OnSTAFF 2000
Utility/Procedure/MODIFIER
This option is used to add to and maintain modifiers used in billing. When applicable, a modifier will affect a procedure’s global, professional, and/or technical /Utility/Procedure charge amount as well as it’s /Utility/Procedure/Fee Schedule Alternate Charge and Approved amounts. For example, an assistant surgeon modifier may be set to reduce the surgeon’s fee by 80%. Thus, when entered at the time of posting the charge, this modifier would calculate a charge amount that is 80% less than the /Utility/Procedure charge amount. In the case of a fee schedule, this modifier would calculate a charge amount that is 80% less than the fee schedule’s Alternate Charge as well as calculate and display an approved amount that is 80% less than the fee schedule’s Approved in the open item payment screen approved column.
MODIFIER MENU
Add Modify Delete View Print Exit
Menu Options:
Add Add a new Modifier.
Modify Modify and existing Modifier.
Delete Delete and existing Modifier.
View View and existing Modifier.
Print Print a listing of the Modifiers in this file.
Exit Returns you to the Procedure Menu.
When the Add option is selected, On-Staff will display the following fields:
Modifier Code: Enter the modifier as the modifier code, e.g. 80.
Modifier: Enter the modifier for this record.
Description: Enter the description for this modifier.
Multiplier: Enter the percentage of change for the procedure (20.00 for 20%). This field is used only when the modifier should affect the charge of the procedure.
INC/DEC (I/D/N): Indicate whether the charge should be modified on the basis of the modifier. Press the [F2] search key to display the following valid choices:
I Increase fee based on Multiplier.
D Decrease fee based on Multiplier.
N No change in fee.
Base Unit: For Anesthesiology posting. Enter a unit value. This field entry is the Modifier Units and is used to calculate the Total Units.
Charge (G/P/T/R): This field is used to determine which charge to post. Press the [F2] search key to display the following valid choices:
G Global Charge
Post the global charge:
a) entered in the /Utility/Procedure <Charge Global> field.
b) entered in the /Utility/Procedure/Fee Schedule <Alternate> column when a fee schedule applies.
P Professional Component Charge
Post the professional charge:
a) entered in the /Utility/Procedure <Professional> field.
b) entered in the /Utility/Procedure/Fee Schedule <Prof.> field when a fee schedule applies.
T Technical Component Charge
Post the technical charge:
a) which is the difference between the /Utility/Procedure <Charge Global> field entry and the <Professional> field entry.
b) which is the difference between the /Utility/Procedure/Fee Schedule <Alternate> column entry and the <Prof.> column entry when a fee schedule applies.
R Retired/Obsolete Procedure
(blank) If this field is left blank, the default value will be G.
When posting a retired/obsolete procedure, the following warning will appear:
WARNING
This Modifier Code Has Been Flagged:
* * * NOT TO BE USED * * * *
Press Any Key To Continue.
For additional information regarding other areas relating to Charge (G/P/T/R):
Related screens and fields:
/Utility/Insurance/Pay Plan/Pay Plan fields:
<Conversion 0 (1, 2, 3, 4)>, and their <Percent> fields,
<Scale Code> and it’s related <Unit Value Pointer> field,
<Insurance Code> and, if sharing a fee schedule <Provider Code>, <Allowable (R/F/N)>, and it’s related <Multiplier> field.
/Utility/Procedure fields:
<Charge Global>, <Professional> and their associated <Unit Value> fields.
/Utility/Procedure/Unit Value screen.
See Session III Global, Professional and Technical Charge Posting.
After pressing [Enter] in the last field, the cursor will return to the Modifier field, allowing review of the entry for accuracy. If the data entered is accurate, press [“] to return to Modifier Code. At this point, you may either add an additional modifier or press [“] to return to the Modifier Menu.