FHOCalculator

Service Date Select a date

To Be Billed

Category

Hours

Units

Code

Rate

Subtotal

Direct Patient Care

Hours

Units

Code

QwwwA

Rate

$80.00

Subtotal

Indirect Patient Care

Hours

Units

Code

QxxxA

Rate

$80.00

Subtotal

Clinical Administration

Hours

Units

Code

QyyyA

Rate

$80.00

Subtotal

Telephone / Out of Office

Hours

Units

Code

QzzzA

Rate

$68.00

Subtotal

You cannot exceed 14 total hours billed per day. Please reduce the hours entered.

Indirect Patient Care hours cannot exceed 33.33% of Direct Patient Care hours.

Clinical Administration hours cannot exceed 5% of (Direct + Indirect) hours.

Indirect Patient Care + Clinical Administration hours cannot exceed 25% of total hours.