Revenue Summary

The Revenue Summary report includes data for both episodic and non-episodic payors. Use the Revenue Summary report to determine the amount of unbilled, billed, and deferred revenue for a payor, office, and/or agency.

This report also includes information on unbilled and billed visit counts and episodes. Any visit with a service that is marked as billable in the Service Master is eligible to pull to the report, as long as it meets the criteria below:

● Episodic Report Data – When you filter the report to include payors that have episodic plans attached to them, the report includes the following information:

● Episodes – Count of the total number of active episodes that have days included in the reporting period but have not had a RAP billed in a batch posted on or before the end of the reporting period.

● Visits – Count of the total number of visits that are associated to an episode that meets the above unbilled criteria. To be counted, a visit must have a service date that occurs within the reporting period and appear in Charge Entry on the date you run the report.

● Earned Revenue – Based on the HIPPS code for the included episodes, this is the total amount of revenue for the reporting period that is not included in a posted billing batch. Only revenue for the days of the episode which fall within the reporting period is recognized here, calculated based on 1/60^th per day of the total estimated payment.

● Deferred Revenue – Based on the HIPPS code for the included episodes, this is the total amount of revenue that is not included in a posted billing batch for the days of the episode which fall AFTER the end of the reporting period, calculated based on 1/60^th per day of the total estimated payment.

● Episodes – Count of the total number of active episodes that have days included in the reporting period that is in a batch posted on or before the end of the reporting period through the date on which the report is run.

● Visits – Count of the total number of visits that are associated to an episode that meets the above Billed criteria. To be counted, a visit must have a service date that occurs within the reporting period and appear in Charge Entry on the date which the report is run.

● Deferred Revenue – Based on the RAP amount for the included episodes, this is the total amount of revenue for the days of the episode which fall AFTER the end of the reporting period, calculated based on 1/60^th per day of the total estimated payment for each day.

● Non-Episodic Report Data – When you filter the report to include payors that have non-episodic plans attached to them, the report includes the following information:

● Visits – Count of the total number of visits that are not included in a billing batch posted on or before the end of the reporting period. To be counted, a visit must have a service date that occurs within the reporting period and appear in Charge Entry on the date you run the report.

● Earned Revenue –The total amount of revenue for the reporting period that is not included in a posted billing batch. Revenue is determined using the charge amount for the service assigned to each visit.

● Visits – Count of the total number of visits that are included in a billing batch posted on or before the end of the reporting period. To be counted, a visit must have a service date that occurs within the reporting period and appear in Charge Entry on the date you run the report.

● Earned Revenue – The total amount of revenue for the reporting period that is included in a posted billing batch. Revenue is determined using the charge amount for the service assigned to each visit.

You can group this report by office, then by episodic/non-episodic, then by financial class, and finally by payor.

2. Click the arrow under Report Category and select either Accounting or Billing.

Available report filters include the following:

● Offices

● Include Adjustments

● Service Date From and Thru

● Payor Name From and Thru

At the bottom of each grouping, the system calculates the total of Earned Revenue for both the Unbilled and Billed sections, and includes the following:

● Total Financial Class

● Total Episodic

● Total Non-Episodic

● Total Office

● Total Agency

When you post billing, Enterprise Edition counts it in the Billed column for the month in which it was posted. When you reverse posted billing, the correction shows in the month in which the original bill was posted.

● Example: A bill containing January visits is posted in January. The report shows this billed revenue when you run it for January service dates. If that bill is then reversed in March, the report run for January service dates shows that revenue as unbilled.

The following data will be excluded from this report:

● Revenue associated to a patient without an admission date (pending admissions and patients with Do No Admit marked)

● Revenue associated to a visit or charge that does not have a payor attached

Revenue Summary Report