Fee Group

Administration > Payer > Fee Group

HST Practice Management provides the ability to create fee groups similar to those Medicare once used, for the purpose of creating contracts based upon those reimbursement groupings.

Centers contracted with Medicare Advantage Plans that still utilize the Medicare groupings may want to create Medicare Groupings that can then be loaded for those carriers rather than creating Fee Groups for each carrier.

https://demo.hstpathways.com/HstAscWebServiceWCF/Help/image91.jpg

Add Fee Group

  • Select https://demo.hstpathways.com/HstAscWebServiceWCF/Help/Images/New.jpg New
  • Enter a Fee Group Category (generally the name of the Payer for which the Fee Groups are being created).
    • To map to Medicare Grouping and rates, check the Use Medicare Grouping check box.
    • To use Medicare Groups but edit the Fee Group Code, Description, and Price to be specific to this payer, select the function.
    • To create new Fee Groups specific to Payer with no mapping to Medicare, simply type the Fee Group, Description, and Price on each line until all Fee Groups have been entered.
  • Select https://demo.hstpathways.com/HstAscWebServiceWCF/Help/Images/Save.jpg Save.

For instructions on how to map the Fee Groups to the Payer, please see Administration > Payer > Contract Basic Information and Administration > Payer > Contract Carve Outs.