Line-Item Service Charges

Every dispatch in AngelTrack has its own list of payment events. The list can include a special kind of payment event, representing a service charge. The service charge is included as a line-item during invoicing, and counts towards the balance due just like any other payment event.

Service charges can be created, modified, and deleted using any of AngelTrack's UI for managing the payment event list. There is also special UI in the QA Review form, so that the QA reviewer can quickly assess any relevant service charges.


Printed in the Invoice as Line Items

As with all payment events, service charges are printed in the invoice as line items. Here is an example of an invoice containing one dispatch with a service charge (bariatric lift) attached:

Invoice with service charges

Note that there are other automatic line-items in an AngelTrack invoice:


Service Charges are Usually Assessed During QA Review

Service charges Responsibility for assessing service charges usually falls to the QA reviewer, because he/she is already examining the run record in detail.

To this end, the QA Review form includes UI for checking the current list of service charges accrued for the dispatch, plus a popup window for adding additional charges.

The QA reviewer can add and delete service charges as necessary. Billers can later review and revise these charges using the "Payment Events" grid on the "Billing" tab of the dispatch's Dispatch Edit page.


Service Charges are Payment Events

Service charges are payment events and therefore appear in all payment event lists. In addition to the aforementioned UI in the QA Review form, they can also be created using Record a Payment Event or by clicking the + icon at the top-right of any payment event grid.

Billers can modify and delete service charages at will, just like any other payment events. Whenever a payment event is added, modified, or deleted, the dispatch's balance due is recalculated; however, existing invoices will not be retroactively modified.


Some Service Charges are Automated

AngelTrack will automatically add service charges for:

Using the Medications List or Lab Tests List, specify prices for the medications and tests you wish to charge for. If the price is not zero, then AngelTrack will automatically add the appropriate service charges when the crew uses the PCR to record the administration.

If the crew subsequently deletes (recants) that PCR medication record, the line-item service charge is automatically deleted too.

During QA review, the list of line-item service charges is shown on the review form, so that it can be double-checked, and edited if necessary.


Service Charges are Voided by Price Adjudication

When an insurance carrier adjudicates a price for a claim, then that price is the last word... even if the carrier does not, itself, pay it. Even if the patient pays 100% of the adjudicated price, you may not charge them more than that. Not even service charges. All insurance carriage contracts are written this way.

AngelTrack receives the adjudicated price via an EOB document, which you either upload electronically (if you receive the EOB as an X12.835) or record manually (if you receive the EOB as paper). The adjudicated price is recorded in AngelTrack's "Price allowed" field. Once that field is populated with a price, AngelTrack ignores any service charges, any discounts, and any quoted price when determining the balance due.

Voided, but not deleted

An adjudicated price will void any service charges attached to the dispatch, but it does not delete them. They remain attached as active payment events, and they will take effect again if the "Price allowed" field is ever cleared. (Usually, the field is intentionally cleared when generating a facility invoice, where the facility contract prevails.)


Service Charges are Included in Tax Reports

Service charges attached to any written-off dispatch will be included in the Taxes and Commissions Calculator for tax purposes.

Service charges count as revenue, and therefore as a writeoff when they are not collected. To learn more, read the Collections and Writeoffs guide.



Help Index - AngelTrack EMS Billing Software