Sliding Fee Adjustment

 
Pending Resolution
General information of the situation
Review
Pending Resolution
General information of the situation

Pending Resolution

The situation is where you start. You learn by dealing with real-life work situations. Provide a short description of the situation for the learners to work on. Along the way, you will impact results.
Sitches are situations, jams, issues, errors, gaps, troubles, stoppages and many others to fix and solve. They are also opportunities to improve, grow, expand, and introduce better, faster and cheaper ways to get the desired results.  
What is your Situation and Question?

The patient's visit has been completed, and they qualified for the Sliding Fee Discount based on their financial situation. But after the discount is applied, the account still shows an uncollectible balance. The claim remains in the pending errors queue until the account is resolved.

How can you correctly finalize this account so the claim can be processed?

To learn more, watch the video provided and read through the information below.

Sliding Fee Adjustment

  • Pre-Adjustment Verifications: Before posting any financial adjustments, users must verify the patient's information to confirm the validity and specific schedule of the assigned Sliding Fee. Documentation should also be reviewed under the "Billing or Financial" section within the patient docs hub.

  • Process Steps:
    1. Access the claim adjustments area
    2. Select the designated "Sliding Fee Write Off" code (SLIDE)
    3. Enter the adjustment amount
    4. Choose "Post CPT" to correctly distribute the adjustment across the appropriate codes

  • Finalization: Once successfully posted, the system will update the current balance to $0. Users must then update the claim notes and ensure that finalized claims are correctly flagged with a status of "Bill to Patient".

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