Payment Entry - Entering an Adjustment Transaction

The procedure for Entering an Adjustment Transaction in Payment Entry describes how to set up and use an Adjustment Transaction Code.  You can use an Adjustment Transaction to correct the amount owed by the patient or to write-off a balance.  For example, you can adjust out uncollectible balances.  If you do not have allowed amounts set up for an insurance company, you can make an adjustment to remove the difference between the charge billed to the patient and the amount paid by the insurance company.

Tips:

• To enter most adjustments, use Method 1 By Detail, as described in this document.

• To enter adjustments by percent, use Method 3.

• In this example, the adjustment is for a credit and will reduce the ticket balance.

Directions:

The following procedures describe how to create an Adjustment Transaction Code and how to use the code in an adjustment transaction.  To see directions for...

• Creating an Adjustment Transaction Code, click More.

   

  Follow the steps below to set up an Adjustment Transaction Code that reduces the patient balance.

  1. During Transaction Code Maintenance, create a Transaction Code called AB (Adjust Balance).
     Tip:  Although you can call the Transaction Code anything you want, NDS recommends AB.

  2. For the Credit/Debit/Description option, select Credit to indicate that the ticket balance will be decreased by the Adjustment transaction.

  3. For the Transaction Type, select the A(djustment) option to indicate that the Transaction Code is for an adjustment.

   

• Entering an Adjustment Transaction, click More.

   

  Follow the steps below to enter an Adjustment Transaction.

  1. Load the Patient.

  1. Enter the Patient Account Number in the Patient Reference Panel.

  2. Press [ENTER] to activate the Patient Load button.

  2. To open Payment Entry and display the Batch Entry Window, click Payment Entry in the Menu Tree.
     
     Note:  If the Batch Entry Window does not display automatically because it was already opened today, click Batch in the Batch Information Area of the Work Window.
      

  3. Review the Batch Entry Window defaults.

  1. Select the By Detail (Manual Method) option in the Cash Application field.

  2. Enter Batch # XXX.  (Substitute your initials for XXX).

  3. Press [ENTER] to activate the OK button and to move onto the Work Window.

  4. Review the following Work Window Areas.  You probably do not need to make any changes.

  5. Patient Guarantor Area

  6. Patient Balances Area

  7. Batch Information Area

  5. Select the ticket to adjust.  Click to highlight a line for a ticket in the Ticket List Section of the Transaction Detail Area.

  6. Press [ENTER] to activate the Add New Transactions button.  You will see the Ticket Detail Section display.

  7. Enter the transaction details.

  1. Enter  the Transaction Code (AB) that has the A(djustment) Transaction Type.

  2. Enter the Amount.
     IMPORTANT:  Always enter a positive amount for the adjustment transaction.  INSight recognizes the Credit/Debit/Description option for the Transaction Code, and automatically reduces the balance.

  3. Press [ENTER] to activate the Add Line button, which completes entry for the current line.

  4. Press [ENTER] to activate the End Payments button to finish entering detail lines and to display the Commit Payments Area.

  5. Press [ENTER] to activate the Commit Payments button.