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Set up a fee schedule

Create a fee schedule when you use the Custom fee schedule payment model and need to supply your organization's CPT rates. You can select the fee schedule in a payor reimbursement arrangement or a facility contract payment term.

Before you start​

You need admin access and the effective CPT rates you want to use.

When you do not need a fee schedule​

You do not need to create a custom fee schedule when reimbursement follows Medicare's Physician Fee Schedule. Instead, select Medicare Part B MPFS as the payment model. RehabAlpha uses CMS Medicare Physician Fee Schedule data for that model.

Create a fee schedule​

  1. In the sidebar, click Fee Schedules.
  2. Click New fee schedule.
  3. In Basic details, enter a Name.
  4. Under Values, click Add fee schedule value. To add multiple rates at once, paste columns for start date, end date, CPT code, and rate from a spreadsheet.
  5. For each rate, enter the Start date, CPT code, and Rate. Enter an End date when the rate has a known end date; otherwise, leave it blank.
  6. Click Save.

RehabAlpha opens the new fee schedule after it is saved.

Update fee schedule rates​

  1. Open Fee Schedules and select the fee schedule.
  2. On Details, click Edit.
  3. Add a new rate period when a CPT rate changes, or update an existing rate period when needed.
  4. Click Save.

Keep the effective dates accurate so RehabAlpha can use the applicable CPT rate for each service.