The Auth Services tab is located within the client's Authorization in the Client Profile and is used to manage the individual services associated with the client's authorization.
Auth Services can be added manually or imported from services already configured for the applicable funding source within Manage Rate Table. Within each Auth Service, users can manage service-specific information such as service type, CPT or service code, authorization dates, billing information, utilization limits, and other applicable settings.
Navigating to Auth Services
Navigate to the Client Profile and locate the Authorization widget.
- Existing Authorization: Select the Pencil icon next to the applicable authorization. Once the authorization opens, select the Auth Services tab.
- New Authorization: Select the + icon within the Authorization widget. Complete the required fields within the Auth tab and select Save. Once the authorization has been saved, select the Auth Services tab to begin adding services to the authorization.
Once within the Auth Services tab, services can be manually added using the + icon or added from services already configured within Manage Rate Table using Import or Selective Import.
Below is an overview of the fields and options available within the Auth Services tab.
| Field | Description |
|---|---|
 | Service Type – As defined by your facility. Select the applicable service type from the drop-down. |
 | Service Sub Type – As defined by your facility. Select the applicable service sub-type from the drop-down. |
 | CPT or Service Code – As defined within the authorization. Select the applicable CPT or service code. |
 | Mod 1–4 – Modifiers as defined within your contract with the insurance or funding source. Select the applicable modifier(s) from the drop-downs. |
[ | Start Date / End Date – Defines the start and end dates of the authorized service. Enter the applicable dates in MM/DD/YYYY format. |
 | Billing Rate – Displays the applicable billing rate for the selected service. Select Get billing rate to retrieve the configured billing rate. A Service Type and CPT/Service Code must first be selected. When an applicable rate is found, the Billing Rate, Rate Per, and Units in Mins fields are populated. Note: Access to view or edit the Billing Rate may vary based on user permissions. |
 | Rate Per – Defines how the billing rate is calculated. Select the applicable option from the drop-down. |
 | Units in Mins – Defines the number of minutes per unit. This field applies when Per Unit is selected within the Rate Per field. |
 | Minimum Qualification – Select the minimum qualification required for to perform the service if appropriate. This can also be configured through the rate table using Credential, Clearance, and Qualification requirements. |
 | Auth No – If any service within the authorization has it's own unique authorization number, it can be entered in this field without needing to create an entirely new authorization. |
 | Requested Hours (Per Month) – Enter the requested number of hours per month for the service type. |
 | Split Type – This functionality was designed to accommodate combo codes where the first unit was to be billed under one code, and any subsequent units billed under another code. This is no longer a common practice and it is recommended this is left blank for the vast majority of auths. |
 | Notes – Enter any additional relevant information related to the Auth Service. |
 | Scheduling Percentage – EEnter the applicable scheduling percentage for the Auth Service. The Scheduling Percentage must be at least 100 to save the Auth Service. |
Utilization Limits
The Maximum, Per, and Is fields allow a utilization limit to be configured for the Auth Service.
| Field | Description |
|---|---|
| Maximum | Select how the utilization limit will be measured, such as Hours or Units. |
| Per | Select the period over which the utilization limit applies. Available options include Day, Week, Months, and Total Auth. |
| Is | Enter the maximum amount allowed for the selected utilization limit. |
| + | Click the + icon to add an additional utilization limit. The first utilization limit must be completely configured before a second limit can be added. |
For example:
Maximum: Hours | Per: Months | Is: 100
This configuration establishes a maximum utilization limit of 100 hours per month.
Adding an Additional Utilization Limit
Up to two utilization limits can be configured for an Auth Service. This allows more than one utilization requirement to be applied to the same service. Pasted markdown
To add a second utilization limit, complete all three fields; Maximum, Per, and Is; for the first utilization limit. Then click the + icon.
If the first utilization limit has not been completely configured, the following message will display:
Note: Please configure a utilization limit before adding a second row.
Once added, a second row of Maximum, Per, and Is fields will display.
In this example, the Auth Service allows a maximum of 100 hours per month AND 1,000 units for the total authorization period. Both conditions must be satisfied when applicable appointments are scheduled or rendered.
When configuring two utilization limits, the same Per selection cannot be used for both rows. For example, if Months is selected in the first row, Months will not be available as an option within the second row.
After the second utilization limit is added, the + icon changes to a – icon. Click the – icon to remove the second utilization limit if it is no longer needed. A maximum of two utilization limits can be configured.
When two utilization limits are configured, MeasurePM evaluates applicable appointments against both limits. If one limit is exceeded, the applicable utilization-limit message will display. If both limits are exceeded, the messages for both limits will display.
Utilization Reports
When two utilization limits are configured, authorization utilization reports continue to calculate utilization based on the first utilization limit. The second utilization limit is not reflected as an additional utilization calculation within utilization reports. Pasted markdown
For example, if the utilization limits are configured as:
First Limit: 100 Hours Per Month
Second Limit: 1,000 Units Per Total Auth
the applicable utilization report will reflect the first utilization limit of 100 Hours Per Month.
Additional Auth Service Fields
| Field | Description |
|---|---|
 | Discount Percentage – Enter the applicable discount percentage, when applicable. |
 | Auth Combination – Select this option to combine the Auth Service with another Auth Service. When Auth Combination is selected, an additional Service Type selection displays, allowing the applicable service(s) to be selected for the combination. |
Importing Auth Services
Services can be added to the client's authorization manually or imported from services already configured for the applicable funding source within Manage Rate Table.
| Option | Description |
|---|---|
| Import | Select Import to add all applicable services that have already been entered for the funding source within Manage Rate Table and fall within the Start Date and End Date period of the client's authorization. Once imported, any services that are not needed can be deleted from the client's authorization. |
| Selective Import | Select Selective Import to display the applicable services that have already been entered for the funding source within Manage Rate Table and fall within the Start Date and End Date period of the client's authorization. Select the specific services you would like to import into the client's authorization. |
Note: Import can be used to add all applicable services at once, with the option to delete any services that are not needed. Selective Import allows you to choose which applicable services you would like to add to the client's authorization before importing them.
Once all mandatory information is completed under the Auth Services tab, click Save to save the Auth Service information.
Need Help?
If you have any questions or need assistance, please reach out to our support team at support@measurepm.com