Below are some questions and answers about Patient Payment Plans.

Pay Plan Logic Q and A

I am considering transitioning to Age Credits and Debits logic. What do I need to know?

When you first transition, patient account balances will change:

• The account balance for any patient with a patient payment plan will change by the payment plan amount currently due.
• The Family Aging amounts will include patient payment plan charges currently due.
• The total A/R in the Aging of Accounts Receivable (A/R) Report will change.

How can I see the difference between Do Not Age logic and Age Credits and Debits logic in the Aging of A/R Report amounts?

1. With Do Not Age selected:
   • Run the Aging of A/R report (Check Include Negative Balances).
   • Run the Payment Plan Report. Select Patient as the Payment Plan Type. Uncheck Hide Completed Payment Plans and Limit to Plans Created in Date Range. The Due Now column will indicate the total payment plan amount due.
2. With Age Credits and Debits selected, run the Aging of A/R report again (Check Include Negative Balances).

The Total column from the report in step 1 (traditional) + the Due Now amount from the Payment Plan report will equal the Total column from report in step 2 (Age Credits and Debits).

How do payment plans affect billing?

Payment plan amounts due are included when you run Batch Billing. The due date is based on a setting in Manage Module Preferences for Days in advance to bill payment plans amounts due. The Pay Plan Logic determines whether or not the payment plan amount due is added to the total amount due on the statement.

Payment Plan Adjustments

I have already set up a payment plan for a patient, but now want to add an adjustment (e.g. for a courtesy discount). How do I edit the payment plan to reflect the discount?

To add an adjustment to a payment plan:

1. Apply any payment plan payments.
2. Open the patient's payment plan.
3. Click Add Adjustments.
   • Enter the adjustment amount.
   • Check Also make a line item in the account, to create an adjustment on the Patient Account ledger (not recommended if the Account Module Preferences Pay Plan Logic is set to Do Not Age (Legacy)).
   • Click OK.

   An adjustment will be added to future charges in the Amortization Schedule and Payment Plan Procedures and Credits window, reducing the Terms Total Amount and the Total Tx Amt. See Payment Plan.

4. Click OK to close.

Adding a payment plan adjustment prior to version 18.1:

1. Add the adjustment to the patient's account, Adjustment.
2. Open the patient's payment plan.
3. Click view Tx Credits.
• Add a negative credit amount.
• Enter the date of the adjustment.
• Enter the amount of the discount (e.g. -20).
• If desired, add a note (e.g. courtesy discount).
• Click Update.
• Click OK.
4. On the Patient Payment Plan window, update the Terms Total Amount.
5. Click Recalculate to update the amortization schedule, then click OK. Recalculating Payment Plans
6. Click OK to close.

I have created a negative payment plan adjustment, but need to associate the adjustment to a procedure on the payment plan. How do I attach the adjustment to a procedure?

If you checked Also make line item in Account Module when the adjustment was created, double-click into the adjustment from the Patient Account grid and click Attach.

I only see completed procedures in the Payment Plan Procedures and Credits window but I need to create a tx credit for adjustment charges too. How do I include adjustments?

Tx credits may not be created for adjustment charges. Instead, attach the adjustment to a procedure then create a tx credit for the procedure. Future payments will be split directly to the procedure and adjustment. If you cannot attach the adjustment to a procedure, do not include the adjustment charge in the payment plan principal balance. Creating an unattached tx credit will prevent payment plan payments from being allocated to the adjustment and the adjustment will remain as an outstanding charge in the the payment window.

Payment Plan Payments

I attached a payment to a payment plan by mistake. How do I detach it?

For each pay split in the payment, detach the payment plan:

1. Open the payment.
2. Double click on a Paysplit.
3. Uncheck the Attached to Payment Plan box.
4. Click OK to save.

The patient wants to pay off the payment plan. How do I determine how much is owed?

The Balance column in the main Payment Plan grid shows the amount that will pay off the payment plan at that exact moment. However, it does not account for any mismatches between Tx Completed Amt and the PrincPaid amount, so closing a payment plan may incur a charge that is different than the Balance.