[MEDITECH-L] Reimbursement Management Question

[Akhtar, Sohail]

Hi all,

Does anyone setup a reimbursement rule that applies at the time of
posting of payment from primary insurance? We want to apply 20% discount
on the remaining amount after the first payment from the primary
insurance weather the balance moved to either secondary or SP. Thank you
in advance for any help.

Sohail Akhtar

Systems Analyst

West Virginia University Hospital East

Jefferson Memorial Hospital

Ph: 304 724-3552

Cell:304 268-2331

sak...@jeffmem.com <mailto:sak...@jeffmem.com>

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[Scaccia, Kimberly]

I didn't know this was possible. I would be very interested in this as
well if someone is doing it. Thanks.

Kim Scaccia, Bus Analyst II
Halifax Health
386-226-4590 opt 1 ext 2018

The brain is a wonderful organ; it starts working the moment you get up
in the morning, and does not stop until you get into the office. (Robert
Frost)

[Julia Carter]

In the dictionary for Reimbursement Management, when you create a new rule, you have a choice of Effective Date Events. These are your choices:

To apply this rule based on Enter
----------------------------------- -------

Patient's admission or service date ADM/SV

Patient's discharge or service date DIS/SV

Last bill's cutoff date BILL

Current bill's cutoff date CUTOFF

I don't see anything that would allow you to set the rule to work on payment. I don't know if it could be done in Magic Code or not. . .

I'd be interested in seeing it if anyone has something like this working.

Julia

Julia Carter, CPAR
Consultant People
396 W Main St
Lewisville, TX 75057
http://www.cpeople.org
(229) 891-6668

[Gary Ring]

I've researched this several times over the years, and this is not possible through Reimbursement Management/Proration.

I'm going to make an assumption that what you wanted to do is give the patient a 20% discount on the balance they owe.  I've accomplished this for several of my clients by requesting a custom Report Field from Meditech that calculates the SP balance less n% at the time the patient statement is generated, and include that new discounted balance (Report Field) in the Dunning Message of the patient's Statement.  The message states something like, "If paid within 15 days, an % discount will be applied so that you owe $nnn.nn".

They've been pretty happy with this type of discounting arrangement, though it is not automated (and probably shouldn't be automated if you want to make it an incentive for the patient to pay).

Gary J. Ring
Strategic Resource Group, Inc.
11 Jones Road
Peabody, MA 01960
978-807-1573