Quick Reference — To update a procedure code for UDS reporting

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athenaOne automatically determines UDS visit types based on procedure code and provider. You can see which procedure codes qualify a clinical encounter as a UDS visit in the CPT Inclusion-Exclusion list on the Success Community. You can override the default classification of a procedure code using the UDS visit field.

Note: The UDS visit 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.

  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. Procedure code lookup or Procedure description lookup — Enter the procedure code or exact description and then click Filter, or click Show All to display the complete list of procedure codes in the schedule.
  5. Click the update link for the desired procedure code.
    The Edit Procedure Code view appears.
  6. 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 — Select this option to indicate that this procedure code qualifies a clinical encounter as a UDS visit in your UDS reports.
    • No — Select this option to indicate that this procedure code does not qualify a clinical encounter as a UDS visit in your UDS reports.
    • Default — Select this option if you previously set this field to Yes or No but now want to reset the behavior of the procedure code to the default value specified in the CPT Inclusion-Exclusion list.

    Note: For more information, see Using the UDS Visit Inclusion report on the UDS Reports page.

  7. Edit other fields as needed.
  8. Click Save.
    Overnight, athenaOne reclassifies the applicable visits as either UDS-eligible or not since the beginning of the calendar year. athenaOne makes no changes to visits with a UDS visit type service type add-on override.