ASA Overrides

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The Plan Maintenance - ASA Overrides tab maintains information about ASA Overrides for a plan.  This feature allows the user to override ASA base unit and to set time and minute maximums by ASA Code and plan.  These overrides may vary by billed and allowed and as a result, this tab contains a tabbed dialog for Billed and Allowed.  Since the information for billed and allowed fees and rates is the same, it is only documented one time and not repeated.

 

Override Matrix

 

Minimum Base Units

Enter a minimum base unit value if you want all procedures billed or allowed with a minimum value.

 

 

A list of Overrides by effective and expiration date is maintained.

 

Effective Date

Effective date of the ASA override

Expiration Date

Expiration date of the ASA override

ASA

ASA Code to be overridden

Procedure

Procedure to be overridden.  This is only used in conjunction with the ASA so that a CPT/ASA combination may be overridden.

Anesthesia Units

Number of units to override with

Max Units

Used to indicate that an ASA has a maximum number of time units that may be billed

Max Minutes

Used to indicate that an ASA has a maximum number of minutes that may be billed

Min Fee

Indicates that an ASA has a minimum fee that can be billed

Max Fee

Indicates that an ASA has a maximum fee that can be billed.

 

If the minimum fee and the maximum fee are the same the ASA will, in effect, be billed like a Flat Fee, but it will be billed with Anesthesia Units.  A true "Flat Fee" from the Fee Schedule skips the anesthesia unit calculation entirely.

 

 

 Override Matrix Buttons

 

New

Add a new Override to the plan

Edit

Change a Override on the plan

Delete

Delete a Override from the plan