Modify and Copy Fee Schedules

Version 20.13
Path: Billing tab > Procedure (CPT) Codes

About

Entire Fee Schedules can be edited or copied using the Global Fee Schedule Edit function. This function changes every CPT Code in the selected Fee Schedule and cannot be undone. If you are using this function to create a new Fee Schedule, remember to assign it to the appropriate Insurance Payer(s).

  1. Navigate to the CPT Code table by following the path above.
  2. Click the Category radio button and choose the appropriate CPT category from the drop-down menu.
  3. Click the Modify Fee Schedule button.
  4. Complete the equation as needed to update all CPT Codes in the selected Fee Schedule.


ExampleIf you would like Fee Schedule 3 to be 50% of Fee Schedule 1 your equation would be: Fee Schedule to be Changed: FEE3 = Fee Schedule FEE1 X 50% +0 Dollar Amt and/or 0%.

  1. Once completed, click Apply to save your changes. 
  2. Click Done to close the window. You will have to click another radio button and return to the Category radio button or close the CPT code table and reopen it to see the changes.

Note: This function can also be used to set up an identical or similar fee schedule. For example, if your Private Payer Fee Schedule (FEE1) is the same as your Medicaid Fee Schedule (FEE2) with the exception of vaccine charges, follow the equation below and then manually change the vaccine fee amounts in FEE2. Complete the equation as follows: Fee Schedule to be Changed: FEE2 = Fee Schedule FEE1 X 100% +0 Dollar Amt and/or 0%.

Version 20.12
Path: Billing tab > Procedure (CPT) Codes

Overview

Save time entering a new Fee Schedule by copying an existing fee schedule. Once the new fee schedule has been created, be sure to assign it to the appropriate Insurance Payer(s)

  1. Open the CPT Code Table.
  2. Click the Category radio button and choose the appropriate CPT category from the drop-down menu.

  1. Click the Modify Fee Schedule button.       
  2. Fill out the equation as needed. 


ExampleIf you would like Fee Schedule 3 to be 50% of Fee Schedule 1 your equation would be: Fee Schedule to be Changed: FEE3 = Fee Schedule FEE1 X 50% +0 Dollar Amt and/or 0%.

  1. Once completed, click Apply to save your changes. 
  2. Click Done to close the window. You will have to click another radio button and return to the Category radio button or close the CPT code table and reopen it to see the changes.

NoteModify Fee Schedule can also be used to set up an identical or similar fee schedule. For example, if your Private Payer Fee Schedule (FEE1) is the same as your Medicaid Fee Schedule (FEE2) with the exception of vaccine charges, follow the equation below and then manually change the vaccine fee amounts in FEE2. Complete the equation as follows: Fee Schedule to be Changed: FEE2 = Fee Schedule FEE1 X 100% +0 Dollar Amt and/or 0%.