Price Tables - Revision history

Cecswiki at 18:43, 14 June 2016

2016-06-14T18:43:37Z

@@ Line 50: / Line 50: @@
 ==Special Price Tables==
 Line 123 of the Price Table Screen can allow you to designate a price table to be used in very specialized circumstances.
@@ Line 57: / Line 56: @@
 * '''C''' will designate an '''Insurance Copay Table''' can can only be used to calculate insurance copay values (Ins Vendor File, screen 2, line 23).  This can be used for customers whose copay amount is set as a percent or flat value. This isn't used as often, as insurances will set the copay in the response to an electronic claim.
 * '''A''' will designate a '''Price Adjustment Table''' for adjusting retail pricing.

Cecswiki: /* Special Price Tables */

2016-06-14T18:25:52Z

Special Price Tables

← Older revision		Revision as of 18:25, 14 June 2016
Line 53:		Line 53:
	Line 123 of the Price Table Screen can allow you to designate a price table to be used in very specialized circumstances.		Line 123 of the Price Table Screen can allow you to designate a price table to be used in very specialized circumstances.

	* '''R''' will designate the table as a '''Rounding Table'''. This table would be used to round upward or downward to dollar or coin denominations. Ideally used for cash claims. This is set in the Business Control File, Screen 3, Line 15. Price table '''75''' is designated as the QuickSCRIP rounding table.		* '''R''' will designate the table as a '''Rounding Table'''. This table would be used to round upward or downward to dollar or coin denominations. Ideally used for cash claims. This is set in the Business Control File, Screen 3, Line 15. Price table '''75''' is designated as the QuickSCRIP default rounding table.
	* '''I''' will designate the table as a '''Discount table''' and can only be used to create customer discounts (Business Control File, Screen 3)		* '''I''' will designate the table as a '''Discount table''' and can only be used to create customer discounts (Business Control File, Screen 3)
	* '''C''' will designate an '''Insurance Copay Table''' can can only be used to calculate insurance copay values (Ins Vendor File, screen 2, line 23). This can be used for customers whose copay amount is set as a percent or flat value. This isn't used as often, as insurances will set the copay in the response to an electronic claim.		* '''C''' will designate an '''Insurance Copay Table''' can can only be used to calculate insurance copay values (Ins Vendor File, screen 2, line 23). This can be used for customers whose copay amount is set as a percent or flat value. This isn't used as often, as insurances will set the copay in the response to an electronic claim.
	* '''A''' will designate a '''Price Adjustment Table''' for adjusting retail pricing.		* '''A''' will designate a '''Price Adjustment Table''' for adjusting retail pricing.

Cecswiki at 18:22, 14 June 2016

2016-06-14T18:22:40Z

← Older revision		Revision as of 18:22, 14 June 2016
Line 4:		Line 4:

	# '''Drug''' (Drug File Maintenance, line 5). QuickSCRIP defaults to this price table if no other table can be applied to a scrip.		# '''Drug''' (Drug File Maintenance, line 5). QuickSCRIP defaults to this price table if no other table can be applied to a scrip.
	# '''Insurance''' (Insurance Vendor File Maintenance, lines 21 and 22). Sets Usual and Customary values for insurances. If		# '''Insurance''' (Insurance Vendor File Maintenance, lines 21 and 22). Sets Usual and Customary values for insurances. If there is no table present here, QuickSCRIP defaults to the table attached to the drug.
	there is no table present here, QuickSCRIP defaults to the table attached to the drug.
	# '''Customer''' (Patient File Maintenance, line 73) allows you to setup custom pricing for specific customers. If there is no table present here, then QuickSCRIP defaults to the Insurance table, then to Drug table.		# '''Customer''' (Patient File Maintenance, line 73) allows you to setup custom pricing for specific customers. If there is no table present here, then QuickSCRIP defaults to the Insurance table, then to Drug table.

Cecswiki at 18:22, 14 June 2016

2016-06-14T18:22:27Z

← Older revision		Revision as of 18:22, 14 June 2016
Line 1:		Line 1:
	One of the most important features in QuickSCRIP is the ability to set dynamic pricing systems for specific drugs, insurance companies, and customers. Pricing tables are used to determine your '''Cash''' prices and your '''Usual and Customary''' values for electronic insurance claims.		One of the most important features in QuickSCRIP is the ability to set dynamic pricing systems for specific drugs, insurance companies, and customers. Pricing tables are used to determine your '''Cash''' prices and your '''Usual and Customary''' values for electronic insurance claims.

	QuickSCRIP has an internal hierarchy to determine what price table is applied in what circumstances.		QuickSCRIP has an internal hierarchy to determine what price table is applied in what circumstances. If you think QuickSCRIP is miscalculating a price value for a prescription, we recommend checking these locations to make sure one price table isn't overriding another.

	* '''Drug''' (Drug File Maintenance, line 5). QuickSCRIP defaults to this price table if no other table can be applied to a scrip.		# '''Drug''' (Drug File Maintenance, line 5). QuickSCRIP defaults to this price table if no other table can be applied to a scrip.
	* '''Insurance''' (Insurance Vendor File Maintenance, lines 21 and 22). Sets Usual and Customary values for insurances. If		# '''Insurance''' (Insurance Vendor File Maintenance, lines 21 and 22). Sets Usual and Customary values for insurances. If
	there is no table present here, QuickSCRIP defaults to the table attached to the drug.		there is no table present here, QuickSCRIP defaults to the table attached to the drug.
	* '''Customer''' (Patient File Maintenance, line 73) allows you to setup custom pricing for specific customers. If there is no table present here, then QuickSCRIP defaults to the Insurance table, then to Drug table.		# '''Customer''' (Patient File Maintenance, line 73) allows you to setup custom pricing for specific customers. If there is no table present here, then QuickSCRIP defaults to the Insurance table, then to Drug table.

	~~If you think QuickSCRIP is miscalculating a price value for a prescription, we recommend checking these locations to make sure one price table isn't overriding another.~~		'''Please Note''' While a price table will impact what Usual and Customary Value is transmitted to an insurance company, it does not impact how much that insurance company will reimburse for a claim. Read transmission responses carefully, a most will state how much was reimbursed and what the pricing basis of reimbursement was (COST, MAC, WAC, ect).

	'''Note''' While a price table will impact what Usual and Customary Value is transmitted to an insurance company, it does not impact how much that insurance company will reimburse for a claim. Read transmission responses carefully, a most will state how much was reimbursed and what the pricing basis of reimbursement was (COST, MAC, WAC, ect).

	==Price Table File Maintenance==		==Price Table File Maintenance==

Cecswiki at 18:21, 14 June 2016

2016-06-14T18:21:43Z

← Older revision		Revision as of 18:21, 14 June 2016
Line 9:		Line 9:

	If you think QuickSCRIP is miscalculating a price value for a prescription, we recommend checking these locations to make sure one price table isn't overriding another.		If you think QuickSCRIP is miscalculating a price value for a prescription, we recommend checking these locations to make sure one price table isn't overriding another.

			'''Note''' While a price table will impact what Usual and Customary Value is transmitted to an insurance company, it does not impact how much that insurance company will reimburse for a claim. Read transmission responses carefully, a most will state how much was reimbursed and what the pricing basis of reimbursement was (COST, MAC, WAC, ect).

	==Price Table File Maintenance==		==Price Table File Maintenance==

Cecswiki: /* Special Price Tables */

2016-06-14T18:17:35Z

Special Price Tables

← Older revision		Revision as of 18:17, 14 June 2016
Line 50:		Line 50:
	** '''4''' Use 4 decimal places in the fee field for a 'P' Pill table. Example 13.33 would convert to 0.1333 in the table calculation.		** '''4''' Use 4 decimal places in the fee field for a 'P' Pill table. Example 13.33 would convert to 0.1333 in the table calculation.

	===Special Price Tables===		==Special Price Tables==

	Line 123 of the Price Table Screen can allow you to designate a price table to be used in very specialized circumstances.		Line 123 of the Price Table Screen can allow you to designate a price table to be used in very specialized circumstances.

	* '''R''' will designate the table as a '''Rounding Table'''		* '''R''' will designate the table as a '''Rounding Table'''. This table would be used to round upward or downward to dollar or coin denominations. Ideally used for cash claims. This is set in the Business Control File, Screen 3, Line 15. Price table '''75''' is designated as the QuickSCRIP rounding table.
	* '''I''' will designate the table as a '''Discount table''' and can only be used to create customer discounts (Business Control File, Screen 3)		* '''I''' will designate the table as a '''Discount table''' and can only be used to create customer discounts (Business Control File, Screen 3)
	* '''C''' will designate an '''Insurance Copay Table''' can can only be used to calculate insurance copay values (Ins Vendor File, screen 2)		* '''C''' will designate an '''Insurance Copay Table''' can can only be used to calculate insurance copay values (Ins Vendor File, screen 2, line 23). This can be used for customers whose copay amount is set as a percent or flat value. This isn't used as often, as insurances will set the copay in the response to an electronic claim.
	* '''A''' will designate a '''Price Adjustment Table''' for adjusting retail pricing.		* '''A''' will designate a '''Price Adjustment Table''' for adjusting retail pricing.

Cecswiki at 18:07, 14 June 2016

2016-06-14T18:07:32Z

← Older revision		Revision as of 18:07, 14 June 2016
Line 1:		Line 1:
	One of the most important features in QuickSCRIP is the ability to set dynamic pricing systems for specific drugs, insurance companies, and customers.		One of the most important features in QuickSCRIP is the ability to set dynamic pricing systems for specific drugs, insurance companies, and customers. Pricing tables are used to determine your '''Cash''' prices and your '''Usual and Customary''' values for electronic insurance claims.
	Pricing tables are used to determine your '''Cash''' prices and your '''Usual and Customary''' values for electronic insurance claims.

	QuickSCRIP has an internal hierarchy to determine what price table is applied in what circumstances.		QuickSCRIP has an internal hierarchy to determine what price table is applied in what circumstances.
Line 7:		Line 6:
	* '''Insurance''' (Insurance Vendor File Maintenance, lines 21 and 22). Sets Usual and Customary values for insurances. If		* '''Insurance''' (Insurance Vendor File Maintenance, lines 21 and 22). Sets Usual and Customary values for insurances. If
	there is no table present here, QuickSCRIP defaults to the table attached to the drug.		there is no table present here, QuickSCRIP defaults to the table attached to the drug.
	* '''Customer''' (Patient File Maintenance, line 73) allows you to setup custom pricing for specific customers. If there is no table present		* '''Customer''' (Patient File Maintenance, line 73) allows you to setup custom pricing for specific customers. If there is no table present here, then QuickSCRIP defaults to the Insurance table, then to Drug table.
	here, then QuickSCRIP defaults to the Insurance table, then to Drug table.

	If you think QuickSCRIP is miscalculating a price value for a prescription, we recommend checking these locations to make sure one price table		If you think QuickSCRIP is miscalculating a price value for a prescription, we recommend checking these locations to make sure one price table isn't overriding another.
	isn't overriding another.

	==Price Table File Maintenance==		==Price Table File Maintenance==

Cecswiki: /* Price Table File Maintenance */

2016-06-14T18:05:39Z

Price Table File Maintenance

← Older revision		Revision as of 18:05, 14 June 2016
Line 15:		Line 15:
	==Price Table File Maintenance==		==Price Table File Maintenance==

	[[File:PriceTable.jpg\|right\|~~500px~~\|An Example Price Table]]		[[File:PriceTable.jpg\|right\|600px\|An Example Price Table]]

	The Price Table File Maintenance Screen allows you to view, create, and edit price tables.		The Price Table File Maintenance Screen allows you to view, create, and edit price tables.

Cecswiki: /* Price Table File Maintenance */

2016-06-14T18:05:24Z

Price Table File Maintenance

← Older revision		Revision as of 18:05, 14 June 2016
Line 15:		Line 15:
	==Price Table File Maintenance==		==Price Table File Maintenance==

	[[File:PriceTable.jpg\|right\|~~400px~~\|An Example Price Table]]		[[File:PriceTable.jpg\|right\|500px\|An Example Price Table]]

	The Price Table File Maintenance Screen allows you to view, create, and edit price tables.		The Price Table File Maintenance Screen allows you to view, create, and edit price tables.

Cecswiki: /* Price Table File Maintenance */

2016-06-14T18:04:21Z

Price Table File Maintenance

← Older revision		Revision as of 18:04, 14 June 2016
Line 15:		Line 15:
	==Price Table File Maintenance==		==Price Table File Maintenance==

	[[PriceTable.jpg\|right\|~~380px~~\|An Example Price Table]]		[[File:PriceTable.jpg\|right\|400px\|An Example Price Table]]

	The Price Table File Maintenance Screen allows you to view, create, and edit price tables.		The Price Table File Maintenance Screen allows you to view, create, and edit price tables.