VII: Pricing

Question 1

Fee schedules are defined as:

Answer 1

procedure and an amount

Question 2

True or False: Contact dates can be a date in the future or past

Answer 2

True. Prices for procedures change over time.

Question 3

How is the total amount calculated in Unit Charge?

Answer 3

Base Charge + (Unit Charge*Quantity)

Question 4

What is the INI of Fee Schedule?

Answer 4

FSC

Question 5

What are the different types of algorithm in setting up a fee schedule?

Answer 5

Units, Days, Timed and Anesthesia. If left blank, it will default to units.

Question 6

Interval length field

Answer 6

Number of minutes in one interval for a timed procedure

Question 7

What different types of interval methods are there?

Answer 7

Intervals and End Points

Question 8

What is the Interval method?

Answer 8

Counts the number of intervals between the beginning and end time of the procedure.

Question 9

What is the end point method?

Answer 9

Counts the number of end points (including the first) of all intervals from the start to the finish of the procedure.

Question 10

What is the rounding method

Answer 10

enter always up; enter always down; enter standard

Question 11

Fee schedule options screen is found in Text or Hyperspace?

Answer 11

Text

Question 12

What does Schedule Fee Schedule Recompilation do?

Answer 12

Indicates how and when the system compiles fee schedules. If yes, use batch scheduler 7013. Leaving it blank or entering No is recommended by epic.

Question 13

What is the INI of Fee Schedule Group?

Answer 13

FSG

Question 14

What is the correlation between Fee Schedules and Pricing?

Answer 14

Fee schedules alone will not assign prices to your charges. It must be attached to fee schedule groups which tell the system when to apply a particular fee schedule

Question 15

T or F: Modifiers always affect the price of the charge

Answer 15

False

Question 16

What are the three Modifier Methods?

Answer 16

Informational, Percentage Charge, Fee Schedule

Question 17

Define the Informational Modifier Method

Answer 17

No impact on Price. Can be added or deleted in Account Maintenance and Claim Edit WQs

Question 18

What is the Percentage Change Modifier Method?

Answer 18

Applies a fixed percentage change to the price only if no price contract is in use.

Question 19

What is the Fee Schedule Modifier Method

Answer 19

This is the default modifier method if you do not define one. Can only be used when the modifier is associated with a procedure in the fee schedule.