NCPDP Charges

In Charges, set the percentage of the state fee schedule (if available), or create your own Charges for all or some of the services you bill.

There are three ways to set your Charges:

  1. Charges as Percentage of State Fee Schedule (not available for all states)
  2. Import ‘Custom Charges’
  3. Manually enter ‘Custom Charges’

Step 1. On the navigation bar, click ‘Billing Providers,’ then click the ‘Gear’ icon

This will navigate directly to the specified Billing Provider.

Alternatively, select Manage All Billing Providers to view all the Billing Providers associated with your account.

The Manage All Billing Providers feature is limited to users with the Role of Organization Admin.

Step 2. Click the ‘Billing Provider’ name

For DaisyBill accounts with multiple Billing Providers, DaisyBill maintains separate Charges for each Billing Provider.

Step 3. Click the ‘Charges’ card

A green ‘Checkmark’ icon in the lower right corner of the card indicates Charges have been set for the Billing Provider.  A red ‘X’ icon indicates no Charges have been set.

Step 4. Optional (when available): Adjust your ‘Charges’, then click the ‘Save’ button

Set percentages for each type of service you bill.  Changes to your Charges are effective as soon as you click the Save button.

If you don’t see this option, it’s because DaisyBill is still working on your state’s fee schedule!  Follow the steps below to import or create your own Custom Charges.

Note: Charges do NOT apply to Procedure Codes associated with a Custom Charge.

Step 5. To import ‘Custom Charges’ from a spreadsheet, click ‘Add Charges’, then select ‘Import’

Step 6. Enter the ‘Custom Charge Name’, ‘Injury States’, ‘Effective DOS’, and ‘Expiration DOS’, then select the CSV file to import

From the Injury States dropdown menu, select the States where the Custom Charge will be effective.

Effective DOS and Expiration DOS correspond to the DOS of the bill where the Custom Charge is applicable.

Note: The CSV file MUST use the column headings ‘procedure_code’, ‘supplemental_data’, ‘modifier’, and ‘amount’.

Step 7. Click ‘Import’

Step 8. To manually enter ‘Custom Charges’, click ‘Add Charges’, then select ‘Manual’

Step 9. Enter the ‘Custom Charge Name’, ‘Injury States’, ‘Effective DOS’, and ‘Expiration DOS’

From the Injury States dropdown menu, select the States where the Custom Charge will be effective.

Effective DOS and Expiration DOS correspond to the DOS of the bill where the Custom Charge is applicable. Multiple Custom Charges can be created with the same Effective DOS and Expiration DOS.

Step 10. Enter the ‘Procedure Code’, ‘Modifier’ (if applicable), and ‘Charge Per Unit’, then click ‘Add’

A single Procedure Code (or Procedure Code and Modifier/Supplemental Data combination) can only exist on one Effective Custom Charge at a time.

Step 11. To view a ‘Custom Charge’, click its name

Step 12. To edit a ‘Custom Charge’, click ‘Edit’

Step 13. Enter the changes, then click ‘Save Changes’

To disable a Custom Charge, select No under Active.  The entire Custom Charge will no longer be used.

Step 14. To view the Custom Charges History, click ‘History’

History displays the complete history of the creation and edits to the Custom Charges.

Step 15. To add a ‘Procedure Code’, click ‘Add Procedure Code’

Step 16. Enter the information, then click ‘Add’

Step 17. To edit a ‘Procedure Code’, click the ‘Pencil’ icon

You can edit the Charge Per Unit, or deactivate the Procedure Code from your Charges.

Step 18. To view the changes made to a ‘Procedure Code’, click the ‘History’ icon


That was easy, wasn’t it?

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