
  2. Select the Category radio button.
  3. From the Category dropdown, select the category of codes you would like to view. The codes assigned to the selected category will display in the grid. For example, many practices have codes 99201 through 99205 and codes 99211 through 99215 assigned to the Encounter category. If your CPT code window is not enlarged, it may be necessary to scroll to the right to see more details of the CPT code or enlarge the window. 
  4. If edits are necessary, click in the appropriate Fee field and make your edits. 
  5. Click Save when completed to save your changes.
Practices often utilize Fee Schedule 19 and Fee Schedule 20 for internal or reporting purposes. Fee Schedule 19 is commonly used to house costs for items such as vaccines, medications, and other supplies.  Fee Schedule 20 is commonly used to add RVUs.  Reports for both fee schedules can be accessed using the Reimbursement Analysis Report. 
Version 14.10
Utilities > Manage Codes > Procedure (CPT) Codes

Overview

The Fee Schedule is a complete listing of fees charged for service.  Fee schedules may be viewed and/or edited for an individual CPT code or by CPT code category. If it is necessary to edit an entire fee schedule, users will find it easier to use the Modify Fee Schedules button rather than editing an individual CPT code or CPT Code category. Once fee schedules are configured, they can be assigned to the specific insurance payer by going to Utilities > Manage Practice > Insurance Payer.  Edit the payer, and place the applicable fee schedule in the "Fee Schedule" field.

Note: Only users who have permissions to access the CPT Code table may make edits to Fee Schedules. If access to this code table is not given, the staff member needing access should contact their practice administrator.

View or Edit Fee Schedules for an Individual CPT code

  1. Navigate to the Procedure (CPT) Code table using the path provided above.
  2. Enter all or part of the CPT Code (if known) or a Description of the code.
  3. Click the Search button. Results for your code search will appear. If your CPT code window is not enlarged, it may be necessary to scroll to the right to see more details of the CPT code or enlarge the window. In the image below, you can see the charge amount for Fee Schedule 1 for CPT code 99213 is highlighted.

  1. If edits are necessary, select the code you would like to edit. 
  2. Click the Edit Record button .
  3. Enter the desired value directly into the appropriate fee field.
  4. Click the Post Edit button  to save your changes.   

View or Edit Fee Schedules for CPT Codes by Category

  1. Navigate to the Procedure (CPT) Code table using the path provided above.
  2. Select the Category radio button.
  3. From the Category dropdown, select the category of codes you would like to view. The codes assigned to the selected category will appear in the grid. For example, many practices have codes 99201 through 99205 and codes 99211 through 99215 assigned to the 'Encounter' Category. If your CPT code window is not enlarged, it may be necessary to scroll to the right to see more details of the CPT code or enlarge the window. 
  4. If edits are necessary, click in the appropriate Fee field and make your edits. 
  5. Click the Post Edit button when completed to save your changes.
Practices often utilize Fee Schedule 19 and Fee Schedule 20 for internal or reporting purposes. Fee Schedule 19 is commonly used to house costs for items such as vaccines, medications, and other supplies.  Fee Schedule 20 is commonly used to add RVUs.  Reports for both fee schedules can be accessed using the Reimbursement Analysis Report.