Fee Schedule Search

Fee Schedule Search and Setup

DuxWare Fee Schedule Maintenance

Payers that have Allowable Fees that will be paid for services rendered to patients that have that payer
may be stored in DuxWare as a Fee Schedule. The allowable fees will be displayed when payments are being posted
against claims filed to the payer that is linked to the fee schedule. The fee schedule will also be used to
identify payments made by payers that do not total to the expected allowable fees when using the Auto Post feature.
The Payment Variance Report is located in the Revenue Analysis Menu.

To utilize Payer Fee Schedules in DuxWare, the following procedure should be used:

1. Setup the Payer Group
a. From the Support Menu choose General – Payer Group Setup - Add New
b. Choose a code for the Payer Group such as AETNA which would link to all Atena payers.
c. Type in a Name for the Payer Group which is the name you will see when linking payers.
The name may be the same as the code if desired.
d. Save the record.

2. Select the Payers that will use the Payer Group
a. Once the Payer Group is setup, select the Payer Group you just setup by clicking on it in the list.
b. Select from the Payers to add list on the right, all payers that you want to be linked to the Payer
Group by clicking the on the left of the payer. This will add the payer to the Payers in this Group section.
Continue to select from the Payers to add list until you have added all payers to the group that will share the
same fee schedule.

3. Add the allowable fees to the Payer Group
a. If you have the payer allowables in a file format such as CSV or Excel, the payer allowable fees may be
automatically imported into DuxWare by selecting the Import Fees button on the top of the page. To import fees,
click on the Import Fees button and browse to import your fee file from your PC by clicking the “browse” button.
Simply follow the directions on the screen to import your fees. Once imported, your fees will be saved under the group
that you chose and will be linked to all of the payers that you selected in step A above. You can also see all of the
allowable codes listed at the bottom of the Payer Group Setup page.
b. To add Allowable Fees manually, select Support – Procedure/Diagnosis – Fee Schedule Setup. Click Add New, pick your
group from the drop down list and add the code and fee manually.

Note: A payer may be linked to only one group for Fee Schedules. To link a payer to a group for reporting purposes,
select Support – Procedures/Diagnosis – Report Payer Group Setup.

Spreadsheet Format.

Select the correct CSV fee file to load into the system. The CSV file must have the following columns in the following order. 'Procedure Code','Description','Fee'

• The first line must contain the headers.
• Each value must be surrounded in quotes.
• Commas,New Lines in values are not allowed.
• Empty descriptions will be ignored.