For each insurer, you can set fee schedules which define the dollar amount the insurer has agreed to pay a specific doctor for a specific CPT. i.e. the contracted rate fee schedule.
The allowed amount is the insurer’s contracted rate (for the doctor who performs the service). The difference between the contracted rate & your standard CPT fee is automated as a non-collectible payment entry in the ledger.
For example if a charge for a CPT is $75 & the fee schedule allowed amount is $50 when adding visits a $25 non-collectible payment will be posted to ledger automatically along with the visit/charges. Read more…
Tips & Hints
The Scheduler is your computerized daybook that integrates with ledger and patient data. It is customizable, including the setting hours, breaks and appointments per time slot for each day, for each doctor. The Scheduler was specifically designed to allow the vast majority of daily functions to be performed from this single screen (i.e., scheduling, posting charges, patient payment/co-payment, walkout receipt, access to patient careplan/travel card, etc.).
The Scheduler is also integrated with the Patient Claim Wizard & Ledger. You can set your default appointment information for each patient, for each “claim”, in the Claim Wizard. This includes default charges, times, etc. Typical appointment information that can be collected in the scheduler includes treatment codes (CPT, Multi & User codes) and treating doctors. This can streamline data entry, saving time & reducing errors. The scheduled charges/services (CPT, Multi & User codes) will be posted to the Patient’s Ledger when you set the visit status to kept (from waiting or treating). From the ChiroPulse start page “MyOffice” click the top icon bar “View scheduler” to launch the scheduler window. The scheduler is self-contained in an independent window to allow for quick return to office & patient tasks not scheduler related.
Scheduler Overview ~ what each button & clickable item does:
dimmed choices until a patient is selected
Scheduler, Tips & Hints