Here is an example of when a special rate may be needed:

• Job Code 016 has a charge of $175 for a skilled nursing visit. The branch manager has negotiated a "special rate" for a patient who needs a blood draw at $95 per visit. Without having to set up a new job code, you have an option to change the rate for this patient only. Here's how...

Steps to Set Up a Special/Contracted Rate

• Use the Select Patient screen to locate the patient.
• Click Patient Histories, then select Special Rates.
• Click on the Payer, then fill in the job code (Make sure a description shows up--will cause issues if job code not selected.)
• The default From Date is the patient's admit date, and the default Thru Date is one year after that. Make the necessary adjustments to these dates as needed. They are there so that when other rates are negotiated, you can see a history of them.
• Next, enter the Rate to be charged. Select Per Visit or Per Hour. Type in the expected number of hours and/or the expected number of visits. (If the actual number is less or more than the expected, you can always come back to this screen to adjust it so that the counts match on the report.)
• Click Save.

To Correct Or Delete An Entry

• Click on the entry from the bottom panel. If you need to delete the entry, a delete option will appear on the screen. Click the delete option. You will receive a popup "Are you sure you want to delete this entry?" Select Yes or No. If you need to edit the entry, select it from the bottom panel, make your changes and then press Save.

To Print Patient Contracted Rates

• Go to Reports > Patients > 01.17 Patient Special Rates.

💡 Tip: If you have already keyed in the visits, you will need to resave them from the Employee Activity > Visit Entry screen to grab those changes. This will recalculate the normal rate to the special rate. If you key in the visits, after putting in the "special rate," each visit will have that rate based on the From and Thru dates you key in at Step 4 above.

📅 Last updated: 8/01/2025
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