Entering Fees

 

In the Practitioner Setup, the Fee can be entered as follows:

o       For a specific dollar amount, enter a valid amount only. This can be preceded with the '$' currency symbol, but is not mandatory.

o       For a Schedule fee calculation, 'S' must be the first character. Fees calculated from the Schedule can include additions, subtractions and percentage multipliers.

o       $0.00 - Allows you to enter a figure to charge for the item in the Fee field.

o       Schedule - Allows you to charge the same fee as the Medicare Benefits Schedule.

o       Schedule x 100.00% - Allows you to modify the percentage figure. For example, to set your fee for a particular item to Schedule x 150%, select the Schedule x 100.00% from the Fee drop-down box and modify the percentage amount to 150%. Select the item to modify, when the item is selected the fee is modified. This procedure can be used to modify Benefit and AMA settings by selecting Benefit x 100.00% or AMA x 100.00% from the drop-down box.

o       Schedule - $0.00 - Allows you to modify the ($0.00) amount by adding or subtracting a specific amount. For example, to add $20 to a specific item, select the Schedule - $0.00 from the drop-down box in the Fee field. Enter +20.00 and click the item. The fee is modified by the amount entered. This procedure can be used to modify Benefit and AMA settings by selecting Benefit - $0.00 or AMA - $0.00 from the drop-down box.

To subtract a specific amount from an item, enter a minus sign in front of the amount, for example, -10.00.

 

o       Benefit - Allows to charge a percentage of the Schedule amount.

o       Benefit x 100.00% - Allows you to modify the percentage figure as described in Schedule x 100.00%.

o       Benefit - $0.00 - Allows you to modify the ($0.00) amount by adding or subtracting a specific amount as described in Schedule - $0.00.

o       AMA

o       AMA x 100.00%

o       AMA - $0.00

 

Negative percentages are not permitted in any of the fee calculations.

Examples:

  • S - The fee will be the Schedule amount.

  • Schedule + 10, S+10, S10 - The fee is calculated as the Schedule + $10.

  • Schedule - 10, S-10 - The fee is calculated as the Schedule - $10.

  • Schedule x 10%, S10% - The fee is calculated as the Schedule x 10%.

  • For a Benefit fee calculation, 'B' must be the first character. Fees calculated from the Benefit can include additions, subtractions and percentage multipliers. For example:

  • B - The fee will be the Benefit amount.

  • Benefit + 10, B+10, B10 - The fee is calculated as the Benefit + $10.

  • Benefit - 10, B-10 - The fee is calculated as the Benefit - $10.

  • Benefit x 10%, B10% - The fee is calculated as the Benefit x 10%.

  • For a AMA fee calculation, "A" must be the first character. Fees calculated from the AMA can include additions, subtractions and percentage multipliers. For example:

  • A - The fee will be the AMA amount.

  • AMA + 10, A+10, A10 - The fee is calculated as the AMA + $10.

  • AMA - 10, A-10 - The fee is calculated as the AMA - $10.

  • AMA x 10%, A10% - The fee is calculated as the AMA x 10%.