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Athelas lets you calculate patient’s service charges, post encounter, using specific CPT codes instead of just general appointment types, factoring in patient benefits, deductibles, and real-time eligibility to provide accurate estimates of what patients should pay before they leave your practice.

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Adding Service Charges to an Appointment

You can add service items to any appointment, and the system will calculate the charges based on your configured CPT rates. To add service charges:
  1. Navigate to the Appointments page and open the appointment
  2. Click on Charges
  3. Click Add Service Item
  4. The system calculates charges based on:
    • Your CPT charge rates
    • Patient’s insurance benefits (Deductible, OOP, Coinsurance)

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Configuring Service Charge Rates

Service charge rates are configured in your practice settings and determine the base amounts used for calculations. To configure CPT charge rates:
  1. Go to My Practice
  2. Navigate to PR Settings
  3. Navigate to Service Charges (located at the bottom of the settings menu)
  4. Add or update your CPT codes and their corresponding charge amounts

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FAQ

The calculation considers:
  • CPT charge rates configured in your Service Charges settings
  • Patient’s current insurance eligibility and benefits
  • Deductible amounts (remaining or already met)
  • Out-of-pocket maximums
  • Appointment type and services rendered
This provides a more accurate estimate than appointment-based charges alone.
Calculated charges appear in the Charges section of the appointment details page. The system shows both the base charge amount and the estimated patient responsibility based on their insurance benefits.
Yes, you can manually adjust charges as needed. The calculation provides an initial estimate, but you maintain full control to modify charges based on specific circumstances or documentation.