Reverse and Correct Auto-Adjustments after a Contract Change
Reverse and Correct Auto-Adjustments after a Contract Change
You can reverse outdated adjustments to selected charges and replace existing adjustments with new adjustments calculated from the updated allowed amount in the contract.
Note: Reverse Automatic Adjustment process is only available to users with security rights.
To reverse automatic adjustments made to charges for recently updated contracts for a batch of encounters, do the following:
Select the relevant contract and enter a date range in the Search Criteria section.
Select Find.
The application searches for applicable charges in the encounters for the following:
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 than the original created auto adjustment
Encounter has received no third party payments
The listed charges with their associated old and updated adjustments display in the Reverse Automatic Adjustments window. Each applicable charge within an encounter displays as a separate line item.
Select Preview to view a report of all applicable charges.
Select Process to update the selected charges with new adjustment amounts.
A confirmation message appears stating that do you want to continue with the reversal and application of new adjustments.
Select Yes.
The system reverses the original adjustment to the charges and then applies the updated adjustment amount according to the latest version of the appropriate contract.
After you enter all the new adjustments, the application automatically generates the new Reverse Automatic Adjustments report to summarize the changes.
To reverse automatic adjustments made to charges for recently updated contracts for a single encounter, do the following:
Select a encounter in the Patient Chart.
Right-click on the encounter, and then select the Reverse Automatic Adjustments option.
The Reverse Automatic Adjustments window opens.
Define the contract and the charge date range, and then select Find to locate the appropriate adjustments to update.
The system 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 than the original created auto adjustment.
Encounter has received no third party payments
The listed charges with their associated old and updated adjustments display.
Note: Each applicable charge within an encounter displays as a separate line item.
Select the Process button to update the selected charges with new adjustment amounts.
A confirmation message appears stating that do you want to continue with the reversal and application of the new adjustment.
Select Yes.
The application reverses the original adjustment to the charges and then applies the updated adjustment amount according to the latest version of the appropriate contract.
After you enter all the new adjustments, the application automatically runs the new Reverse Automatic Adjustments report to summarize the changes.
