Codes Section

The Codes section allows you to add, edit and find CPT, HCPCS and Revenue codes. You can manually set a default price for each code or create a custom Fee Schedule. You can also create Diagnosis codes, credit and debit Adjustments, Remittance remark and adjustment reason codes, ICD Procedure codes and Inventory codes. Within the Codes section, you can also configure your insurance Contracts.

The following help pages are supported by the current version of CollaborateMD. Please follow the curriculum outline to receive the proper training associated with this section.



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    The Contracts tab allows practices to keep track of their pre-negotiated reimbursement rates, for each procedure code and insurance company. Creating contracts will allow you to run reports to view a history of how payment schedules may have changed over time. Contracts can be applied to a specific entity such as a practice, provider, office location, facility, tax id, or place of service once associated with the payer (see Step 2 below). We offer various ways to create your contracts, for example, contracts can be created manually, imported from a Comma delimited or Excel file, copied from an existing contract, or, you can use Medicare's Fee Schedule to adjust your contract prices based on a fee schedule year, locality, etc.


    Note: Contract rates do not affect prices billed to insurances or other entities. To set your billing prices, please view the Fee Schedule Help Page.


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    When posting payments towards claims that have a contract price linked to a payer, the system will automatically carry over the contract price into the Allowed and Paid fields within the Insurance Payment screen (see image below).


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    Best practice is to post payments according to the Explanation of Benefits (EOB). For example, in the event your EOB shows that the Allowed amount is $100 and the Paid amount is $50.00, you should enter $50.00 in the Paid column in order to record what the insurance company actually paid.


    information.gif

    When posting payments towards claims that have a contract price linked to a payer, the system will automatically carry over the contract price into the Allowed and Paid fields within the Insurance Payment screen (see image below).


    .


    Best practice is to post payments according to the Explanation of Benefits (EOB). For example, in the event your EOB shows that the Allowed amount is $100 and the Paid amount is $50.00, you should enter $50.00 in the Paid column in order to record what the insurance company actually paid.