Is it possible to enter insurance incentive payments in the Enter Depostis and Apply payments area of Medisoft?
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Is it possible to enter insurance incentive payments in the Enter Depostis and Apply payments area of Medisoft?
- Gavin Walker
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Re: Is it possible to enter insurance incentive payments in the Enter Depostis and Apply payments area of Medisoft?
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
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Re: Is it possible to enter insurance incentive payments in the Enter Depostis and Apply payments area of Medisoft?
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: Is it possible to enter insurance incentive payments in the Enter Depostis and Apply payments area of Medisoft?
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Re: Is it possible to enter insurance incentive payments in the Enter Depostis and Apply payments area of Medisoft?
Gavin Walker wrote: ↑Thu May 04, 2017 8:33 amSo let me see if I understand. You are receiving money from a particular insurance for a particular patient that does not reduce the balance due from the patient? So if the fee was $100 and the allowed amount was $80 and the insurance pays $65, but $5 of that is a bonus, you are saying the patient owes $20 instead of $15.
Hi Gavin, yes that is correct. I'm here with a similar question. ASHN pays incentive payments for submitting claims electronically. I only recently discovered that they now offer 835 downloads. I've been inputting their EoB info manually for years. It's terribly slow.... I've already got a "fake patient" set up to receive all of the incentive payments, but I just used to enter them as payments manually. Now I need to create a Procedure code in Medisoft so that the 835 can download the info to the fake patient. I'm trying to figure out if Posting Codes "PI161: Provider Performance Bonus" & "PI144: Incentive Adjustment e.g. Preferred Product/Service" should be created as a Comment, Insurance Payment, or Cash Payment in the Medisoft Procedure Code list? Thank you!
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Re: Is it possible to enter insurance incentive payments in the Enter Depostis and Apply payments area of Medisoft?
I have a fake patient named Incentive and made a CPT code INCENTIVE. Then I use different cases for each insurance. However, you will still have to create the charge in the 'fake' patient in order to have somewhere to apply the incentive payment. If you want to use the PI161 or PI144 as the posting code, then set it up as an insurance payment.
Billing Manager, Certified Plus Trainer
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Re: Is it possible to enter insurance incentive payments in the Enter Depostis and Apply payments area of Medisoft?
Thank you, I appreciate your advice! I will set the posting codes up as insurance payments. Thanks again!
I'm glad we have a place where we can all help each other.
Edit:
So I created Procedure (CPT) Codes PI144 & PI161 as Insurance Payments, but when I did they would not show up in my Revenue Management>Configure>Preferences>Assign Posting Codes list so I went back to the Procedure Code List & reclassified them as Insurance Adjustments. (which seems to work) I can't seem to get my 835 to post the incentive payments automatically, so I post everything except those payments using Revenue Management Reports & then manually assign the leftover incentive payments that weren't posted, using Enter Deposits & Apply Payments (the money bag icon) in Medisoft. It's leaps & bounds easier than entering every single patient payment manually so I think I can live with it. If anyone comes up with work-arounds for the issues I mentioned, I'd love to hear them. Thanks! -Julia
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