Auto-Create Service Code Settings Section

Define the default values for services that are automatically added to the myAvatar service code table from charges.

Prerequisites:

• Complete the Default Settings For Processing An Inbound HL7 Charge Batch, ensuring:
  • The File Charges Using Default Service Code field is set to No.
  • The Auto-Create Service Codes field is set to Yes for the selected Charge Type in order for this functionality to apply.

1. Go to Avatar PM > HL7 Interface > Charge Processing > Default Settings For Processing An Inbound HL7 Charge Batch.
2. Configure the Auto-Create Service Code Settings section as follow:
   1. In the Service Required By field:
      • Select Both if a staff member and a client are required for the service. For example, a therapy session (billable service).
      • Select Client Only if a client is required for the service. For example, a room and board service.
      • Select Provider if the service is a provider only service. For example, documentation completion, or a department meeting.
   2. In the Type Of Service field:
      • Select Individual for services provided for a single client.
      • Select Group for services provided for a group of clients.
   3. In the Type Of Fee field:
      • Choose Fixed Fee (Per Event) for a service fee that is charged a set amount each time the service is rendered. The service fee is not affected by the service duration.
        • The Fixed Fee Units field becomes available and required. Enter the number of service units for a fixed fee service.
      • Choose User Defined for a service that has a fee per unit of time. The service fee is dependent on the service duration. For the Pharmacy Charge Type, it is recommended to use User Defined with a Minutes Per Unit value of 1.
        • The Minutes Per Unit field becomes available and required. Enter the number of minutes for one unit of service.
        • The Unit Rounding Logic field becomes available and required. Select the default behavior for fractions of units.
          • Select No Rounding to increase the service charge by the next unit of time (Designated Degree Of Rounding field). 
          • Select Round Any Portion Over Each Unit to increase the service charge when the service time is any amount greater than defined (Designated Degree Of Rounding field). 
          • Select Round Over 1/2 Unit to increase the service charge when the service time is over one half the amount defined (Designated Degree Of Rounding field).
        • The Designated Degree Of Rounding field becomes available and required. These selections calculate how the service fee increases when the service time is greater then a unit (user defined services).
   4. In the Group Code field, select the default group code.
   5. In the Insurance Charge Category field, select the default category.
   6. In the Does This Code Have A Professional Component field, select Yes to define the service as a professional charge. Yes allows the service to print on the following bills: HCFA-1500 paper and electronic, 837 Professional electronic.
   7. In the Is This A Pharmacy Service? field, select Yes to designate the service as a pharmacy service. This field is only enabled when Pharmacy is selected in the Charge Type field on the main section. 

► Dictionary Values

• Group Code
• Covered Charge Category