The Rate Structure Maintenance maintains information about Rate Structures. This feature allows the user to add, edit, or delete the rates per unit in a Rate Structure. Typically a "Standard" Rate Structure is maintained for the per unit amount to be billed, and separate "Allowed" Rate Structures are maintained for the allowed amount per unit for the different contracted payors. The Rate Structures are tied to the Plans on the Pricing tab of the Plan Setup.
RATE STRUCTURE TAB
Lookup
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Enter the Lookup of the Rate Structure
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Name
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Enter the Name of the Rate Structure
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Rate Structure List
Medical Direction
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Enter the medical direction applicable to the rate
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Override Units
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Enter the number of units to override the anesthesia calculation with. This is generally used with medical direction values 5 thru 9. These are considered supervision and we should override the physician charges with three total units.
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Phys Rate 1
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Enter the anesthesiologist rate per unit
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Asst Rate 1
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Enter the anesthetist rate per until
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Phys Rate 2
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Enter the anesthesiologist rate per unit when they are directing an anesthetist who is configured to use the alternate rate in Staff Setup.
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Asst Rate 2
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Enter the anesthetist rate per unit for anesthetists who are configured to use the alternate rate in Staff Setup.
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Rate Structure Buttons
New
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Add a new Rate Structure
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Edit
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Edit an existing Rate Structure
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Delete
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Delete an existing Rate Structure
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IMAGING TAB
MedSuite supports both Workflow Indexing and Manual Indexing. Workflow Indexing may index images to Patients, Visits, Payments, and Claims. In addition to Patients, Visits, and Payments, Manual Indexing allows images to be indexde to the following list of "entities":
• Account
• Visit
• Visit Batch
• Payment
• Payment Batch
• Claim
• Company
• Practice
• Division
• Carrier
• Staff
• Referral
• Facility
• Plan
• Fee Schedule
• Rate Structure
An Imaging Tab has been added to the Patient, Visit, Payments, Ledger, as well as the Setup functions of the above entities so that images indexed to the entity may be viewed by the user.
This tab contains a common frame that is used throughout MedSuite.
Image Tree
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A "tree" structure containing a list of the images tied to the displayed entity (Patient, Visit, Plan, etc.) is displayed on the left side of the window.
The "tree" contains five "branches" although all five are never displayed at the same time. The "leaves" on each branch represent images indexed to the branch. The branches are:
• Patient - Images indexed to the patient (Action = Patient)
• Visits - Images indexed to visits (Action = Visit-New)
• Payments - Images indexed to visits (Action = Payment Insurance -
New or Payment Self - New)
• Claims - Images indexed to claims (Action = Claim Followup)
• Miscellaneous - Images indexed via Manual Indexing to some other
entity from the list above
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Refresh
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Refreshes the Image Tree
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View
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Views the selected image from the Image Tree
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The "image" portion of the window covers the right-most 3/4 of the window. It contains a copy of the selected image as well as button that permit manipulation of the image.
Desc
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The description assigned to the image by MedSuite is displayed.
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Toolbar
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MedSuite's Imaging Workflow screen contains a toolbar that contains buttons that perform image manipulation.

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Zoom-In
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Zooms-In (enlarges) the image
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Zoom-Out
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Zooms-Out (reduces) the image
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Rotate Left
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Rotates the image 90-degrees to the left
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Rotate Right
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Rotates the image 90-degrees to the right
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Show / Hide Annotations
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Enlarges the image by hiding the annotations on the right side of the screen
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Actual Size
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The image is displayed at its actual size. This is the default setting upon entering the imaging screens.
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Fit Page
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The image is re-sized so that the entire image is displayed on the screen. If you change to the Fit Page setting and don't go back to Actual Size, subsequently viewed images will display with this setting until you change it back to Actual Size.
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Fit Width
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The image is re-sized so that the width of the image fills the image area. If you change to the Fit Width setting and don't go back to Actual Size, subsequently viewed images will display with this setting until you change it back to Actual Size.
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Buttons
Several buttons are displayed across the bottom of the screen and are used as follows:
Print
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Prints the displayed image
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Un-Index
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Displays the Move Images to Imaging Station screen. You should enter/select the Imaging Station that you want the document moved to. When you press Ok on the Move Images screen, the selected image is removed from the Image Tree and any indexes on the image are removed from the image.
In effect, the image is placed in an Imaging Station in a "ready to be processed" state.
Un-Index can be used any time that an image is index to the wrong entity. Although it may be used on Patients, Visits, Payments, or Claims, this is not typical. The Workflow will generally create these entities so it is unlikely that they will be incorrectly indexed.
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Library Change Logs
The Change Log button at the bottom of any MedSuite Maintenance File will track the following:
$ Date Changed - The date the change was made to the file.
$ User Name - The name of the user that made the change.
$ Item Changed - The file name of the item that was changed.
$ Old Value - The system value before the change was made.
$ New Value - The system value after the change was made and saved.
NOTE: Items not tracked are description fields such as degrees and titles.
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