Manual Service Payment Rate
Manual Services are entered for a given day and possibly time and duration. These are typically converted into units and may or may not have a note entered. Payment rates entered here are typically used for agencies who pay provider locations outside of their agency.
Menu path
Finance Setup > Payment Rates (A/P) > Manual Services > History
Create a Manual Service Payment Rate
- Navigate to the following path: Finance Setup > Payment Rates (A/P) > Manual Services > History.
- In the toolbar, click New > Payment Rate - Service Based.
- Complete the following fields:
- Description - Enter the name of the rate. In many cases, rates are changed every year. Consider using description like FY17 Rates (FY - Fiscal Year).
- Associated Plans - Choose all plan/contracts under the selected payer where this rate will be used. This area allows you to share a rate. For example, you may send bills to multiple counties, and most counties pay you the same amounts. Add the plan/contracts here instead of creating the rate many times.
- Effective Date - Enter the start date of the plan..
- End Date (Included) - Enter the date when the rate ends. Included means the date entered is last date the rate is effective.
- Rate Method - Only the rate methods available for the rate type (manual, placement, occurrence, vacant bed) are available. Note: These are defined by Netsmart.
- Consolidate Services - Select this check box to consolidate services for a time period. For example, you may want the system to create one claim for an entire day's services provided under this rate.
- Consolidate for a Period - If you select Consolidate Services, select how the claim should be consolidated, for example day, week, year, and so on.
- Time Chart - Select the time chart.
- Rate Details - Here, you can add as many lines in the details as necessary, but the variables cannot overlap to determine the rate. Note: The system validates that you do not attempt to save logic with overlap, meaning more than one line can be found for a single service provided.
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- From Age (Incl) - Required. Enter the age of the client at the time of the service. Enter 0 if N/A.
- To Age (Not Incl) - Required. Enter the age of the client at the time of the service. Enter 99 if N/A.
- Payment Amount - The amount of the payment to be made to the vendor.
- Procedure Code - Select the code that describes the service being provided. The code is used as a way of translating Agency services to Funder specific codes.
- Modifiers (Claim) - The code in addition to the defined rate based upon how many DOC points are entered on a client's program modifier.