Fee "Increase By" Examples

Fee "Increase By" Examples

Increase By Percentage

Calculation: Base Fee + (Base Fee x Increase By Percentage)= Fee

  • Base Fee: $200
  • Increase By 150%

Example 1

Increase the Base Fee by a Percentage: Increase the Base Fee of $200 by 150% with the end result being $500. In effect, you are adding to the Base Fee the Percentage of the Base Fee.

  • Increase By Calculation:
  • $200 + ($200 x 1.5)
  • $200 + $300
  • $500

If you want the end result to be a percentage of the Base Fee (not increased by)

  • The Base Fee is $200 and you want your end fee to be $300, which is 150% of $200. In effect, you are increasing the fee by 50%.
  • Percentage of Base Fee System Calculation:
  • $200 + ($200 x (1.50 - 1.00)) (Subtract 100% from 150% = 1.50 - 1.00)
  • $200 + ($200 x .5)
  • $200 + 100
  • $300


Example 2:

Increase the Base Fee of $228 by 20%

  • $228 + ($228 x .20)

  • $228 + 45.60

  • $273.60

 

Decrease the Base Fee to equal 20% of $228 for your self-pay fee schedule with the end result being $45.60.

  • $228 + ($228 x (0.20 - 1.00))

  • $228 + ($228 x (-.80)

  • $228 - $182.40

  • $45.60


    • Related Articles

    • Fee/RVU Management

      Add Charge Fee, Allowed Fee, and RVU Schedules If the Items Number is 0, there is a problem with the file that was uploaded. Reference the File Formatting Guidelines to ensure a successful upload. The Procedure Code must exist in the Procedure Code ...

    • Allowed Fee Exception Report

      To find underpayments, this report compares posted allowed amounts to contractual allowed amounts. The Allowed Fee Exceptions Report shows discrepancies on Posted Allowed amounts against the Allowed Fee Schedule. It does not report on CO's and ...

    • Charge Management Rule Examples

      Alert for Provider Credentialing There is a System delivered Charge Management Rule to display a Validation Warning for Providers who are not yet Credentialed with a Specific Insurance. Use this link for more detailed documentation: Hold Billing for ...

    • Self-Pay Fee Schedule

      Release 4.7 A Self-Pay Fee Schedule(s) can be used as Self-Pay only, or you can use another Fee Schedule, such as an Insurance Fee Schedule, as your Self-Pay Fee Schedule. There can be multiple Self-Pay Fee Schedules. Add a Self-Pay Fee Schedule From ...

    • Fee/RVU Schedule FAQs

      Fee/RVU Schedule FAQs Fee Schedule How do I know which Fee Schedule is being used? Logic for Effective/Expiration Dates Logic for Procedure Codes and Modifiers