Payment adjustment

cverk wrote on Wednesday, October 06, 2010:

When you are manually applying payments, the button to calculate adjustments would be helpful, though I don’t quite know why it is labelled W.  However if you actually use that adjustment, you will end up over-adjusting the claim by the amount of the copay already paid by the patient. Many medical office claims will have multiple CPT related charges for a given visit, and insurance usually applies the copay to the main E&M visit code, but will make an adjustment individually to each code billed. It would speed up payment application greatly to be able to apply the copay to a given CPT code and then put in the payments line by line using the W button to calculate each adjustment. I presume eventually after the ERA issue is worked out, this will be done electronically for most claims, but this will still come up periodically from smaller carriers.

sunsetsystems wrote on Wednesday, October 06, 2010:

W stands for “write-off”.  Clearly there is an opportunity to do something more sophisticated.

Rod
www.sunsetsystems.com

zhhealthcare wrote on Wednesday, October 06, 2010:

I am pretty sure it is addressed in the new payment module.

Sam