Medicare Advance Payment: Add Procedure and Adjustment Code

Medicare Advance Payment: Add Procedure and Adjustment Code

Create a Procedure (CPT®) code

  1. CPT®: CMSAP or your preference. Example: CMSAP (CMS Advance Payment)
  2. SUBMIT CPT: Same as CPT or leave blank.

  3. Description: CMS Advance Payment or your preference

  4. Fee: $0.00

  5. Select Save [F2].

 


Create a Transaction Code to use for the Adjustment

From Admin on the left sidebar, select Transaction Codes.

  1. Code: Use the example or use one of your own; Example: CAPSAP

  2. Type: Debit or Credit

  3. Group: IC

  4. Description: CAPS Medicare Adjustment or your preference

  5. Abbreviation: Can be the same as the Code or your preference

  6. Responsibility: All Insurances

  7. Report As: Adjustment

  8. Select Save [F2].

 

CPT® copyright 2019 American Medical Association. All rights reserved.


    • Related Articles

    • Undo a Posted Payment or an Adjustment

      Undo a Posted Payment or an Adjustment The System has an Undo Posting feature on the Encounter Dashboard where you can manage incorrectly posted Payments and Adjustments. Undo can be used to correct the posting on a Receipt. Example: A payment was ...
    • Post a Medicare Advance Payment and Adjustment

      To prevent the Payment from affecting your A/R, the Payment and Adjustment can be posted at the same time. This will bring the encounter balance to zero on the Medicare Advance "fictitious" patient. Post to an ERA There will be a message in red ...
    • Medicare Advance/Accelerated Payments and Recoupments

      Due to practices being closed during the COVID 19 Pandemic, providers were able to request Accelerated Payments from Medicare in lieu of claims. Repayment begins one year starting from the date the accelerated or advance payment was issued. Medicare ...
    • Setup for Posting Advance Payment, Recoupment, and Adjustment (Table of Contents)

      Contents Medicare Advance Payment: Add Procedure and Adjustment Code Add a Patient for Medicare Advance Payments and Recoupments Create an Encounter for Medicare Advance Payments, Recoupments, and Adjustments
    • Post an Adjustment

      ***When doing an Adjustment, you must be connected to a Reference Batch.*** Examples of Adjustments: The Patient has a small balance that is too small to generate a Statement. The Patient is deceased. The doctor wants to do a courtesy write-off. ...