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Enable PPS Billing - Registry Setting

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Avatar PM > Billing > PPS Billing

'Y' enables PPS Billing rules.

The following functionality is enabled:

  • The PPS Rate/Adjustment Factors form. Define calculations that will be applied to the federal per-diem base rate.
  • The 'Does This Guarantor Get Billed Under PPS Rules', and 'Charge Override For Room And Board Charges (UB92/UB04 Claims)' fields in the Guarantors/Payors form (Contractual Guarantor Information section).
  • The 'Is This An ECT Code' field in the Service Codes form.
  • The 'First Day Of Stay To Be Considered For Variable Per-Diem Adjustment' field in the 'UB-92/UB-04/ 37I Billing Maintenance Screen' form.
  • The DRG Code dictionary in the Diagnosis form. If the Principal Diagnosis does not have an associated DRG code, 'Code First' rules will be used for Axis I, Axis II, and Axis III entries.

'N' disables PPS Billing rules and the above functionality.