Overview
The American Medical Association owns the rights to all CPT® (Current Procedural Terminology) codes and enforces the collection of licensing fees for each healthcare provider who renders medical services for which a fee is charged.
Similar to all practice management and EHR companies, we are required to collect licensing fees for CPT® codes annually on behalf of the AMA. Fees will be collected via your primary payment method.
For more information on the AMA CPT® code licensing fees, please see ama-assn.org CPT licensing FAQs.
FAQs
Will I be charged sales tax for the AMA CPT® codes licensing fee?
Taxes are not currently charged on the CPT® code fee but may be charged in the future if the tax rules change.
Will the fee be raised next year?
Historically, the AMA has raised its fee by $.50 each year. Based on communication from the AMA, you can anticipate a similar $.50 increase related to these charges every year going forward. We will communicate if there is to be an increase larger than $.50 in the future.
When will billing take place for AMA CPT® code usage?
Providers subscribed to or utilizing use the AMA CPT® codes will be billed on the first invoice of the year. You may receive additional AMA CPT® code charges for any incremental providers who utilize CPT® codes and were not previously billed earlier in the year. (e.g., If a new provider joins a practice in March, and utilizes CPT® codes, the practice will be charged for the addition of the new provider on the following invoice.)
Can I pay the AMA directly?
No, the AMA will charge all EHR companies for the use of their CPT® codes. For this reason, we will be collecting the fees on their behalf.
How is Ensora Health identifying providers who have used CPT® codes?
For Ensora ABA Therapy, Ensora Mental Health & MyClientsPlus 3.0 by Ensora Health products:
Org Admins will have the option to subscribe each staff member to a CPT® license for the year, and the fee will be charged when a staff member is subscribed to the license. You can view active AMA CPT® Licenses in the Organization tab.
- Unless a staff member has a license, they will be unable to be added to an invoice with a CPT® code.
- The staff member license is good for a calendar year and will automatically renew each year unless it is canceled in advance.
For Ensora Rehab Therapy & Fusion Enterprise products:
Each user that has had a checked-in appointment on the schedule will be considered eligible for the AMA Licensing Fee.
For EchoVantage by Ensora Health, ShareNote by Ensora Health, TenEleven by Ensora Health, CodeMetro by Ensora Health, AccuPoint, Kasa, & WebABA products:
Any user that has used a CPT® Code for a service or claim will be considered an eligible provider for the AMA Licensing Fee.
For Procentive by Ensora Health:
Each user that has had an insurance claim submitted using a CPT® Code with their name listed as a rendering provider will be considered a provider eligible for the AMA Licensing Fee.
For MyClientsPlus 2.0 by Ensora Health:
Any provider who was/is added as a rendering provider on an invoice for a service with a CPT code during the calendar year will be considered a provider eligible for the AMA Licensing Fee. Even if an actual claim is not submitted, the fee will be applied. If you didn't create any invoices with CPT codes during the calendar year, you will not be billed the fee.
How will the fee appear on my Ensora Health product invoice?
For Ensora ABA Therapy, Ensora Mental Health, MyClientsPlus 3.0 by Ensora Health, & For MyClientsPlus 2.0 by Ensora Health invoices:
The charge description will say: {Year} AMA CPT License - {first name} {last name} ({user npi})
For Ensora Rehab Therapy, Procentive by Ensora Health, EchoVantage by Ensora Health, TenEleven by Ensora Health, CodeMetro by Ensora Health, Fusion Enterprise, AccuPoint, Kasa, & WebABA invoices:
The charge description will say "AMA CPT License Fee".
For ShareNote by Ensora Health invoices:
The charge description will say "CPT Code Billing".
I use other billing tools with these codes too. Do I only need to pay this fee once per year, per provider or will I need to pay for each billing tool I use?
The AMA is charging all practice management systems and EHRs a licensing fee per provider for the use of the AMA CPT® codes. We are unaware of how other billing software and solutions plan to accommodate these fees.
For Ensora Health practice management and EHR solutions, your account will be charged the license fee for each provider that uses CPT® codes.
How much does Ensora Health profit from these fees?
Ensora Health does not profit from the AMA Licensing Fees. The cost per qualified provider is for the usage of the AMA CPT® codes, which includes the AMA CPT® code licensing fee and a small processing fee.
Do I need to pay for providers who are not using AMA CPT® codes?
No, providers who have not used or will not use CPT® codes during the calendar year will not be charged.