Automatic Adjustments
The Automatic Adjustments section enables you to automatically adjust charges to the expected allowed amount at the time they are entered. This section is used in conjunction with the Fee Schedule tab.
| Field | Automatic Adjustments Descriptions |
|---|---|
| Automatically adjust charges | Select this check box so that adjustments are automatically made for the items at the time charges are entered on the Charge Posting window. This check box enables the remaining fields in the section. |
| Adjustable Allowed Amount | Select this check box to determine the write off (auto adjustment) based on the patient co-pay plus the contract reimbursement amount. If you select this option, the Co-Pay Origin field changes to Reimbursed and, on the Fee Schedule tab, the Allowed column becomes disabled. |
| Default Auto-Adj Transaction | Select the transaction code to associate with the automatic transactions.
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| Allow positive adjustments | If the amount that your contract specifies for is a charge more than the amount normally allowed, then a positive adjustment should be made. Checking this box will allow the patient to have a credit adjustment applied to the charge.
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| If Rendering Not Entered Assume Participating | If this box is checked and a rendering is not entered in the Charge Posting window, then the system will assume that the rendering was a participant. The fee for service will be adjusted accordingly. If left unchecked, then the charge will be adjusted for a non-participant. |
| Create Zero Dollar Claim | Select this check box if you want 1500 claims to be created when the dollar amount is zero on the encounter. When this check box is not selected and the charge amount is $0.00, the encounter is treated as "patient pay" and the claim is not created. |