Medicare Incentive posting

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ehc2010
Posts: 38
Joined: Tue Aug 26, 2014 8:26 am

Medicare Incentive posting

Post by ehc2010 » Mon May 20, 2019 4:32 pm

Hi,

I need help to understand how to setup the new code from Medicare remittances under revenue management preferences. We have two problems with this. 1. pt's responsibility is always shown wrong. 2. sending out secondary claims electronic does not happen because of this as COB balance is affected.

I have tried different methods and could not achieve the desired results. Please send me a step by step detail as to how to set up the below code under revenue management preferences.

144 Incentive adjustment, e.g. preferred product/service.



Thank you,

Jason M

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Gavin Walker
Posts: 4625
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: Medicare Incentive posting

Post by Gavin Walker » Tue May 21, 2019 8:11 am

Hi Jason, the problem is Revenue Management was not designed to handle a positive amount on a CO adjustment code. eMD's has recognized the issue. Just waiting on them for a possible solution. In the meantime, we defined the CO-144 code to use a code setup with the make adjustment negative as "unchecked". This will get your register posted properly, but any secondary claim that goes out electronically with this adjustment code WILL BE OUT OF BALANCE. Drop these to paper for now. I hope that helps.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

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