Assigning Prices Dynamically

Question 1

Which record determines WHEN a fee schedule is used? Choose only 1 answer
A. System Definition Profile
B. Fee Schedule Record
C. Charge Code
D. Fee Schedule Group Record
E. Pricing Record

Answer 1

D. Fee Schedule Group Record

Question 2

A charge has a base price of $20 and a unit price of $50. It is priced by units (not time). What will the price be for the quantity of 5?
A. $100
B. $150
C. $225
D.$270

Answer 2

D. $279

5X50+20

Question 3

What determines how Fee Schedule Groups are searched when a charge meets the criteria for more than one group?
A. Fee Schedule
B. Fee Search Group Search Precedence
C. Cost Center
D. Patient Class

Answer 3

B. Fee Search Group Search Precedence

Question 4

You have a charge that needs to be price at $25 for inpatient settings and $35 for outpatient settings. True of False: This build requires only one fee schedule.

Answer 4

False, a fee schedule can only have on e procedure/price combination. Two fee schedules are required for this scearnio

Question 5

A charge code is added to a fee schedule with the following information:
Unit Price is $10.00
Base Price: $20.00
Algortithm is Units
What is the price for this charge with a quantity of 4? Chose only 1 Option
A. $90.00
B. $60.00
C. $80.00
D. $40.00
E.$120.00

Answer 5

B.
(unit price * # of units) + base price=total price of the charge
($10.00*4) +$20.00= $60.00

Question 6

A charge matches the criteria in 3 fee schedule groups:
-BFG #1 is searched first and contains only fee schedule; the charge is not found within that fee schedule
-BFG#2 is searched next and contains two fee schedules; the charge is found in both of these fee schedules
–The first fee schedule is in fee schedule group #2 lists the total price of the charge as $100.
–The second fee schedule lists the total price as $200.
-BFG 3 contains a fee schedule named “Default Fee Schedule” which prices the charge code at $300.
What is the price of the charge when it posts? Chose only 1 option:
A. $100
B.$200
C. $300
D. There is not enough information provided to answer this question

Answer 6

A. $100
BFG 1 is searched first. Since the charge code is not listed in the attached FSG the system will look to the next BFG (based on the HSD search precedence). In the BFG 2 there are 2 attached fee schedules and the charge code is listed in both. The system searches the fee schedules in the order they are listed, so the first fee scehdules gets searched first. Once a price is found the system stops looking, so $100.00 will be the priced.