Why are my add-on codes defaulting to half the total charge?
If you do not set up a specific breakdown for add-on codes in advance, or you do, but don't assign that payer to your patient/client, then Luminello automatically defaults to breaking down the rates 50/50 for one add-on code (or in thirds for two add-on codes). For example, if you charge $100 for 99213+90833, then each code will be assigned $50.
The correct procedure before billing for any service with add-on codes so that you get the precise add-on rates is to:
- First, set up your rates for specific payers in Financial>Billing Codes>Payers. Read this article to see how.
- Then, choose whichever payer is appropriate for your patient/client. Read this article to see how.
Questions? Ask us!