Funding Source Service Authorization Setup

Define count methods for CPT, revenue and procedure code groups.

• The rules defined in this form determine how myAvatar MSO counts services in claims processing forms and functions.

• This form is enabled through the Funding Source Service Authorization Count Method registry setting.

1. Go to: Avatar MSO > Care Management > Funding Source Service Authorization Setup
2. In the Add or Edit field, select Add to create a funding source funding source service authorization count method rule.

• Select Edit to edit a funding source service authorization count method rule.
  Click Select Existing. The Select Existing screen displays. Select the funding source service authorization count method rule, click Ok.
• Click Print Existing to generate a report for the selected funding source service authorization count method rule.

2. In the Procedure Code Type field, select the type of code to authorize.
3. In the Procedure Code field, select the code.

• Defined in the CPT Code Definition and Revenue Code Definition forms.

4. In the Procedure Code Group field, select the code group.

• Defined in the Procedure Code Group Definition form.

5. In the Funding Source field, select funding source.
6. In the From Date field, enter the funding source service authorization count method rule start date.
7. In the Through Date field, enter the funding source service authorization count method rule end date.
8. In the Inactive field, select Yes if the funding source service authorization count method rule is inactive.
9. In the Count Value field, select how the services are counted.
   At least one service must be rendered for the day.

• Whole
  Whole visits are counted, for each service unit.
• Half
  Half of a visit is counted, for each service unit.
• Quarter
  A quarter of a visit is counted, for each service unit.

10. Click File.

► Registry Setting

Funding Source Service Authorization Count Method