Negative write offs

Blackhorse

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On our Month End report, I see negative write offs, does anyone know what does it mean? The person who generate the report has no clue. The adjustment is -$2,990,089.99.
 

TThivierge

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Lithonia, GA
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Hi Blackhorse,
This seem like a credit adjustment which can telling you a few things. It should be divided into categories such as type of insurance payer or contract adjustment. but check out different ways a credit adjustment can occur
Or type of copayment never posted on DOS when patient paid their portion on a visit.
Or it could be a credit adjustment if a patient visit not put in the AR system but a payment was made
Or the visit was not applied to that date of visit charges from clinician s template,
Or the AR system could adjust off certain amount on each type of visit completed by being billed and payment posted.
Or the CPT code is not linked to the correct clinician under certain payers

I d check for the time period this is reflecting on ....is this for a year, 2 years,Etc. Then see if it is self pay, or contact allowances in free service given or reduced.
Write offs come in a variety of ways too such as......claim too old to rebill, claim never billed in timely manner, never got documentation in timely manner to bill, preauthorization not done, credentialing not done on clinical person so insurance not pay, coding is wrong , billed improperly by not following payer rules, CPT code has changed or other denial reasons. Some hospital if train physician must give certain amount of free indigent care per year, or could be auditing paybacks too.
I hope this data helps you.
Lady T;)
 

Blackhorse

Guru
Messages
128
Location
Irvine, California
Best answers
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Hi Blackhorse,
This seem like a credit adjustment which can telling you a few things. It should be divided into categories such as type of insurance payer or contract adjustment. but check out different ways a credit adjustment can occur
Or type of copayment never posted on DOS when patient paid their portion on a visit.
Or it could be a credit adjustment if a patient visit not put in the AR system but a payment was made
Or the visit was not applied to that date of visit charges from clinician s template,
Or the AR system could adjust off certain amount on each type of visit completed by being billed and payment posted.
Or the CPT code is not linked to the correct clinician under certain payers

I d check for the time period this is reflecting on ....is this for a year, 2 years,Etc. Then see if it is self pay, or contact allowances in free service given or reduced.
Write offs come in a variety of ways too such as......claim too old to rebill, claim never billed in timely manner, never got documentation in timely manner to bill, preauthorization not done, credentialing not done on clinical person so insurance not pay, coding is wrong , billed improperly by not following payer rules, CPT code has changed or other denial reasons. Some hospital if train physician must give certain amount of free indigent care per year, or could be auditing paybacks too.
I hope this data helps you.
Lady T;)
Thanks a lot for your reply👍
 

thomas7331

True Blue
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On our Month End report, I see negative write offs, does anyone know what does it mean? The person who generate the report has no clue. The adjustment is -$2,990,089.99.
Given the dollar amount, I think it is most likely either a posting error, or it could be a reversal of a previous posting error. In some large facilities, contract rates may exceed billed charges, in which case you do often see negative adjustments, but it would be unusual to see a payment exceed billed charges by this large an amount under any contract that I've ever seen.
 
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