For agencies that are configured to use the Billing Menu feature in the Fiscal module, the option to generate invoices for CDT programs assumes the following assumptions:
The provider is doing monthly billing
Billing is based on reception desk attendance
A three-tiered hourly rate is used
The rate is based on whole hours with a maximum of five hours per day
The tiered rate steps down based on the aggregate attendance hours in the month
Per the CDT regulatory changes effective April 1st 2009, the following modifications were deployed to the CDT billing functionality in AWARDS as of that date:
The daily hours are two or four (half day or full day, respectively) as described earlier in this document for the CDT Billing Report, where a half day requires at least one service and a full day requires at least three services.
The billing rates data entry include options to set rates for: CDT half day, CDT full day, Collateral visit, Crisis visit
The announced rates do not permit you to continue to set hourly rates such that they will multiply out correctly to the penny for two and four hours. Rather these new rate options must be entered in order to generate invoices after April 1st, 2009.
The rate tiers are applied at 40 and 65 hours, instead of 50 and 80 hours for the monthly aggregate attendance hours.
In addition to the half day and full day regular visits, invoices are created for crisis and collateral visits based on the individual progress notes. Specifically:
If a face-to-face progress note (15+ minutes in duration) is found that is flagged as a crisis note, and there is a billing rate record for a crisis visit, an additional invoice for the day is created.
If a face-to-face collateral contact note (30+ minutes in duration) is found and there is a billing rate record for a collateral visit, an additional invoice for the day is created.
NOTE: Note that if a CDT billing batch is generated for a date period that precedes 4/1/09, the old logic will be in place. The new logic put in place for the regulatory changes only applies to batches run with date ranges from 4/1/09 forward.