Fee Schedule

From the menu bar, click Admin and then click Fee Schedule.

Enter the fee schedule’s title.
Select Charge Amount or Expected Amount. There are two types of fee schedules: charge fee schedules and expected fee schedules. Charge fee schedules autofill the fee for the CPT code, while expected fee schedules autofill the allowed amount, which is used in underpayment reporting.
Select the Location to be associated with the fee schedule locality (based on Medicare).
To select providers, click to highlight the provider and then click Add.

Select insurance profiles:
- Payer Class: This list is generated from the payer class options when adding an insurance profile in the patient chart.
- Payer Name: This list is generated from the users list of payers within Payer Maintenance.
- Plan Name: This list is generated from the plan names created in Payer Plan Maintenance.
Click Next at the bottom of the page.

Choose one of two templates: Medicare, Total RVU, Work RVU, or Custom.
Enter/save codes.
If Medicare is selected, select the year and percent or value.
If Total RVU or Work RVU is selected, select the year and conversion factor.
Click Save Fee Schedule.
Note: Only codes from the Standard Medicare fee schedule are created. Lab and drug codes need to be added via the custom method.

3 Options for Custom Procedure

1. Using a Superbill (if there is already an existing Superbill)

To use a superbill as a template, select a superbill. All codes from the existing billing slip (superbill) will be displayed.
Enter an amount for the desired codes.
Click Save.

2. Manually Entering Each CPT Code

To manually enter codes, enter the procedure code or description and then click Search.
Select modifier(s) (optional). This provides you with the option to create multiple charge amounts for the same CPT, depending on the modifier selected.
Enter fees.
Click Save.
Continue adding codes and fees and when finished, click Save Fee Schedule.

3. Uploading a File

To upload a CSV file, click View sample file to download a template. Follow the instructions provided in the template.
Click Save Fee Schedule.
Add Fees