If your clinic offers specific rates for cash, self-pay, or time-of-service discount patients, there are several ways to apply these charges. This guide will walk you through how to set them up in ChiroUp.
To apply special cash rates for specific services, you can either create a custom cash code or enter CHUSA/Cash/Self-Pay/Time of Service discount as a non-billable payor to automatically pull in the associated allowed amount for patients receiving the discount. See below for more information on each option:
Cash Custom Codes
Some clinics opt to create custom cash codes to charge their patients. This article will walk you through how to create a custom billing code.
Examples of custom codes clinics may use are:
General Cash Adjustment Code:
Self-Pay (SP) CPT Code:
Entering a custom code is a great solution to flexibly charge patients who do not use insurance. Please note, however, that custom codes are not integrated in the Plan Wizard, so you would need to manually add these to the patient's purchase. On subsequent visits, however, these codes can be SALTed.
CHUSA or Cash as a non-billable payor
Some clinics choose to set up CHUSA, 'Cash,' 'Self-pay,' or 'Time of Service' as non-billable payors. Assigning these payors to patients ensures they are charged the specific rates for their policy or discount program while preventing claim generation.
This article will show you how to designate a non-billable payor.
In your Billing codes database, be sure to add the specific rate for CHUSA or cash patients as an Allowed Amount for each relevant service code. Then, when you charge these codes to a purchase with the non-billable payor policy attached, the patient responsibility will calculate based on those entered allowed amounts.
Please note that the difference between the standard billed amount and the allowed amount for the service will result in a contractual obligation that will need to be written-off.
Cash and Insurance Services on the same Purchase
If a patient's purchase includes services billed to insurance alongside cash services or patient-responsible items, you can exclude the cash services from the claim form and assign the responsibility directly to the patient.
To do so, simply uncheck the billable services box for the service code line item on the purchase.
When the check is not marked (gray), that indicates the service is non-billable. It will be omitted from the claim form and the billed amount responsibility will fall on the patient.
When the check is marked (green), that indicates the service is billable and will be included in the claim form. The patient/payor responsibility is calculated based on the insurance policy benefits and allowed amounts.
This article walks you through Non-billable service codes
💡Pro tip:
Looking for a simple solution when it comes to offering legal network-based discounts for cash, underinsured and “out of network” patients? Please contact our Trusted Business Associates, ChiroHealth USA by reaching out to Heather at heather@chirohealthusa.com.