So 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!