Managing fee groups

You must create a fee group if you want to apply rules and restrictions to a group of fees. Fee groups are created for each insurer (Bill To) individually. If needed, you can create multiple fee groups for an insurer. Once you create a fee group, you can define what fees belong to the fee group by linking the fees to the group (see Linking fee codes to fee groups)

Steps

1. In the Insurer Maintenance window, search for and select the insurer you want to add or modify a fee group for. See step to step in Restricting how often fee codes can be billed (using service limits).
Note:

To create a fee group for fees billed to MSP, click Medical Services Plan BC.

To create a fee group for fees billed directly to patients, click Patient.

If the insurer you want is not available, you can add insurers as needed. See Managing third-parties (insurers) you bill to.

2. Click the Fee Groups tab. The Fee Codes currently linked to above Fee Group area lists the fee codes linked to the selected fee group.

3. Click Maintain Groups. The Fee Group Maintenance window. opens

4. Perform one of the following actions:

To add a fee group, click .

To modify a fee group, in the list of fee groups, click the ID for the fee group.

5. Using the following table, enter or modify the fee group’s information.
Field Description

Desc

Enter a name or description for the fee group.

Type

In the list, select one of the following options. The fee group type you select defines how the fee group will be used.

Service Limit: To restrict the number of times that services from this group can be billed to an insurer within a given time period.

Additional Charge: To automatically charge a patient an additional amount when a service from this group is billed to an insurer.
For example, a chiropractor can bill patients a portion of a service that is also billed to the province, or insurance company.

Reminder: To notify a biller to consider billing another service when a certain service from this group is initially billed.
For example, billers can receive notifications to consider adding a tray fee when they create a bill for a fee code that typically includes a tray fee.

Plan

Effective From: Enter the date the fee group takes effect.

Effective Up To: (Optional) Enter an expiry date for the fee group.

Use the format dd/mmm/yyyy.
6. Click Save . The EMR adds the fee group to the Fee Group list on the Fee Groups tab.
7. Link and unlink fee codes to the fee group as needed. See Linking fee codes to fee groups and Unlinking fee codes from fee groups.
8. Apply rules or restrictions to the fee group. See Restricting how often fee codes can be billed (using service limits).
9. When you finish adding groups, click Close .

 

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