Updating Service Rates
Service rates (fees) need to be maintained in OnTarget to ensure maximum reimbursement from the payer, and reduce write offs for over-billing. Rates (fees) are determined from a payer fee schedule, or your contract with the payer.
- Click on Billing
- Click on Services
- Use the Claims Search grid filters to locate the services you want to update.
Helpful Hint: If the Service Search grid is not visible, click on “Search Services” at the top/left of the screen to populate the grid.
- These are the most frequently used filters for this grid:
- Service Code=Ex: 90847, T2013
- Authorizing Payer= Ex: Cardinal Innovations, Aetna
- Click Search
- When the filtered results populate, the grid will appear with the data.
Helpful Hint: Each column in this grid can be clicked on to sort the results.
- Double click on the service line you need to update.
- In the service window, you will see a Rate History field:
- Double click on the line with the most recent Start Date.
- Change the end date to the day before the new rate begins.
- Click Update
- Click on Add within the Rate History field
- Enter the new start date and a new end date.
Helpful Hint: We recommend an end date set in the far future, such as 12/31/2020 or 12/31/2030.
Helpful Hint: There should be no gaps between the previous end date and the new start date.
- Calculate the hourly rate using the Rate Type and Units Per Hour field in the Service window.
- Rate Type= Periodic, Units per Hour=4. Multiply the unit rate x 4, this is the hourly rate.
- Ex: $3.54 for an every 15 minute service, the hourly rate is $14.16 ($3.54x4)
- Rate Type= Periodic, Units per Hour =1. Multiply the unit rate x 1, this is the hourly rate.
- Ex: $25.00 for an hourly service, the hourly rate is $25.00 ($25.00x1)
- Rate Type= Daily, Weekly or Monthly. Multiply the unit rate x1, this is the hourly rate.
- Ex: $500 per month, the hourly rate is $500 ($500.00 x1)
- Enter the hourly rate in dollars and cents.
- Click Update
- Click Save at the bottom right of the service window.
- A “Success. Service Saved” message should appear.
- Close the service window by clicking the “x” in the upper right corner.
- Repeat all steps for each service that requires an update to the rate.