Post Adjustments to Miscellaneous Charges

Use the Adjust Charge feature to reduce or reverse miscellaneous charges you previously posted.

Click to OpenAdjust An Individual Miscellaneous Charge

Use the Adjust Charge tool, either from the post transaction window or the patient ledger, to reduce miscellaneous charges you posted to a patient account. You can adjust posted charges by any amount, up to a maximum of the total original charge amount, effectively reversing the entire charge.

  1. Click to OpenChoose the Miscellaneous Charge to Adjust - You can either open the post transaction window for the patient and select the Adjust Charge action, then click the icon beside the charge you want to adjust, or, open the patient's transaction ledger, right-click the charge, and select Adjust.

    Click to OpenOpen the Post Transaction Window - From the Home or Patient or Patient Finances or Scheduler ribbon bar, select the Post Transaction icon.

    Click to OpenSelect Patient and Billing Party - Choose the account to work with. If needed, you can use the Change Patient button at the bottom of the window to launch Fast Find and choose a different patient. If the patient has multiple responsible parties and / or contracts, select the account holder and contract to use. Insurance contracts are listed directly below the associated subscriber.

    Click to OpenSelect Action - At the left side of the window, choose the posting action you want to take: Post Payment, Post Charge, Post Bulk Payment, Adjust Charge, or Issue Refund.

    Click to OpenOpen the Patient's Ledger - You can open the patient's transaction ledger by selecting the Ledger tab on the patient folder Finances page, by viewing / expanding the Transactions panel on the patient folder Home page, or by clicking a billing name from either the Financial Info panel of the patient's Home page or the Post Transactions window.

  2. Click to OpenEnter Adjustment Details - The Adjust Charge window prompts you for the adjustment amount and description. Enter the amount you want subtracted from the original charge. For example, to reduce a $50 Initial exam charge by half, enter the adjustment amount of $25. Then, select a description from your Charge Adjustments list, or type a description. All descriptions with classifications other than "Operator Error" will appear on the patient's statement. Typed descriptions are not added to your list, but used for this transaction only. (See "Set Up Transaction Adjustment Types" for details about creating your descriptions.)

  3. Post the Transaction - Click Post at the bottom of the adjustment window. Edge Cloud calculates the new account balance and amount due, and asks you to confirm the transaction. Click Yes to complete the process, or click No to exit without posting the transaction.

Click to OpenFinish - When completed, the adjustment will appear in the Post Transaction window, and in the patient's ledger. If you posted an adjustment in error, you can click the icon in the Adjust Charge section of the Post Transaction window, or right-click the adjustment in the ledger, and choose Adjust. This effectively removes the adjustment transaction. Once you remove an adjustment transaction, you cannot reapply it. You can, however, apply another charge adjustment to the original charge, if needed.

Click to OpenAdjust Miscellaneous Charge Group

Use the Adjust Charge tool from the post transaction window to reduce miscellaneous charges that were posted as part of a charge group. With this tool, you can reduce all of the charges by a certain percentage, and / or reduce individual charges in the group by specific amounts. You can adjust posted charges by any amount, up to a maximum of the total original charge amount, effectively reversing the entire charge.

  1. Click to OpenChoose the Miscellaneous Charge to Adjust - Open the post transaction window for the patient and select the Adjust Charge action, then click the icon beside one of the charges in the charge group.

    Click to OpenOpen the Post Transaction Window - From the Home or Patient or Patient Finances or Scheduler ribbon bar, select the Post Transaction icon.

    Click to OpenSelect Patient and Billing Party - Choose the account to work with. If needed, you can use the Change Patient button at the bottom of the window to launch Fast Find and choose a different patient. If the patient has multiple responsible parties and / or contracts, select the account holder and contract to use. Insurance contracts are listed directly below the associated subscriber.

    Click to OpenSelect Action - At the left side of the window, choose the posting action you want to take: Post Payment, Post Charge, Post Bulk Payment, Adjust Charge, or Issue Refund.

  2. Click to OpenEnter Adjustment Details - The Adjust Charge window prompts you for the adjustment description and amount, and lists all of the charges included in the group at the bottom of the window.

  3. Post the Transaction - Click Adjust at the bottom of the adjustment window. Edge Cloud calculates the new account balance and amount due, and asks you to confirm the transaction. Click Yes to complete the process, or click No to exit without posting the transaction.

Click to OpenFinish - When completed, the adjustment will appear in the Post Transaction window, and in the patient's ledger. If you posted an adjustment in error, you can click the icon in the Adjust Charge section of the Post Transaction window, or right-click the adjustment in the ledger, and choose Adjust. This effectively removes the adjustment transaction. Once you remove an adjustment transaction, you cannot reapply it. You can, however, apply another charge adjustment to the original charge, if needed.

More Information

Print Report - Run an Adjustment Audit report to review receipt adjustments, miscellaneous charge adjustments, treatment fee adjustments, and receipts you have flagged as excluded from your deposit slip (by right-clicking the transaction in the patient's ledger), for any range of dates or Transaction reports. See "Adjustment Audit Report" for details.

Apply Treatment Fee Adjustments - Use the Fees tab of the Contract Structure editor to work with the initial fees, periodic fees, and retention fees for each member of the contract. You can also change fee descriptions, and apply non-production adjustments such as family discounts, from the Fees tab. See "Modify Payment Schedules and Apply Adjustments" for details.

Omit Adjustments on Electronic Insurance Claims - You can optionally omit adjustments you apply to miscellaneous charges from your electronic insurance form submissions. See "Electronic Insurance Forms" for details.

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