The published Tariff Configurations and the currencies they include are available here:

http://secure.pathwayanalytics.com/Contracts/ContractList.aspx

Any changes should be requested by the Lead Commissioner responsible for the tariff configuration.

When specifying new currencies we need know the following details here is an example:

Currency Triggers

You should make sure the scope of the currency coincides with the scope of the codes used to trigger it.  If the appropriate codes are not available or do not specify in sufficient detail the limit of the currency scope, then consult us about implementing a local code.  Healthcare providers will need at least 6 weeks to implement any local codes (this includes 2 weeks training staff before the start of the first month adopting the new codes).

Tariff Rates

Each currency should have a Primary Tariff Rate representing the weighted average of the full cost of the pathways covered by the currency, and an Additional Tariff Rate, which should represent the weighted average of the marginal costs of the pathways covered by the currency.  We can help you identify these if required.

When specifying the Tariff Rates you should make it clear if these rates include or exclude Market Forces Factor or Geo-Weighting.  By default we will publish the prices you give us as the 'raw' tariff rate and any Market Forces Factor or Geo-Weighting in place will be applied to the 'raw' tariff rates.

Cross Charging

We need to understand how you want the Provider to handle cross-charging.  Perhaps the currency is one you are only happy cross charging locally to commissioners participating in your local currency configuration, or perhaps you do not want to have it cross-charged at all and always charged to the local host commissioner, or you can specify to always cross charge to teh responsible commissioner.  There there are several cross-charging options available.

Invalid Currency Combinations

We also need to know if these new currencies are included in any 'Invalid Currency Currency Combinations'

For example:

IF Mycoplasma Genitalium Test Test AND T4 Full Screen THEN T4 Full Screen

Implementation

Finally, we need to know which tariff configuration they are to be applied to, the date from which the change is to be made (this is the date of the next submission that will adopt the change), if the change is to be made retrospectively, please confirm whether or not any prior submissions are to be re-processed in order to adopt the changes.  Bear in mind that an new local codes will not be available in historical data.

Check List

Date of implementation:

Prior submissions [should] / [should not] be re-processed