Axxess Palliative Care provides billing settings in each payer’s setup that organizations can enable to prompt Axxess intelligence™ to generate the following sections at the end of CPT-driven visits:

• Billing Calculators:

  • Patient Encounter Time (Minutes): Displays the amount of time the clinician spent in the patient chart.

  • Medical Decision-Making Calculator: Displays the patient’s problems, amount and complexity of data, and risk of complications, morbidity or mortality, to assist the clinician in clinical decisions.

• Billing Codes:

  • Subsequent – Established Patient: Displays codes associated with the visit’s care location and, if minute thresholds are established in the payer’s setup, suggests a code based on the visit time.

  • Prolonged Codes: Displays prolonged codes established in the payer’s setup. Prolonged service codes are to be used in addition to the applicable code for the provided service when additional time was spent in the visit with the patient or caregiver.

To enable these settings, navigate to the Fee Schedule tab in the desired payer’s setup.

➜ Insurance/Payers ➜ Edit ➜ Fee Schedule tab

Establish billing codes and enable the billing calculators in the Provider Fee Schedule section. Selecting Time-Based Calculator will make the Patient Encounter Time (Minutes) section appear at the end of CPT-driven visits.

Establish prolonged codes in the Prolonged Codes section.