Create your Organization's commonly used Service Types using CPT® Codes, as well as their Rates. Service Types cannot be deleted, but can be archived if they are no longer used.
For additional information see CPT® Codes and Code Modifiers.
Jump to Section [Add Service Type] [Edit Service Type]
Add Service Types
IMPORTANT: Service Type CPT Codes (including modifiers) are hard-coded. Therefore you would need a separate Service Type for each CPT/modifier combination. If you are billing to more than one payer, you can create Service Types for each payer.
- Click the Organization tab in the primary navigation bar.
- In Settings, click the Service Types tab.
- Click +Add Service Type.
Add Service Type dialog box is displayed. -
Type - Select CPT Code or Non-CPT Code.
CPT Code - This is the code used for submitting insurance claims and must be selected if billing to insurance.
Non-CPT Code - If you are not billing to insurance you may create your own code to use for billing purposes. -
Name - This should be a Client Friendly name, not the CPT Code name.
NOTE: This is what Client will see as Service Type on any Billing documents as well as in the Client Portal. Do not use things like "Tier 1 Rate," "Discounted Rate," or "New Rate," etc.
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Enter Rate for Service Type - The Rate is a per unit rate. This relates to Units below
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Type to search for CPT Code - This is the code used for submitting insurance claims and must be selected if billing to insurance.
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Enter Code Modifiers - Modifiers provide additional information to payers to make sure the provider gets paid correctly for services rendered.
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Units
- Always Bill For - Does NOT look at the Appointment length. The Appointment will always be billed for the number or units in this box regardless of Appointment length. The number of units in the box, multiplied by the dollar amount entered in the Rate field (above) will be your invoice line item amount for that service.
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Bill for 1 Unit - DOES look at the Appointment length.
You may select increments from 1 to 120 minutes. The amount billed for the session will be calculated using:
Appointment Length in minutes/increment = Total Units
Total Units x Rate = Invoice Amount
NOTE: For service types that bill 1 unit for a certain time interval, units are calculated based on a mid-point rounding system. The calculated number of units will round up once the midpoint is reached, and round down if the midpoint is not reached based on the length of the appointment. The number of units will never round down to 0. For example:
If the service type bills 1 unit for every 15 minutes, the midpoint is reached at 8 minutes
- An appointment from 2:00 - 2:38 PM would round up to 3 units.
- An appointment from 2:00 - 2:37 PM would round down to 2 units.
If the service type bills 1 unit for every 60 minutes, the midpoint is reached at 30 minutes
- An appointment from 2:00 - 3:30 PM would round up to 2 units.
- An appointment from 2:00 - 2:29 PM would round down to 1 unit.
- Create a Service Type Color Code (optional) - Select a background and text for color for Service Type. This displays on the Calendar view in each Appointment.
- Click Save Service Type.
Edit Service Types
- Click the Organization tab in the primary navigation bar.
- Click Settings from left menu and then Service Types tab.
- Locate desired Service Type.
NOTE: You may search for service types by entering the desired text in the field at the top of a column. More than one column may be used to narrow the search.
- Click the Name of the Service Type. The Edit Service Type dialog box is displayed.
- Edit appropriate information and click Save to update.
IMPORTANT: The service type will now be updated for all PAST and future appointments. If you do not wish to impact PAST appointments, archive the existing Service Type and create a new one with the updated information.