Workers' Comp Fee Schedule

If you haven't already done so, please read Fee Schedules Overview, and Gross and Net Billing before proceeding.

Summary

The Workers' Comp fee schedule carries your "list prices", the fees you will charge for these services in the absence of any discounts. These fees are carried in the CPT code record and can be edited there.

Some multi-clinic enterprises operate in more than one state. To address various complexities of billing that arise because the laws and conventions for Workers' Comp billing which vary from state to state, the software allows you to enter clinic and state specific fee schedules.

You are not limited to using standard fees. You can also enter special pricing for a carrier. This can be an across the board discount, or it can be override fees set up for specific activities. Special pricing is set up on an exception basis when you enter a new carrier and create its billing account. Please read Gross and Net Billing for an explanation of how to tell the software whether you want to bill at your gross price An undiscounted price set up in a fee schedule. This is distinct from the net price calculated after applying a discount from the fee schedule. The application can be configured to print the gross price on an invoice and carry that amount in the A/R. (thereby leaving it to the payer to take the discount), or whether you want to bill at the net price The price of a service derived from taking a discount from the fee schedule or using an override price in lieu of the standard fee. The application can be configured to print the net price on an invoice and carry that amount in the A/R. (net of the discount offered).

While a new fee schedule can take a while to enter, it comes into effect at a specific time. The program allows you to enter fees in advance, and them put them into effect at the designated time. Furthermore, you can import, export, and transfer fee schedules. This allows you to export the current fee schedule, update it with Excel or another program, then import the revised schedule. Furthermore you transfer fees from one schedule to another. So, if you have entered a new Workers' Comp fee schedule and want to use the same one for Private Practice, you do not need to re-enter all the fees.

What Do You Want To Do?

Some employers are self-insured for Workers' Comp. The program will use the Employer fee schedule for their Workers' Comp invoices.

Get Ready

• Tell the software to use standard Workers' Comp fee schedule(default)

• Tell the software to use a clinic or state fee schedule for Workers' Comp fees

• Copy the standard Workers' Comp fee schedule to a clinic or state fee schedule

• Which Fee Will Be Used for Workers' Comp?

Enter Fee Schedules

• Steps to set up the standard workers' comp fee schedule

  1. From the Setup/Admin on the Launch Pad, select the BILLING SETUP sub-tab, the click the Standard Fee Schedules button.

  2. Click the Workers' Comp tab.

  3. Highlight any item and click Change.

  4. In the field marked, Current Charge, enter the Workers' Comp fee for this service.

  5. Click OK to save the amount. You will be returned to the [Standard Fee Schedule] window.

  6. Repeat steps 3 through 5 for each fee, to enter the fees for all the items on your list.

  7. Click Close to close the window.

• Enter special pricing for a carrier

• Print a fee schedule

  To print the fee schedule, click the Print button in the lower right side of the Fee Schedule window.

• Enter fee schedules to become effective at a later date

See Also