Contracts - Copy From CPT

Administration > Payer > Contract

Centers can copy the carve outs into current Contract from the CPT Code tables in groups or individually.

  • Enter Contract Number and click enter on keyboard or select Retrieve , or double click on desired Contract in the Contract grid on the left of the form.
  • Open Copy From CPT tab.

  • Enter a CPT or CPT range.
  • Include Data check box: If there is a standardized reimbursement rule for the selected CPT(s), check the "Include Data" check box and follow the steps below:

    • Select a Base Fee from the hard coded drop down.
    • Fee Group Category, Fee Group, Discount Method, and %/Amount will be read only or open to edit based upon the Base Fee selected. All fields that are open to edit must be completed.
  • Click Load https://demo.hstpathways.com/HstAscWebServiceWCF/Help/Images/Load_button.jpg  to display the list of CPTs.  
    • If Include Data check box was not checked, Base Fee, Fee Group Category, Fee Group, Discount Method, and %/Amount can be set up on the individual CPT lines in the grid.
    • Apply Multiplier?, Exclude from Max?, and Auth Required? can also be set for individual CPT lines in the grid.
  • Check the box in the Include? column to add selected CPT Codes or click on https://demo.hstpathways.com/HstAscWebServiceWCF/Help/Images/select_all_button.jpg to select all CPTs displayed.  
    • If a CPT listed is already in the Carve Outs, there will be a check in the Exists? column (scroll to the far right). The row will be read only and will not copy to the Carve Outs tab.

Select Save https://demo.hstpathways.com/HstAscWebServiceWCF/Help/Images/Save.jpg  on the Sub Form Tool Bar to copy the records into the Carve Outs tab for this Contract.