Table of Contents
Want to try it out live? Click here for a step by step tour!
What is a Fee Program?
A Fee Program provides the structure for how a patient will pay, and is where you configure the specific fees, specialty codes, and diagnostic codes specific to this payment structure.
Examples of Fee Programs
- Direct Billing to Patient
- Sliding Scale Billing Program
- Insurance Specific Billing
In the case of insurance providers, each insurer should have their own fee programs in order to link registration numbers, and insurer specific prices.
The structure of the fee program is managed through the creation of the following codes:
Once the fee program has been created the individual codes in it are referenced by Billing Templates which are used to generate an invoice. For more information on Billing Templates, please refer to this article.
Service Codes
Service codes will tell Adracare how to charge a patient for service rendered or product sold in an invoice.
Specialty Codes
Specialty codes are normally used to categorize the type of provider that is performing the service. Provincial insurers and other insurance companies may have differing specialty codes and they should be configured accordingly.
Diagnostic Codes
Diagnostic codes are normally used to identify specific medical conditions. You are able to fill out the diagnostic code information and also save that to your feed program.
Creating A Fee Program
In order to create a new Fee Program please follow these steps:
- Navigate to Billing Setup under Billing
- Click on the Fee Program tab
- Press Add on the right side of the screen
- Fill in the relevant fields
- Name * - The name of the Fee Program as it will appear in the system
-
Type * - Indicates the type of Fee Program, the options are:
- Government - For Government programs such as Ontario's OHIP program
- Insurance - For specific insurance companies
- No Insurance - For when the patient is paying out of pocket
- Fee Program Code - Internal Reference Code for the Fee Program
- Phone Number - Your organization's phone number
- Fax - Your organization's fax number
- Currency - Billing currency
- Address - Your organization's address
- Organization Billing Number - Organization level registration number that may be required for insurance or other reasons
- Invoice Header - Custom header text for your invoice
- Invoice Footer - Custom footer text for your invoice
- Press Save
Creating a Service Code
In order to create a new service code, please take the following steps:
- Click the three dots under the Actions column for the Fee Program you would like to create the service code for
- Press Add on the right side of the screen
-
Fill in the relevant details
- Code - Internal reference name (ex. individual_125) Does not appear on invoices
- Service Label*- What will appear on the invoice when this service code is added (ex. Individual Therapy) Appears on invoices
- Price - The cost of the service
- Tax / VAT code - Taxes that this service code supports
-
Description - Internal description for reference
- Click Save
Creating a Specialty Code
In order to create a new specialty code, please take the following steps:
- Click the three dots under the Actions column for the Fee Program you would like to create the specialty code for
- Press Add on the right side of the screen
-
Fill in the relevant details
- Name - Name of the Specialty Code
- Code - Reference Code
- Specialty*- Specialty Type
- Description - Internal description for reference
- Click Save
Creating a Diagnostic Code
In order to create a new diagnostic code, please take the following steps:
- Click the three dots under the Actions column for the Fee Program you would like to create the specialty code for
- Press Add on the right side of the screen
-
Fill in the relevant details
- Code- Internal reference name Does not appear on invoices
- Diagnostic Label * - What will appear on the invoice when this diagnostic code is added Appears on invoices
- Price - Price of diagnostic service
- Tax / VAT code - Taxes that this diagnostic code supports
-
Description - Internal description for reference
- Click Save
Updating a Fee Program
Once a fee program is created you will be able to edit, delete and create specific codes associated with this. To do so, select the 3 dots under the Actions column and select the action you would like to take.
- Edit - Will open a screen similar to the creation window and allow you to make any necessary changes
- Delete - Will delete the Fee Program and any Service/Specialty/Diagnostic codes attached to it
Troubleshooting
Comments
0 comments
Please sign in to leave a comment.