The Fee Schedule Export extracts the payment lines related to CPT/HCPCS Procedures, Charges, and Fees. Below you will find a detailed definition of possible inputs and outputs.
Data Location: Setup>Procedure Codes
Inputs
- Effective From: Beginning date for the fee schedule
- Effective To: Ending date for the fee schedule
- Amount = $0.00: Include any Procedure codes with a value of $0.00
- Financial Class: Codes/Fees associated with a specific Financial Class or Classes
- Payer: Codes/Fees associated with a specific Payer/Payers
- Provider: Codes/Fees associated with a specific Provider/Providers
- Service Location: Codes/Fees associated with a specific Location/Locations
Outputs
- Code: Code as created
- Code_Type: CPT/HCPCS
- Code_Start_Date: Effective start date of the code
- Code_End_Date: Effective end date of the code
- Practice: Practice name associated with a code/fee
- Payer: Payer associated with a code/fee
- Provider: Provider associated with a code/fee
- Financial_Class: Financial Class associated with a code/fee
- Location: Service Location associated with a code/fee
- Fee_Start_Date: Effective start date of the fee group associated with a code/fee
- Fee_End_Date: Effective end date of the fee group associated with a code/fee
- Fee_Type: Whether a code/fee is priced as a Flat Rate or Per Unit
- Fee: Amount charged for a code/fee
- Allowed: Allowed amount for a code/fee
- In_House: In-House Cost of a code/fee
- Tax: Tax Amount in %
- RVU: Number of RVUs for a code/fee
- Units: Default number of units for a code/fee
- Time_Based: Whether or not a code/fee is time based rather than unit based
- Minutes_Per_Unit: On a Time Based code, how many minutes make up a single unit
- Rounding: Will the system round up or round down on a Time Based code/fee when calculating units
- Billing_Code: Code which is submitted/printed on a claim, which may be different than the created code
- Billing_Type: Default format under which a code/fee must be billed
- ASA_Code: Anesthesia code associated with this code/fee
- Patient_Only_Resp: Whether or not insurance can be filed for a code/fee
- NOC: Whether or not any NOC information has been added on the Drug tab
- Strength: The Strength as added for an NOC code on the Drug tab
- Measure: Whether or not there any Measurement information on the Drug tab
- Modifier_1, 2, 3, 4: Any default modifier(s) associated with a code/fee
- ICD9_1-8: Any default Diagnosis code(s) associated with a code/fee
- Required_Fields: Any default Required Fields associated with a code/fee
- Gender: If a code/fee is Gender Based
- Prior_Auth: Whether or not a code/fee requires Prior Authorization
- Accept: Whether or not a code/fee requires Assignment
- TOS: *No longer entered on any Procedure Code created*
- Narrative: The default Claim Narrative associated with a code/fee
- Description: The full Code Description for that code/fee
