Quick Reference — To add a procedure fee to a fee schedule

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  1. Display the Fee Schedules page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Fee and Allowable Schedules, click Fee Schedules.
  2. Click the edit procedure fees link for the schedule that you want to update.
    The Procedure Fees page appears.
  3. Look at the heading at the top of the page to verify the payer and name for this schedule.
    If you are viewing the wrong schedule, click the Fee Schedules link in the Task Bar.
  4. Click Add New.
    The Add Procedure Code view appears.
  5. CPT/HCPCS code — Enter the procedure code.
  6. Press the Tab key on your keyboard.
    The values for the Description and Procedure code group fields appear automatically if the fee already exists in one of your fee schedules. (If these values do not appear, it means that you mistyped the procedure code. Correct the procedure code and try again.)
  7. Patient-facing description — You can use this field to create a procedure code description that appears on billing statements. This description overrides the regular procedure code description on billing statements.
    Note: Please keep these descriptions updated and easily readable for patients.
  8. Amount — Enter the fee for this procedure.
  9. Miscellaneous billing section — Select this option to make this procedure available on the Claim Billing Tab in the Add Services list of procedures.
  10. UDS visit — The default value of this field (Default) indicates that this procedure code qualifies — or does not qualify — a visit as UDS eligible based on the default value specified in the CPT Inclusion-Exclusion list on the Success Community. The default value — Yes or No — appears below the field. To override the default value specified in the CPT Inclusion-Exclusion list, select one of these options:
    • Yes — This procedure code qualifies a clinical encounter as a UDS visit in your UDS reports.
    • No — This procedure code does not qualify a clinical encounter as a UDS visit in your UDS reports.

    Note: This field appears only if your organization has at least one department designated as a federally qualified health center (FQHC) on the Department Government Designations page. For more information, see the Field Reference.

  11. Enter information for any additional fields (see the Field Reference).
  12. Click Save.
    Note: You can view the CPT code and its description in the billing summary.