Payment Information

 

(Topic Last Updated On:  08/06/2015)

 

The Payment Information menu item on the Accounting menu launches the Payment Information screen, where miscellaneous Methasoft Version 5 (and previous version) Accounting and/or Billing legacy fields remain available to store data for each patient.  The functionality of this screen has essentially been deprecated and replaced in Methasoft Version 6 by the functionality available on a combination of screens, including Payer/Rate Groups, Billable Services, Basic Dosing Charge Information, Billing Episodes, Additional Patient Information (Profile - More... button), and/or Billlable Service Overrides.  Each patient's 'Primary Diagnosis Code' is now stored on the Additional Patient Information window instead of this screen in Version 6.5.3 or higher.  ICD-9 and/or ICD-10 Diagnosis Codes for third party medical billing are stored on the Diagnosis Codes screen in Version 6 or higher.  However, some fields, such as 'Payment Status' and 'Eligibility/AID Code', remain on this screen because no equivalent field was introduced in Methasoft Version 6 and/or for Reporting purposes.  The 'Override Balance Locking' checkbox/section of this screen is used for overriding global Dosing lock-out settings defined in Methasoft Preferences (Accounting Preferences - General Setup) for an individual patient to accommodate specific patient circumstances, such as patient pregnancy.

 

 

Field Descriptions

 

Acceptable Payment Type

This field indicates the type or types of payment a patient is allowed to make.  Selections available in this field are fully customizable for each facility in the 'Payment Types' code table.  The value selected in this field appears in the 'Payment Type' label at the top of the Patient Payments screen when a patient is retrieved.

Payment Option

This field generally indicates whether or not a patient pays for their own treatment or relies on third-party contributions.  Available selections are fully customizable for each facility in the 'Payment Option Types' code table.  The selection made in this field is only useful for filtering a small subset of Accounting/Billing-related reports which provide a 'Payment Option' criteria filter.

Payer (Rate Group)

This field functions as a label and displays the Payer/Rate Group of the retrieved patient's currently Effective Billing Episode, as assigned to each patient on either the Basic Dosing Charge Information or Billing Episodes screen.

Payment Status

This field is a unique field used only by specific facilities that track a 'Payment Status' for each patient.  Selections available in this field are fully customizable for each facility in the 'Payment Status Types' code table.

Eligibility/AID Code

This field is a unique alphanumeric text field used only by specific facilities that track an 'Eligibility/AID Code' for each patient.

Override Balance Locking

Checking this checkbox enables the 'Maximum Balance Patient can carry' and 'Lock Patient Balance when over Maximum Amount' fields, allowing the global preference-defined functionality which locks a patient out from Dosing when carrying a balance that exceeds the maximum balance amount allowed by a facility to be overridden for a specific patient.

Maximum Balance Patient can carry

This field is disabled unless the 'Override Balance Locking' checkbox is checked.  By default, this field is auto-populated by the globally preference-defined amount set in Methasoft Preferences.  If the 'Override Balance Locking' checkbox is checked and an amount is entered in this field, then Methasoft will only prevent the patient from Dosing if their Patient balance exceeds the amount entered in this field and the 'Lock Patient Balance when over Maximum Amount' checkbox is checked.  If the 'Lock Patient Balance when over Maximum Amount' checkbox is not checked, then the amount entered in this field will dictate the threshold at which a Balance Overdue system flag will appear, informing users that a patient's Patient balance has exceeded the amount entered.

Lock Patient Balance when over Maximum Amount

This field is disabled unless the 'Override Balance Locking' checkbox is checked.  By default, this field is auto-populated by the globally preference-defined setting set in Methasoft Preferences.  If the 'Override Balance Locking' checkbox is checked and an amount is entered in the 'Maximum Balance Patient can carry' field, then Methasoft will prevent the patient from Dosing if their Patient balance exceeds the 'Maximum Balance Patient can carry' amount entered. If this checkbox is unchecked, then the amount entered in the 'Maximum Balance Patient can carry' field will dictate the threshold at which a Balance Overdue system flag will appear, informing users that a patient's Patient balance has exceeded the amount entered.

 

Command Buttons

 

Reconcile Balance

Pressing this button opens the Reconcile Balances window displaying the retrieved patient's balance information for all Balance Types, allowing users to reconcile balances as needed.  Generally this functionality is restricted to Administrative staff only via Methasoft Security Administration settings.

 

Procedures

How to Enter or Edit Payment Information

 

1.) Select the patient's 'Acceptable Payment Type' from the dropdown selection list.

 

2.) Select the patient's 'Payment Option' from the dropdown selection list.

 

3.) (Optional) If applicable at your facility, select the patient's 'Payment Status' from the dropdown selection list.

 

4.) (Optional) If applicable at your facility, enter patient's 'Eligibility/AID Code'.

 

5.) (Optional) To override the patient's Maximum Balance Allowed settings, check the 'Override Balance Locking' checkbox.  This will enable the 2 detail fields within the 'Override Balance Locking' frame.

 

6.) (Optional) If the 'Override Balance Locking' checkbox is checked, and if applicable, change the 'Maximum Balance Patient can carry' amount to a new amount, which for the retrieved patient will then override the global preference-defined amount set in Methasoft Preferences (Accounting Preferences - General Preferences).

 

7.) (Optional) If the 'Override Balance Locking' checkbox is checked, and if applicable, check or uncheck the 'Lock Patient Balance when over Maximum Amount' checkbox, which for the retrieved patient will then override the global preference-defined Dosing lock-out setting set in Methasoft Preferences (Accounting Preferences - General Preferences).

 

8.) Press the Save button.  A confirmation message will appear confirming the payment information was saved successfully.  Press the Ok button to close this message.

 

 

How to Override Maximum Balance Dosing Lockout Settings for a Patient

 

1.) To override the patient's Maximum Balance Allowed settings, check the 'Override Balance Locking' checkbox.  This will enable the 2 detail fields within the 'Override Balance Locking' frame.

 

2.) (Optional) If applicable, change the 'Maximum Balance Patient can carry' amount to a new amount, which for the retrieved patient will then override the global preference-defined amount set in Methasoft Preferences (Accounting Preferences - General Preferences).

 

3.) (Optional) If applicable, check or uncheck the 'Lock Patient Balance when over Maximum Amount' checkbox, which for the retrieved patient will then override the global preference-defined Dosing lock-out setting set in Methasoft Preferences (Accounting Preferences - General Preferences).

 

4.) Press the Save button.  A confirmation message will appear confirming the payment information was saved successfully.  Press the Ok button to close this message.

 

 

Considerations

 

'Override Balance Locking' Functionality Overrides Both Preference Settings for the Retrieved Patient if the 'Override Balance Locking' Checkbox is Checked

It is important to understand that if the 'Override Balance Locking' checkbox is checked on Payment Information for a retrieved patient, that both the 'Maximum Balance Patient can carry' amount and the 'Lock Patient Balance when over Maximum Amount' setting will be used for the retrieved patient in lieu of the global preference-defined settings set in Methasoft Preferences (Accounting Preferences - General Setup).  Thus if the 'Override Balance Locking' checkbox on this screen is checked, it is important for users to ensure both of these fields are addressed and set appropriately for the retrieved patient.

 

Related Topics

 

Patient Payments

Reconcile Balances

Balance Journal

Financial Contract

Code Tables

 

Related Reports

 

Payment Information Patient Charges Dosing

Payment Summary by Payment Method

 

Related Preferences

 

Clinic tracks 3rd Party and/or Deposit Balances

Automatically insert default Payment Information on new patients

Default Payer when assigned automatically

Payment Type

Payment Option

Maximum Balance Patient is allowed to carry

Lock out patients from dosing when balance is over maximum