Permissions: You need the Admin permission to use these functions.
Fusion has the option to allow you to calculate units based on the CMS 8-minute rule. This is especially helpful when working with Medicare and other payers that follow this rule.
There is only one thing you will need to do when adding a new payer who you wish to calculate based on the CMS 8-Minute rule.
For more on The 8-Minute Rule, check out our 8-Minute Rule FAQs article.
Edit Existing Payer
You can easily edit the method used to calculate units with an existing payer.
TIP: If you click on the you will see a pop-up box that will offer a brief explanation between "Per Billing Code" and "By Total Minutes"
Setting 8-Minute Rule with New Payer
When you create a new payer, the Calculate Units option will be blank by default, which means you will have to choose which method to use.
NOTE: If your client has multiple payers, Fusion will default to the setting for the Primary Payer for unit calculation.
Submit Charges on a Daily Note
- When you submit or revise charges on a daily note, the units will be calculated based on the primary payer’s settings.
- If the payer is calculating units by total minutes, the units shown to the right of each charge will now re-calculate any time the Quantity field for a timed code is changed.
- If a charge line ends up with 0 units, that line will still show on the final document, but won’t appear on the claim.