HCPCS Coverage Criteria List

This list allows you to establish relationships between the Item, Package, TOS, Payor and how you want this to be billed. You can define the kind of dates to use, HCPCS codes, documentation requirements, etc.

Join Procedures

Joins two Criteria together. All Quotes, Medical Orders, Recurring Orders and Claims, Purchase Orders, etc. will then have only the one joined Criteria.

Steps
1. Select the Criteria you want another Criteria to be joined into. This Criteria will remain.
2. Select the item you want to be joined to the first Criteria. This Criteria will then be deleted.
3. Click Join, and confirm you want to join the two records.

Tip: You can join only two Criteria at a time.

HCPCS Allowable List

Prints the Coverage Criteria: HCPCS Procedure Codes, Payor, TOS, Items, Package ties you have established.

Tip: Previously you could see each ItemID in the grid and now you must click on the Items button [+] to see items. If you need to see what HCPCS Procedure codes are associated with a particular Item, you can either (1) go to the Item Edit and view the Coverage tab, or (2) you can filter this list on the Item.

HCPCS Coverage Criteria List

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