Different Scenarios for Reversing Adjustments

Patient Experience Help

Correct Automatic Adjustments Sequentially

You can correct automatic adjustments sequentially 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. Open NextGen® Enterprise PM. From the main menu, select File > Processes > Reverse Automatic Adjustments. The Reverse Automatic Adjustments window opens. In Contracts, select a contract and then in Charge Dt: From and To, enter a date range. Select Find. NextGen® Enterprise PM searches for applicable charges in encounters. The results of the contract automatic-adjustment search appear in the Encounter List section. Optional: To preview a report of all applicable charges, select Preview. 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

Help Guide for NextGen® Enterprise PM 8

Different Scenarios for Reversing Adjustments

When a user changes the insurance on an encounter, the application issues a prompt that enables you to reverse automatic adjustments on the encounter. To reverse the adjustments and remove the insurance, you can select Yes. To keep the original insurance attached to the encounter, you can select No. When a user deletes insurance from an encounter, the application displays a prompt that enables the user to reverse automatic adjustments on the encounter when the insurance is deleted. To reverse the adjustments and delete the insurance, you can select Yes. To keep the original insurance attached to the encounter, you can select No. When a user is voiding a charge on an encounter, the application displays a prompt that enables the user to reverse an automatic adjustment on the encounter. To reverse the adjustment and void the charge, select OK. To keep the adjustment and not void the charge, select Cancel. Parent topic: Reversing Payments, Adjustments, and Refunds

Help Guide for NextGen® Enterprise PM 8

Reversing Adjustments When the Insurance has Changed

When a user is changing the insurance on an encounter, the application issues a prompt that enables you to reverse automatic adjustments on the encounter. To reverse the adjustments and remove the insurance, you can select Yes. To keep the original insurance attached to the encounter, you can select No. When a user deletes insurance from an encounter, the application displays a prompt that enables the user to reverse automatic adjustments on the encounter when the insurance is deleted. To reverse the adjustments and delete the insurance, you can select Yes. To keep the original insurance attached to the encounter, you can select No. Parent topic: Reversing Payments, Adjustments, and Refunds

Help Guide for NextGen® Enterprise PM 8

Reversing Automatic Adjustments

When you remove insurance from an encounter with automatic adjustments applied to charges from an assigned contract and there are no other posted or unposted transactions applied to the encounter, the automatic adjustments are applied to the encounter for the payer. The application reverses the adjustment and removes the insurance from the encounter. Note: The application applies new adjustments to applicable charges if you attach a new payer to the encounter that has a contract with auto adjustments for the charges. You can delete a primary insurance for an encounter that has an automatic adjustment applied to its charges from an assigned contract and the encounter has no other posted or unposted transactions applied to it. You can delete it by selecting Delete on the Insurance tab on the Patient Chart window. The automatic adjustments are applied to the encounter for the payer and the application reverses the adjustment and deletes the payer from the encounter. You can also void a ch

Help Guide for NextGen® Enterprise PM 8

Reversing Automatic Adjustments

When you remove insurance from an encounter with automatic adjustments applied to charges from an assigned contract and there are no other posted or unposted transactions applied to the encounter, the automatic adjustments are applied to the encounter for the payer. The application reverses the adjustment and removes the insurance from the encounter. Note: The application applies new adjustments to applicable charges if you attach a new payer to the encounter that has a contract with auto adjustments for the charges. You can delete a primary insurance for an encounter that has an automatic adjustment applied to its charges from an assigned contract and the encounter has no other posted or unposted transactions applied to it. You can delete it by selecting Delete on the Insurance tab on the Patient Chart window. The automatic adjustments are applied to the encounter for the payer and the application reverses the adjustment and deletes the payer from the encounter. You can also void a ch

Patient Experience Help

Reversing Payments, Adjustments, and Refunds

Before you can reverse payments, adjustments, or refunds, you must have the following rights assigned in System Administrator: Reverse Adjustment to enable users to reverse adjustments from the Transactions tab on the patient's chart. Reverse Auto Adjustments - Batch to enable users to reverse automatic adjustments by using the Reverse Automatic Adjustments process in NextGen® Enterprise PM. You can access the Reverse Automatic Adjustments window by selecting File > Processes > Reverse Auto Adjustments. Reverse Auto Adjustments - Encounter to enable users to reverse automatic adjustments by right-clicking an encounter on the patient's chart and selecting Reverse Auto Adjustment. Reverse Payment to enable users to reverse payments from the Transactions tab in the patient's chart. Reverse Refund enable users to reverse refunds from the Transactions tab in the patient's chart. Different Scenarios for Reversing Adjustments You can manage and reverse the adjustments from NextGen® Enterprise

Different Scenarios for Reversing Adjustments

Recommendations

Correct Automatic Adjustments Sequentially

Different Scenarios for Reversing Adjustments

Reversing Adjustments When the Insurance has Changed

Reversing Automatic Adjustments

Reversing Automatic Adjustments

Reversing Payments, Adjustments, and Refunds

Correct Automatic Adjustments Sequentially

Different Scenarios for Reversing Adjustments

Reversing Adjustments When the Insurance has Changed

Reversing Automatic Adjustments

Reversing Automatic Adjustments

Reversing Payments, Adjustments, and Refunds