Fee Schedules

Information about Fee Schedules

Billing / Fee Schedules Fee Schedule Asking for a Fall Back Rate

When adjusting fee schedule start and end dates, the fee schedule needs a fall back rate. A fall back rate is what the system will use if one situation does not exist. If you receive an error about the fallback rate, that is due to the original fee schedule being deleted.

To fix this, delete the dated rates for a fee schedule and add a new one starting without a date range. Then, a range can be added after the fee schedule is linked.

Billing / Fee Schedules Fee Schedules

Fee Schedules are used to organize your payor’s rates in one single location within CentralReach. Fee Schedules allow you to link your payors insurance plans together and easily apply one defined rate across all plans for a specific service code.

Billing / Fee Schedules Rate vs. Agreed Rate in the Fee Schedule

When adding a Fee Schedule to a Service Code, enter a Rate and an Agreed Rate. The Rate is the amount you are charging for a specific service, while the Agreed Rate is the service rate negotiated with an insurance carrier.

The Agreed Rate is typically lower than your Rate. If you do not have an Agreed Rate, then it should be equal to your Rate.

The owed amount in the Billing grid and on your billing reports, can be set to calculate based on your agreed/contracted rate.

Click here to learn how to add a fee schedule to a service code.

Billing / Fee Schedules / Billing / Service Codes The Defaults Column in the Service Codes Grid

The “Defaults” column in the Service Codes grid displays the number of fee schedule rates associated with the service code.

When clicking over the value under the default column, you will be redirected to view the fee schedules attached to the service code and their corresponding Rate and Agreed Rate. A service code can have multiple fee schedules attached.

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Click here to learn more about the difference between Rate and Agreed Rate.
Click here to learn how to create a fee schedule.