How do I know which Fee Schedule is being used?

• Logic for Effective/Expiration Dates
• Logic for Procedure Codes and Modifiers

Can an Encounter have more than one associated Fee Schedule?

• Yes, an Encounter can have multiple Fee Schedules applied across Procedure Lines and within a single line.

• Fee Schedules are not assigned directly to an Encounter. Instead, the link is stored on the Chargeline.

• There are two scenarios in which multiple Fee Schedules apply to a single Encounter:

• Multiple Chargelines matched to different Fee Schedules.
• Different Types of Fee Schedules matched to one Chargeline.

• Fee Schedule Priority Logic