Expected Reimbursement on your fee schedule

DrChrono's fee schedule allows you to enter your expected reimbursement, per payer, per CPT/HCPCS code.

The system will bill out the base price and when the ERA/EOB is posted, the system will automatically compare your actual reimbursement with what is listed in the expected reimbursement field for that payer ID. If the amount differs, the claim will be listed in your Billing > Underpaid Items option so appropriate action can be taken.

Under Billing > Fee Schedule, you add a base price like normal, but also add the expected allowed amount and payer ID. To add the expected allowed amounts for multiple payers, multiple entries will be required, each with their respective payer ID.

This section allows you to filter the report by Date of service, CPT/HCPCS/Custom Code, Insurer and Compare by Paid/Allowed. You can view the appointment by clicking on the Date of service and it will direct you to the Billing Detail Screen.

It is important to note that the original payment will remain as part of the ERA/EOB received (Billing > Remittance Report) and a copy of the entry will be posted under Billing > Underpaid Items. It is done like this for efficiency - you will be able to tell at a glance if you are being underpaid for services without having to comb through all of your ERAs.