You can add or edit pricing information for a revenue code using the Pricing tab of the Revenue Code page. You can also replicate a pricing span within the same revenue code.
The Pricing tab of the Revenue Code page contains the following panels:
| Field | Description |
|---|---|
| Revenue Code |
Identifies the specific accommodation and/or ancillary charges on the claim. Format: 4 numeric characters Examples: 0655,0304, 0121 |
| Revenue Type |
The type of revenue code. Examples: Inpatient, Outpatient, Long Term Care |
| Short Description |
The short description for the revenue code. Format: Up to 40 characters Example: Room-Board/Semi |
|
Long Description |
The long description of the revenue code. Example: Room & Board - Semi-private two beds (Medical or General) Routine service charges incurred for accommodations with two beds. |
| Characters Remaining |
Counter that indicates how many characters you have available when entering text. It decreases by one for each character entered and increases when a character is deleted. Default: 320 |
|
Begin Date |
The date that the revenue code becomes effective. A claim exception is created when the date of service is prior to the effective date of the revenue code. Format: MM/DD/YYYY |
| End Date |
The date that the revenue code was terminated. A claim exception is created when the date of service falls after the termination date of the revenue code. Format: MM/DD/YYYY Default: 12/31/9999 |
| Field | Description |
|---|---|
| To add a pricing span to the procedure code, click Add Pricing. To edit, in the table, click the appropriate row. | |
| Show Voids |
Indicator to display voided (inactive) records. Select to display both active and inactive records. Leave blank to display only active records. This field is only displayed when editing. |
| Void |
In the table, if the field is checked, the code span has been voided and cannot be changed. Hover over the field to display the date it was voided. When editing, indicates whether the code span is active (No) or inactive (Yes). If inactive, the code span is ignored when processing. Only code spans with beginning dates in the past can be voided. Code spans with beginning dates in the future can be deleted. |
| Begin Date |
The date that this pricing span became effective. Note: The date range (begin and end date) must fall within date range of the code. Format: MM/DDYYYY |
| End Date |
The date that this pricing span was terminated. Note: The date range (begin and end date) must fall within date range of the code. Format: MM/DD/YYYY Default: 12/31/9999 |
| Line of Business |
The line of business associated with this revenue code. Example: Medicaid |
| Factor Code |
The type of pricing information for this revenue code. |
| Max Allow |
The maximum amount of money allowed against this revenue code. Example: $200.00 |
| Rate Source |
Indicates what rate source is being used for this revenue code. |
| Reason |
The reason code to be applied to this revenue code on a claim. |
| Max Units |
The maximum units that can be applied to this revenue code on a claim. Format: 9 alphanumeric characters |
Version as of 5/16/14.
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