Billing Respite daily is necessary when a provider bills over 11.75 hours. As such you would bill S5151 and not S5150

Because you will pay the provider by the hour, setting up the service code is a bit different.

Create a new service code called RSD (or what ever you'll recognize as daily Respite)

When you select the "timecard input method" make it "hourly".

This may be confusing because the billing code is a "daily" event. But notice the it is the "timecard input" you are indicating and not the billing type.

When you create the billing code enter it as S5151 and it should have a multiplier as 1 with no tiered ratio.

Enter in the states rate for RSD/S5151.

When you output your billing the 837 will include only 1 unit and not the hour amount the provider(s) may have worked. This is a special output that SpokeChoice knows about because it is not legal to pay providers by the day rather they must be paid by the hour.

When you output your payroll the employees hours and hourly rate will be output as it would be with standard hourly respite. If you do not select it as hourly then your payroll output will be incorrect.

When changing RSP to RSD you might receive a message "Insufficient Authorization hours". This is because you might be at the end of the balance and because there is RSP already in the system and DDD treats RSD and RSP as the same it might be reporting a deficit in balance. To work around this edit the authorization for RSD and add enough units to overcome the problem. For example: If you only have .75 balance of RSD add 20 units manually and then change the service/billing code. Remember once you've successfully update the service to edit the authorization back to it's original allowed amount. Failure to update it could result in actually going over. Be careful when doing this with the understanding you could actually go over allowed amounts.