What is the Bundle Rate Sheet Report?

• Purpose
• Report Detail/Considerations
• Report Definitions
• Finding the Report

Purpose

The Bundle Rate Sheet is a listing of the Bundle Combinations and Billable services. This will allow the billing and administrative staff to view the bundle configurations.

Report Detail/Considerations

• The report can be run for a specific insurance or all insurance carriers configured for bundles.

• When running for all insurance carriers, they will display alphabetically.

• Each Billable Service will be listed first and followed by all services that are included in the Bundle Combination. When there is more than one billable service for a billing combination, all billable services will be listed before the services that are included in the Billing Combination.

• Only the billable service/s will have a procedure code, applicable modifier, applicable Rate Code, place of service, UCR, Expected payment Amount, and copayment.

• Retired carriers with bundles that do not have an expiration date will show on the report

Report Definitions

Column Header	Definitions
Category	The category selected for the service.
Description	Billable Service Description/Service included in bundle
Procedure Code	The Procedure Code entered on the Bundle Billable Service
Modifier	The Modifier entered on the Bundle Billable service (if applicable)
Rate Code	The Rate Code entered on the Bundle Billable service (if applicable; only for Institutional claims)
Place of Service Code	The place of service selected on the Bundle Billable Service
Carrier's Service Description	This column displays the Billable Service Description for bundles
UCR	The UCR (Usual Customary and Reasonable) amount entered on the bundle billable service.
Expected Payment	The expected patient amount
Copayment	This column will show the difference between the UCR and Expected Payment Amount. Can be used to identify sales allowance or patient copayment.
Req	This column shows if a service in the Billing combination is marked as Required (Y) or (N) which indicates Optional.
Occur	This column shows if a service in the Billing combination is marked as Occurrence (Y) or (N). Minutes entered do not show on this report.
THUMin	Take home Minimum Units entered in Billing combination for Take home Dose
THUMax	Take home Minimum Units entered in Billing combination for Take home Dose
Max Unit	Take home Max Unit per Billing Frequency entered in Billing combination for Take home Dose
Bill Freq	Take Home Billing frequency selection (Daily, Weekly, Monthly, yearly) in Billing combination for Take home Dose

Finding the Report

You can find this report from the Reports module (print icon) in SMART by selecting Third Party→ Accounts →Settings and then the report title itself.