Adding Proc/Svc/Revenue Rates

This area allows users to add rates to selected Procedure/Service/Revenue codes. The user will add rates to the procedure/service/revenue codes whenever the business policies determine to use fee schedule/flat rate pricing methodologies. The added rate will be used in adjudicating the bills to determine payment amount.

To add Proc/Svc/Revenue Rates:

In the Rate Settings tab, select the Proc/Svc/Revenue Rates hyperlink.

The system displays the Manage Proc/Svc/Revenue Rates list page.

Select the Add button.

The system displays the Add Proc/Svc/Revenue Rate Detail page.

Select a Program from the drop-down list.
Select a Source from the drop-down list.
Select the left-facing arrow next to the Procedure field.
From the Filter drop-down menu, select a filter, enter a search term in the adjacent text box (a required field), and select Go.

For example, from the Filter drop-down list, select Procedure Code and enter “%103” in the adjacent text box, and then select Go.

The system updates the Procedure Lookup page with procedure codes that match the filter criteria you entered.

Select the required procedure code and select the OK button.

The system displays the Add Proc/Svc/Revenue Rate Detail page and populates the Proc/Svc/Revenue Code field.

Select a Rate Type Category from the drop-down list.
Select a Claim Type from the drop-down list.
Select a Rate Type from the drop-down list.
Enter a Rate in the adjacent field.
Select and Start Date and an End Date.

The following fields are optional for adding a new Proc/Svc/Revenue Rate:

Proc/Svc Code Modifier
CNTY/REGN
Facility Type Code
Age Range
Remarks

Select or enter any optional information as needed and select the Save button.
The system saves the new rate and displays the Manage Proc/Svc/Revenue Rates page.

Adding Proc/Svc/Revenue Rates

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