OnSTAFF 2000
The Charge Amount will be calculated by multiplying the Anes Conv Factor times total of Base Units, Time Units, and Modifier Units. If the Provider <Anes Time Unit Calc> is left blank – Intellect will use the Procedure <Charge Global> fee.
For example:
1: Time Units are calculated as follows: The Provider <Anes Time Unit Calc> field entry is 15 (i.e., 15 minutes per unit) and the Charge <Time> and <To> field entries are 8:00am and 9:30am. Divide the total posted time, 90 minutes (8:00a to 9:30a), by the <Anes Time Unit Calc> of 15, equaling 6 Time Units.
2: Total Units are calculated as follows. Add the Time Units (Example 1), the Procedure Units (the Procedure <Anes Base Unit 1 (or 2, 3)> field entry: determined by the Insurance <Selection (1/2/3)> field entry), and any Modifier Units if applicable, (the Modifier <Base Unit> field entry).
3: The Charge Amount is calculated as follows: Multiply the Total Units (Example 2), by the Provider <Anes Conv Factor 1 (2, or 3)> field entry: determined by the Insurance <Selection (1/2/3)> field entry.
Information will display as follows on the CMS 1500 Claim Form (HCFA):
Private Carriers (Insurance <Insurance Type> other than C, 1 or D):
Box 24 G Intellect will complete the total posted time in minutes. For example, posting the start time of 8:00am to the ending time of 9:30am would enter '90'
(90 minutes) in Box 24G.
Box 24 A
through 24 F Intellect will complete the following directly below each charge:
Start time 00 00 End 00 00 Total Units 0
(For example: Start time 08 00 End 09 30 Total Units 9)
Medicare and (Insurance <Insurance Type> C and 1)
Medi-Medi Intellect will complete the total posted time in minutes. For example, Box 24G posting the start time of 8:00am to the ending time of 9:30am would enter '90' in Box 24G
NOTE: Per Medicare: the Starting Time, Ending Time and Total Units are not required
on the claim.
Medi-Cal (Insurance <Insurance Type> D)
Box 19 Intellect will complete the following:
Start time 00 00 End 00 00 Total Time 0000
(For example: Start time 08 00 End 09 30 Total Time 90)
Box 24G Intellect will complete the total posted Time Units.