Before setting up your Price Options in NikoHealth, we recommend you read our quick overview on Pricing Models in Billing for DME.

There are 3 different types of Price Options you can create in NikoHealth:

Each Price Option type can be based on HCPCS codes, products, and/or payers.

To create a price option, go to the Management section and navigate to Billing Setup > Pricing.

From here, you can either edit an existing price option or add a new one. Please note that you must have the necessary user permissions to perform this action.

To create a new Price Option, click the blue plus sign. The Pricing Details screen will open.

Fill out all required fields and add any information available.

For more information on Rental Price Options, visit our help article.

For more information on Billable Units, visit our help article.

If you want to do a bulk import of your Price Options, please see this help article.

Pricing groups can be a powerful tool when you want to consolidate your price options and simplify your billing process. They allow you to assign a group to both payers and price options, making it easier to manage multiple pricing structures across various accounts. By linking payers and price options under a single pricing group, you can simplify your workflow and avoid creating individual price options for each payer. Once set up, the system will automatically apply the appropriate price option based on the criteria you define, saving time and reducing errors in billing.

For more information on Pricing Groups, please visit our help article.