You can retroactively correct automatic adjustments when a contract is changed in a payer.
Note: Encounters with third party payments are not eligible for automated reversal and replacement of automatic adjustments that have taken place.
From the main menu, select File > Processes > Reverse Automatic Adjustments.
The Reverse Automatic Adjustments window opens.
In the Contracts field, select a contract and then in the Charge Dt From and To fields, enter a date range.
Select Find.
The application searches for applicable charges in encounters with the following criteria:
Status of Unbilled, Billed, Rebilled, and/or History
Primary payer is attached to selected contract
Charge service Begin Date in defined date range
The contract allowed amount for the charge is different from when the original auto adjustment was created
Encounters that have not received any third party payments
The results of the contract auto-adjustment search appear in the Encounter List section.
To preview a report of all applicable charges, select Yes.
To update the selected charges with new adjustment amounts, select Process.
A confirmation prompt appears asking you if you want to continue with the reversal and application of new adjustments.
To reverse the original adjustment to the charges and then apply the updated adjustment amount according to the most recent version of the applicable contract, select Yes.
After all the new adjustments are entered, the application automatically runs the new Reverse Automatic Adjustments report to summarize the changes.
