OnSTAFF 2000
/Utility/Procedure/UNIT VALUE
This option allows for adding to and maintaining the set up of unit values for global charges as well as the professional and technical component of those charges in addition to the unit values set up on the Procedure screen (/Utility/Procedure <Unit Value> fields).
Insurance companies use different unit value scales for calculating approved amounts when conversion rates are used. Upon contracting with an insurance company you should be informed of which scaling system will be used. Insurance companies may use a standard scale (i.e., CRVS) but may allow for different unit values on select procedures. The Unit Value screen allows for three variations of the scale per procedure code. An insurance company may also use their own scaling system. If so, you should be provided with the unit values for each procedure. The Unit Value screen allows for the set up of unlimited unit value scales.
In addition, certain procedures (for some specialties) may require a modifier indicating the professional or technical component. The Unit Value screen allows unit values to be entered for each variation of the scale.
UNIT VALUE MENU
Add Modify Delete View Print Exit
Menu Options:
Add Add a new Unit Value.
Modify Modify an existing Unit Value.
Delete Delete an existing Unit Value.
View View an existing Unit Value.
Print Print a listing of Unit Value setup.
Exit Returns you to the Procedure Menu.
|
Scale Code : Name: |
|||||||
|
C |
Panel |
Global 1 |
Prof. 1 |
Global 2 |
Prof. 2 |
Global 3 |
Prof. 3 |
|
|
|
|
|
|
|
|
|
|
ADD NEW UNIT VALUE |
|||||||
To add a Unit Value, select the Add option. On-Staff will display the following fields:
C: Command Column. To add a new Unit Value, press A. Following are other valid choices from the command column:
A Add a new record.
M Modify an existing record.
D Delete a record.
Q Quit.
Scale Code: Enter the user defined code for this scaling system (i.e., set of unit values). Press the [F2] search key to display the following examples:
Examples:
MH McGraw Hill
RBRVS Federal Registry
CRVS California Relative Value
NOTE: These choices represent examples of scaling systems that may be used. To display your defined scaling system(s), go to /Utility/Set Up/Field Choices/Modify and modify the screen for Field Name: scale_ke.
Name: Enter the name of the scaling system.
Panel: Enter the /Utility/Procedure <Panel Code> field entry for the procedure you are setting up additional unit values for.
Global 1: Enter the unit value for the global charge.
Prof. 1: Enter the unit value for the professional component of the charge.
Global 2: This (as well as Global 3) is an optional field that allows for the set up of different unit values for those insurance companies that may be using a standard scale (e.g., CRVS) but may allow for different unit values on select procedures. Enter the different unit values for the global charge. If additional unit values are not required, press [Enter] to bypass this field. The default value, 0.00, will display.
Prof. 2: This (as well as Prof. 3) is an optional field that allows for the set up of different unit values for those insurance companies that may be using a standard scale (e.g., CRVS) but may allow for different unit values on select procedures. Enter the different unit values for the professional component. If additional unit values are not required, press [Enter] to bypass this field. The default, 0.00, will display.
Global 3: See Global 2.
Prof. 3: See Prof. 2.
NOTE: The technical unit value 1, 2 or 3 will be the difference between the <Global 1(or 2, 3)> column entry and the <Prof. 1(or 2, 3)> column entry.
Related screens and fields:
/Utility/Procedure/Modifier for the < Charge (G/P/T)> field.
/Utility/Insurance/Pay Plan/Pay Plan < Scale Code> and <Unit Value Pointer> fields.