Configuring Provider Fee Settings

Brief Overview

Setting a provider's fees ensures that when an invoice/fee estimate is created, the provider's fee will automatically be populated against the billing items. This reduces the time spent manually entering fees on an invoice or fee estimate level. 

 

The Short Version

  • If logged in as the provider, open Settings > My Settings.
  • If logged in as Practice Admin, open Settings > Users, click Edit beside the provider and Update & Configure.
  • Open the Fee Settings tab.
  • Enter the information required.
  • Click Save

 

Instructions

1. If you are logged in as the provider, open Settings > My Settings. Skip to step 5.

Settings_My_Settings.png

2. If you are logged in as a Practice Admin user, open Settings > Users

Settings_Users.png

 

3. Click the Edit icon beside the provider.

Edit_pencil.png

 

4. Click Update & Configure

Update_and_Configure.png

 

5. Open the Fee Settings tab. 

Fee_Settings_tab.png

 

Adding a Private Fee

1. Click Add Override.

A) Enter the MBS Item Number into the respective field. 

B) Enter your chosen fee for this item into the Override Fee field. 

C) Click Create

D) When the provider bills this item, the fee will automatically be set to your chosen fee. 

New_Override.png

 

Adding a 90 Day Gap Fee

The 90 Day Gap Scheme allows a provider to invoice a patient only the out of pocket cost for a billing item before submitting the claim to Medicare. This allows the patient to pay a smaller amount out of pocket on the day, rather than pay the full invoice to be reimbursed by Medicare. 

When a patient lodges an unpaid or partially paid medical account to Medicare for payment, Medicare sends the patient a Pay Doctor Via Claimant (PDVC) cheque. The patient has to forward the cheque to the practice for payment.

If your practice doesn't receive the cheque or it isn't banked after 90 days, Medicare cancel the cheque and pay the practice the Medicare schedule fee using Electronic Funds Transfer (EFT). 

 

1. Click Add Override.

A) Enter the MBS Item Number into the respective field. 

B) Select the 90 Day Gap option.

B) Enter your chosen fee for this item into the Override Fee field. The gap for the patient will be calculated once this item is added to an invoice.

C) Click Create

D) When the provider bills this item, the fee will automatically be set to your chosen fee. 

90_Day_Gap.png

 

Note: You will only be able to add one 90 Day Gap and one Private fee per Medicare item. To learn more about adding multiple private fees click here

 

Further Reading

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