Presentation on theme: "CREATIVE PLAN BUILDING PRESENTED BY: FRED PORTER, YONETTE BOWEN AND CHARLEEN MULLANEY."— Presentation transcript:
CREATIVE PLAN BUILDING PRESENTED BY: FRED PORTER, YONETTE BOWEN AND CHARLEEN MULLANEY
AGENDA Episode Records Pre-Certification Requirements Benefit Plan Setup Adjudication Logic Setup ICD9 and ICD10 Category Definitions Dental Logic Copay by DOS Out of Network payment options (Creatively!)
PRICING OPTIONS NORMAL PRICING Allows you to attach multiple Providers to a single episode EVENT PRICING Allows you to attach a single Provider to a single episode CASE PRICING No Providers are attached to the episode
WHAT CAN DENTAL LOGIC DO? Dental logic is by Group. If it is set up, it is used. Ability to do multiple things on one ADA code Ability to change ADA codes or use a particular Benefit Code as in regular Adjudication Logic. Multiple variations on Tooth, Arch, Quadrant and Provider. Patient Age Limitations Limitations base on services Reported With, History of or Without History.
DENTAL LOGIC All U/W, Groups within single U/W or single Group