How to Bill FHO+ Hourly Rate Codes as Non-Patient-Specific Claims in HYPEMedical

How do I Bill FHO+ Hourly Rate Codes with HYPEMedical?

How to Bill FHO+ Hourly Rate Codes as Non-Patient-Specific Claims in HYPEMedical

Quick Answer
Bill your normal patient visit and procedure codes as usual. Then, at the end of the day, total your time for each FHO+ Hourly Rate Code and enter one daily claim line per code in HYPEMedical using a fictitious patient record such as “Hourly rates.” These claims are entered as daily total claims, not patient-by-patient hourly claims.

Summary

This article explains how to enter FHO+ Hourly Rate Codes in HYPEMedical as non-patient-specific daily claims. It covers when to use the claim, how to set up the fictitious patient record, how to enter the service codes, and how to calculate the units.

Important rules

Only services rendered to rostered patients can be billed using the Hourly Rate Codes.

Continue to bill your normal patient visit and procedure codes the usual way.

Then bill the Hourly Rate Codes at the end of the day, after totaling your time for each service code.


Claim entry steps for FHO+ Hourly Rate Codes

  1. 1. Create a fictitious patient record

    Use your first hourly rate claim to create a fictitious patient record. In the example above, the name “Hourly rates” was used. On future hourly rate claims, search for “Hourly rates” and use that same record again.

    2. Complete the blue patient section carefully

    In the blue section of the claim, do not include regular patient demographics beyond the fictitious name “Hourly rates.” Follow the example in hte image above.

    3. Enter the service code

    Add the relevant hourly rate code for the service date you are billing: Q310, Q311, Q312 or Q313. Enter a separate claim line for each code being billed for that date.

    4. Enter the service date

    Enter the date the work was done.

    5. Calculate the units

    Convert your total time for each code into 15-minute units:

    • 1 hour = 4 units
    • Extra time of 8 minutes or more rounds up to the next unit

    Enter the total units for each service code for that service date (image below), as in the example in the image above.




6. Save the claim

Click Save, check Save Claim Anyways and click Save, again.

NotesTreat these as daily total claims, not patient-by-patient hourly claims. Do not link the hourly-rate claim to a patient health card number. These are intended to be
submitted as date-based hourly claims.


HYPEMedical Strategies to Record the Hourly Rate Codes:

  1. Use a Daily Sheet printout from Appointment Search to record Hourly Rate Code minutes alongside the normal service codes for each patient. Q310 — Direct Patient Care (In Person or Video) and Q311 — Direct Telephone Care (Out of Office) minutes can be tracked per patient and then totalled for the service date.

  2. Use the Claim form:

    1. In the Claim form, use the Note field to record the Hourly Rate Code minutes for that claim, for example 6 minutes as shown in the image below.  
       

    2. After all of the day’s claims are saved, search for the newly created claims in Billing Cycle. Add the Note column (Claim-based) to the search results so the Q310 and Q311 minutes entered in each claim can be viewed and added together to calculate the daily totals.


Notes

  • Treat these as daily total claims, not patient-by-patient hourly claims.
  • Do not link the hourly rate claim to a patient health card number.
  • These claims are meant to be entered as date-based hourly claims.
  • Reuse the same fictitious patient record, such as “Hourly rates,” for future hourly-rate claim entry.
  • Keep a daily record of your time by code, then enter the claims once your totals are finalized for the day. This makes claim entry faster, cleaner, and easier to review later. See attached Example of a Daily sheet. 

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