For surgeons
Built where the fusion is billed.
An operating day is a fusion, a consult on the ward after the list, and the patients still in hospital the next morning. Ubika Billing keeps those as actions. N512A is the running example: one level, bilateral, the code a lumbar decompression starts from. The rest of the claim is what the schedule attaches to that code, and what your own paid cases have already shown the column.
The premium column on N512A
Open the claim from the macro for a 3-level lumbar decompression with instrumented fusion. The services column places N512A, one level, bilateral, at $1,118.90. The premium column then reads the Schedule of Benefits for the codes on the claim. After hours is one premium per claim. Evenings run from 17:00 to 24:00. Nights run from 00:00 to 07:00. Each button carries the percentage the preamble sets, and a count of how often you have been paid that premium with these codes. Under that, the column follows the page: posterior spinal decompression, then posterior spinal arthrodesis following decompression or osteotomy. The fee is on the button, with the reason it is there.
The add-ons the macro already knows
On this claim the paid pattern is the macro itself: N512A, E361A for each additional level of decompression, E370A for the arthrodesis, and E366A for each additional fused level. The total on the screen is $2,826.65. The column beside those lines still offers the add-ons the headings allow, including spinal duroplasty and a stereotactic procedure, each with its fee. That is a three-level fusion written the way the schedule chains it, not a single code with a nickname.
The second procedure, at 85%
N512A is not always the only operation of the day. When it is the second procedure, the services column puts the 85% rate on the code. The A, B and C suffixes sit beside it, and a times control can be set to no charge. You pick the rate on the line you are billing. It is not a correction you discover when the remittance comes back short. The same N512A, without retyping, is how a bilateral one-level decompression becomes the second case.
A consultation after 17:00
The list runs late and the consult is its own claim. On the screen the service is A045A. The premium column changes with it: special visit, hospital in-patient. The evenings band, 17:00 to 24:00, offers the travel premium, the first person seen premium, and the additional person seen premium, each with its fee. The hour of the visit selects the band. Set a different time and the codes offered move with the clock. The first person seen and each additional person are separate lines, the way the special visit tables write them.
The trauma premium
That consultation column also carries the trauma premium, once per claim. It is shown as a percentage, not a flat fee: E420A at 50% on the screen. It is the premium the General Preamble writes, present when the visit qualifies and absent when it does not. It does not stand in for the consultation. It is an add-on, named and priced, before you save the claim. The fusion column has its own injury premium, for acute spinal cord injury, grouped under posterior spinal decompression.
The stay, from the home page
Every name in the screens and the recording on this page is invented.
The fusion is not the last claim. The next morning the patients you admitted are on the home page, marked with the day the stay has reached: Day 1, Day 2, or Discharge. The pattern is mined from your own paid claims. A procedure you almost always bill alone is treated as day surgery and does not grow a rounding line. The rounding claim is one tap from that list, including on a phone, before you leave the ward. The clip above is that tap, recorded on a synthetic practice.