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Adjust Unit Calculation Method

  • August 13, 2025
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Ensora Education Team
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PERMISSIONS: You need the Admin permission to use these functions.

The system has the option to allow you to calculate units based on the CMS 8-minute rule.  This is especially helpful when working with Medicare and other payers that follow this rule.

There is only one thing you will need to do when adding a new payer who you wish to calculate based on the CMS 8-Minute rule.

For more on The 8-Minute Rule, check out our 8-Minute Rule FAQs article.

Jump to Section:

Edit Existing Payer

You can easily edit the method used to calculate units with an existing payer.

  1. Go to Admin → Basic Setup → Payers.

  2. Click the payer

8Min1.gif
  1. Click the Billing tab
  2. Set how to Calculate Units:
    • Choose "Per Billing Code" which is similar to AMA's guidelines.
    • Choose "By Total Minutes" to use the new method, which is based on the CMS 8-Minute Rule.
  3. Click the Save Payer button.
8Min3-4-5.png

 

TIP: If you click on the 8Min_icon%2BNOTE2.png you will see a pop-up box that will offer a brief explanation between "Per Billing Code" and "By Total Minutes"

 

Setting 8-Minute Rule with New Payer

When you create a new payer, the Calculate Units option will be blank by default, which means you will have to choose which method to use.

NOTE: If your client has multiple payers, the system will default to the setting for the Primary Payer for unit calculation.

 

Submit Charges on a Daily Note

  • When you submit or revise charges on a daily note, the units will be calculated based on the primary payer’s settings.
  • If the payer is calculating units by total minutes, the units shown to the right of each charge will now re-calculate any time the Quantity field for a timed code is changed.
  • If a charge line ends up with 0 units, that line will still show on the final document, but won’t appear on the claim.
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