Online Documentation
Online Documentation
| Fee Schedule
Maintenance |
The Fee Schedule
is the actual fee rate or range of fee rates. Each fee schedule record will have a
user defined code and description. If the fee schedule is just a simple fixed fee
rate, then the fee rate will be put into the Fixed Amount field. The Billing
Frequency for this rate and description must be entered. A fee rate can also be
based upon a wage rate. This could either be the member’s wage rate or the
default contract wage rate as defined in the contract file. A factor can be entered
into the appropriate wage field. This factor is multiplied by the wage rate to
achieve the fee rate. For example, if the fee is 10 times the member wage, then a
value of 10 would be entered in the member wage factor field. A constant value can
be added to this calculated fee rate by placing a value in the fixed amount field.
If the fee is five times the defined contract wage in the contract file plus $10
then the Contract Wage factor would be 10 and the Fixed Amount field would have 10.00. The user can select to Use Wage Ranges to define a schedule of wage ranges for either fixed or wage factor fee determination. Selecting to use wage ranges will turn the screen into a grid to allow multiple records to represent the wage ranges required to define the fee. The user must select to use either the Member wage or the Contract wage (M or C). Records can be added to the grid by using the red add button in the upper left corner of the grid and records can be deleted by clicking on the white space to the left of the From Wage field while in the edit mode. The Rules for This Fee Definition tab allows the user to view all the definitions tied to this fee schedule with their corresponding definition rules.  |
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