To use the Copy Service Calculator to calculate reimbursements for Copy Services, follow these instructions.
Step 1. Select ‘Copy Service’
On the OMFS Calculator page, Physician Services is automatically selected.
Step 2. Enter ‘DOS’
An accurate OMFS reimbursement amount requires the Date of Service, because OMFS reimbursement amounts are calculated using the fee schedule(s) in effect on the date the services were rendered. The Copy Service Fee Schedule became effective 7/1/2015.
Step 3. Enter ‘Procedure Code’
Enter the California specific copy service code.
Step 4. Enter ‘Units’
Enter the number of Units to represent the quantity of the Procedure Code.
Step 5. Optional: Enter ‘Payment Total’
Enter the reimbursement amount allowed by the claims administrator as reported on an explanation of review (EOR). If not provided, this optional field defaults to $0. The Payment Total amount is used to calculate the Expected % on the calculation page.
Step 6. Optional: Repeat steps 3-5 for additional ‘Procedure Codes’
Additional Procedure Code fields will populate automatically.
Step 7. Click ‘Calculate’
Click the Trashcan icon to delete a Procedure Code from calculation.
Step 8. View Calculations
For more information on calculations see the Help Article: California Calculator Results Explained.