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Price Levels for larger practices

PowerDiary Limitations

PowerDiary allows you to create services and filter which ones are displayed online. It let's you set client level discounts. That's it! If you have a practice that more than a handful of clinicians then you're going to want to standardise your pricing and "price levels" such as Provisional Psychologist vs Psychologist v Senior Psychologist vs Clinical Psychologist vs Senior Psychologist vs Director make a lot of sense. We hope that PowerDiary will implement a distinction whereby Clinicians are allocated a price level. Services have a default rate but also these defaults can be overridden with a different rate per price level. Then when a client has a default service item the rate they pay for that service item changes over time depending on who they see, or in fact the level of their clinician may change over time but the default service remains the same. There is also the opportunity to expand the service items "item number / code" to better reflect the training level and location to further reduce the item clutter... but that's a different structure. 

 

Our Solution

We suggest planning for a larger structure from the outset and setting up all the items you need using the " (ProvPsy)", " (Psy)", " (ClnPsy)", " (SnrClinPsy)", " (Dir)" suffixes as a means to differentiate the same service as having different price levels. 

 

Insurers

PowerDiary very nicely maps the "insurer" such as Medicare against clients and invoices. 

PowerDiary limitations

What PowerDiary doesn't do is allocate different service items as being exclusive to a particular insurer or in fact the scheme under that insurer for example. We hope that PowerDiary will add the insurer to each service item such that when an invoice is set as Medicare for instance that the items displayed in the invoice details drop down are filtered to only the appropriate insurer eg Self / Medicare / NDIS etc. 

 

Our Solution

In the mean time we have generated a comprehensive list of all the Medicare items including the various schemes such as better access vs Eating Disorders items and named them in a consistent format

 

Locations

PowerDiary does a great job of defining the location of each appointment and binding each location against the Medicare LocationID etc. 

 

PowerDiary Limitations 

What is missing is a definition of what each location "format" is - eg Consult Rooms vs Home Visit vs Telehealth vs Phone. We look forward to PowerDiary adding this distinction and then combining it into the service's "Item Number List" instead of a single item number depending on the location format. 

 

Our Solution

Again we are forced to clutter the item list with the delivery format as the second list differentiator! Where the service is in the consult room we supress the suffice but for phone / telehealth and home visits we display it. 

 

Price vs Rate

If all your services have discrete and unchangeable durations like "20 min appointments" then you can set the amount as the service total. But if you're inclined to let the last appointment go for an extra 20 minutes and then represent that as 1.2 hours at $X price then price is better off representing a rate per hour and for anything that is not a full hour we just alter the quantity as a ratio of the time delivered.

 

Naming structure and sort order

Try to get all your common items at the top of the list to save time scanning list. On the left hand side there are drag handles to resort if you like. 

If you're working on your own then your services should be pretty straight forward but as more people start sharing a service list you might find that pricing or Medicare endorsements for a splitting and repetition. So you end up using initials or similar and then all of a sudden you have several dozen services and finding what you're looking for is next to impossible and annual repricing is worse. 

 

Categories

If you are part of a multi-disciplinary practice that intends on using the client portal then you will want to take advantage of the Categories option in the service items. This will allow clients to filter their services according to say profession or stage of treatment such as "New Clients" vs "Existing Clients". These saleable categories are setup in the Setup > Custom Lists. 

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Our Service Items List

You're free to copy some or all of this structure or get in touch with us and we can help get you setup. The naming convention used here is Duration, Payee, Scheme, Location, Format, Delivery and Provider type. eg "Regular MBS Covid 1-10Sx Video (Psy)" is a 50min session rebateable under Medicare's Covid +10 sessions scheme delivered via video by a psychologist. We chose some of the naming to allow for better alphabetical sorting such as "regular" instead of "standard" because we wanted short consults to sort towards the bottom. 

 

Clinical Psychologist Service Items

Name Code Description Duration Tax
IA Fee   Initial Assessment Fee   GST
$0 Not Chargeable   Used for the non-paying guest of a fully paid attendee in couples and family sessions 50 Tax Exempt
Cx25% (ClnPsy)   Cancellation <24 hrs - First time 75% reduction   Tax Exempt
Cx50% (ClnPsy)   Cancellation <24 hrs - Second time 50% reduction   Tax Exempt
Cx100%   Cancellation <24 hrs - Full fee   Tax Exempt
Regular (ClnPsy)   Regular Consult  - not claimed under Medicare 50 Tax Exempt
Regular MBS MHCP  (ClnPsy) 80010 Regular Consult (50+ mins) - Medicare  (ClnPsy) 50 Tax Exempt
Regular MBS Covid 1-10Sx Video (ClnPsy) 91167 Regular Consult (50+ mins) - Medicare Covid 1-10Sx Video  (ClnPsy) 50 Tax Exempt
Regular MBS Covid 11-20Sx  (ClnPsy) 93333 Regular Consult (50+ mins) - Medicare Covid 11-20Sx  (ClnPsy) 50 Tax Exempt
Regular MBS Covid 11-20Sx Video (ClnPsy) 93334 Regular Consult (50+ mins) - Medicare Covid 11-20Sx Video  (ClnPsy) 50 Tax Exempt
Short MBS MHCP  (ClnPsy) 80000 Short Consult (30-49mins) - Medicare  (ClnPsy) 30 Tax Exempt
Short MBS MHCP Offsite (ClnPsy) 80005 Short Consult (30-49mins) - Medicare Offsite  (ClnPsy) 30 Tax Exempt
Regular MBS MHCP Offsite (ClnPsy) 80015 Regular Consult (50+ mins) - Medicare Offsite  (ClnPsy) 50 Tax Exempt
Regular MBS MHCP Group  (ClnPsy) 80020 Group Consult 6-10px - Medicare  (ClnPsy) 60 Tax Exempt
Short MBS Covid 1-10Sx Phone (ClnPsy) 91181 Short Consult (30-49mins) - Medicare Covid 1-10Sx Phone  (ClnPsy) 30 Tax Exempt
Regular MBS Covid 1-10Sx Phone (ClnPsy) 91182 Regular Consult (50+ mins) - Medicare Covid 1-10Sx Phone  (ClnPsy) 50 Tax Exempt
Short MBS Covid 11-20Sx  (ClnPsy) 93330 Short Consult (30-49mins) - Medicare Covid 11-20Sx  (ClnPsy) 30 Tax Exempt
Short MBS Covid 11-20Sx Video (ClnPsy) 93331 Short Consult (30-49mins) - Medicare Covid 11-20Sx Video  (ClnPsy) 30 Tax Exempt
Short MBS Covid 11-20Sx Phone (ClnPsy) 93332 Short Consult (30-49mins) - Medicare Covid 11-20Sx Phone  (ClnPsy) 30 Tax Exempt
Regular MBS Covid 11-20Sx Phone (ClnPsy) 93335 Regular Consult (50+ mins) - Medicare Covid 11-20Sx Phone  (ClnPsy) 50 Tax Exempt
Regular MBS TCA  (ClnPsy) 10968 Short Consult (20-49mins) - Medicare TCA  (ClnPsy) 20 Tax Exempt
Short MBS Rural Video (ClnPsy) 80001 Short Consult (30-49mins) - Medicare  Video  (ClnPsy) 30 Tax Exempt
Regular MBS Rural Video (ClnPsy) 80011 Regular Consult (50+ mins) - Medicare  Video  (ClnPsy) 50 Tax Exempt
Regular MBS Rural Group  (ClnPsy) 80021 Group Consult 6-10px - Medicare   (ClnPsy) 60 Tax Exempt
Short MBS Eating  (ClnPsy) 82352 Short Consult (30-49mins) - Medicare Eating  (ClnPsy) 30 Tax Exempt
Short MBS Eating Rural Video (ClnPsy) 82353 Short Consult (30-49mins) - Medicare Eating Video  (ClnPsy) 30 Tax Exempt
Short MBS Eating Offsite (ClnPsy) 82354 Short Consult (30-49mins) - Medicare Eating Offsite  (ClnPsy) 30 Tax Exempt
Regular MBS Eating  (ClnPsy) 82355 Regular Consult (50+ mins) - Medicare Eating  (ClnPsy) 50 Tax Exempt
Regular MBS Eating Rural Video (ClnPsy) 82356 Regular Consult (50+ mins) - Medicare Eating Video  (ClnPsy) 50 Tax Exempt
Regular MBS Eating Offsite (ClnPsy) 82357 Regular Consult (50+ mins) - Medicare Eating Offsite  (ClnPsy) 50 Tax Exempt
Regular MBS Eating Group  (ClnPsy) 82358 Group Consult 6-10px - Medicare Eating  (ClnPsy) 60 Tax Exempt
Regular MBS Eating Rural Group Video (ClnPsy) 82359 Group Consult 6-10px - Medicare Eating Video  (ClnPsy) 60 Tax Exempt
Short MBS Eating Video (ClnPsy) 93076 Short Consult (30-49mins) - Medicare Eating Video  (ClnPsy) 30 Tax Exempt
Regular MBS Eating Video (ClnPsy) 93079 Regular Consult (50+ mins) - Medicare Eating Video  (ClnPsy) 50 Tax Exempt
Short MBS Eating Phone (ClnPsy) 93110 Short Consult (30-49mins) - Medicare Eating Phone  (ClnPsy) 30 Tax Exempt
Regular MBS Eating Phone (ClnPsy) 93113 Regular Consult (50+ mins) - Medicare Eating Phone  (ClnPsy) 50 Tax Exempt

 

Psychologist Service Items

Name Code Description Duration Tax
IA Fee   Initial Assessment Fee   GST
$0 Not Chargeable   Used for the non-paying guest of a fully paid attendee in couples and family sessions 50 Tax Exempt
Cx25% (Psy)   Cancellation <24 hrs - First time 75% reduction   Tax Exempt
Cx50% (Psy)   Cancellation <24 hrs - Second time 50% reduction   Tax Exempt
Cx100%   Cancellation <24 hrs - Full fee   Tax Exempt
Regular (Psy)   Regular Consult  - not claimed under Medicare 50 Tax Exempt
Regular MBS MHCP  (Psy) 80110 Regular Consult (50+ mins) - Medicare  (Psy) 50 Tax Exempt
Regular MBS Covid 1-10Sx Video (Psy) 91170 Regular Consult (50+ mins) - Medicare Covid 1-10Sx Video  (Psy) 50 Tax Exempt
Regular MBS Covid 11-20Sx  (Psy) 93353 Regular Consult (50+ mins) - Medicare Covid 11-20Sx  (Psy) 50 Tax Exempt
Regular MBS Covid 11-20Sx Video (Psy) 93354 Regular Consult (50+ mins) - Medicare Covid 11-20Sx Video  (Psy) 50 Tax Exempt
Short MBS MHCP  (Psy) 80100 Short Consult (20-49mins) - Medicare  (Psy) 20 Tax Exempt
Short MBS MHCP Offsite (Psy) 80105 Short Consult (20-49mins) - Medicare Offsite  (Psy) 20 Tax Exempt
Regular MBS MHCP Offsite (Psy) 80115 Regular Consult (50+ mins) - Medicare Offsite  (Psy) 50 Tax Exempt
Regular MBS MHCP Group  (Psy) 80120 Group Consult 6-10px - Medicare  (Psy) 60 Tax Exempt
Short MBS Covid 1-10Sx  (Psy) 91169 Short Consult (20-49mins) - Medicare Covid 1-10Sx  (Psy) 20 Tax Exempt
Short MBS Covid 1-10Sx Phone (Psy) 91183 Short Consult (20-49mins) - Medicare Covid 1-10Sx Phone  (Psy) 20 Tax Exempt
Regular MBS Covid 1-10Sx Phone (Psy) 91184 Regular Consult (50+ mins) - Medicare Covid 1-10Sx Phone  (Psy) 50 Tax Exempt
Short MBS Covid 11-20Sx  (Psy) 93350 Short Consult (20-49mins) - Medicare Covid 11-20Sx  (Psy) 20 Tax Exempt
Short MBS Covid 11-20Sx Video (Psy) 93351 Short Consult (20-49mins) - Medicare Covid 11-20Sx Video  (Psy) 20 Tax Exempt
Short MBS Covid 11-20Sx Phone (Psy) 93352 Short Consult (20-49mins) - Medicare Covid 11-20Sx Phone  (Psy) 20 Tax Exempt
Regular MBS Covid 11-20Sx Phone (Psy) 93355 Regular Consult (50+ mins) - Medicare Covid 11-20Sx Phone  (Psy) 50 Tax Exempt
Short MBS Rural Video (Psy) 80101 Short Consult (20-49mins) - Medicare  Video  (Psy) 20 Tax Exempt
Regular MBS Rural Video (Psy) 80111 Regular Consult (50+ mins) - Medicare  Video  (Psy) 50 Tax Exempt
Regular MBS Rural Group  (Psy) 80121 Group Consult 6-10px - Medicare   (Psy) 60 Tax Exempt
Regular MBS Pregnancy  (Psy) 81000 Regular Consult (50+ mins) - Medicare Pregnancy  (Psy) 50 Tax Exempt
Regular MBS Autism  (Psy) 82000 Regular Consult (50+ mins) - Medicare Autism  (Psy) 50 Tax Exempt
Short MBS Autism  (Psy) 82015 Short Consult (30-49mins) - Medicare Autism  (Psy) 30 Tax Exempt
Short MBS Eating  (Psy) 82360 Short Consult (20-49mins) - Medicare Eating  (Psy) 20 Tax Exempt
Short MBS Eating Rural Video (Psy) 82361 Short Consult (20-49mins) - Medicare Eating Video  (Psy) 20 Tax Exempt
Short MBS Eating Offsite (Psy) 82362 Short Consult (20-49mins) - Medicare Eating Offsite  (Psy) 20 Tax Exempt
Regular MBS Eating  (Psy) 82363 Regular Consult (50+ mins) - Medicare Eating  (Psy) 50 Tax Exempt
Regular MBS Eating Rural Video (Psy) 82364 Regular Consult (50+ mins) - Medicare Eating Video  (Psy) 50 Tax Exempt
Regular MBS Eating Offsite (Psy) 82365 Regular Consult (50+ mins) - Medicare Eating Offsite  (Psy) 50 Tax Exempt
Regular MBS Eating Group  (Psy) 82366 Group Consult 6-10px - Medicare Eating  (Psy) 60 Tax Exempt
Regular MBS Eating Rural Group Video (Psy) 82367 Group Consult 6-10px - Medicare Eating Video  (Psy) 60 Tax Exempt
Short MBS Eating Video (Psy) 93084 Short Consult (20-49mins) - Medicare Eating Video  (Psy) 20 Tax Exempt
Regular MBS Eating Video (Psy) 93087 Regular Consult (50+ mins) - Medicare Eating Video  (Psy) 50 Tax Exempt
Short MBS Eating Phone (Psy) 93118 Short Consult (20-49mins) - Medicare Eating Phone  (Psy) 20 Tax Exempt
Regular MBS Eating Phone (Psy) 93121 Regular Consult (50+ mins) - Medicare Eating Phone  (Psy) 50 Tax Exempt
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