Payments/Adjustments Report

Click the arrow beside the Line of Business field and select one of the following:

●     Homecare — Select Homecare to include only homecare lines of business.

●     Hospice — Select Hospice to include only hospice lines of business.

●     Both — Select Both to include both homecare and hospice lines of business.

 

The Payments/Adjustments Report contains the following information:

●     Header information:

o     Offices— The Office number(s) for the selected office(s). This data is retrieved from the Patient | Intake Referral | Patient Referral section of Enterprise Edition.

o     Payor— The payor(s) you selected in the report filters. This data is retrieved from Patient | Intake/Referral | Insurance section in Enterprise Edition.

o     Deposit Dates— The date of deposit for the check.

o     Line of Business— The line of business for the information in the report.

●     Report columns — The report breaks the information down first by office and then by payor, using the following columns to identify the associated information:

o     Deposit Date— The date of deposit for the check.

o     Admit Date— Specifies the patient's admission date.

o     Batch Date— Date you created the batch.

o     Tran Code— The PMT or ADJ transaction code.

o     Adjustment Reason— If you selected the Show Adj. Reason check box in the report filters, this column displays the reason for any adjustment to a payment.

o     Entry Date— The entry date of the adjustment.

o     Episode— The episode related to the payment or adjustment.

o     Payment— The amount of payment.

o     Adjustment— The adjustment amount for the episode.

o     Unapplied— When ReBill or Replace Bill is clicked in Account Summary and Payments have been applied to the claim, the reversed payment amounts (this excludes the adjustments) will appear as a new line item on the reports. On the report the Unapplied entry will display with Tran/Type value as ADJ. When running the Unlocked version of the report, if the claim has been manually re-batched and posted, the Unapplied Cash entry will cease to display on the reports. For the Locked version of the report, Unapplied entries will be included if the Unapplied entry occurred within the Locked period and has not been manually re-batched and posted within the same Locked period.

 

Information for any balance transfers that have occurred on patient accounts will also be included in the report. After an amount has been transferred and billing has been posted for the Payor To that was selected (in Accounts | Account Summary | Transfers), the amount will be listed as an adjustment for the month of the batch date associated with the claim. Additionally, corresponding line items for transfers will be indicated with an Adjustment Reason of "Balance Transfer".

●     Summary totals — Sections containing summary totals (Payment, Adjustment, Unapplied ) of various levels are included throughout the report (See sample image, right). Detailed below are the different levels summary totals that are listed in the report and how they're referred to in the sample image to the right:

o     Patient totals— Summary totals that are specific to the corresponding patient listed on each check (e.g. "Totals").

o     Payor totals— Summary totals for each individual payor included, which is specified for each check (e.g. "Medicare Totals").

o     Adjustment reason totals— Summary totals for each of the corresponding adjustment reasons that are included in the report (e.g. "Contractual Adjustment", "LUPA", "Sequestration Adjustment", "Therapy Adjustment").

The adjustment reason totals are included for each individual check and office level. Additionally, a grand total summary for every adjustment reason type is included at the end of the report.

o     Check totals— Summary totals that are specific to each dated check that is detailed in the report (e.g. "2/15/2016 Totals", "3/15/2016").

o     Office totals—  Summary totals for each office containing any checks that are included in the report (e.g. "Office:   1 Totals").

o     Grand total— Final, cumulative summary for all totals that are included in the report (e.g. "Grand Totals").