Specialty Adjustment Codes

Every adjustment is assigned a four-character adjustment code. This helps to separate adjustments into different categories so they can be reviewed individually on management reports. In addition to different adjustment codes for contractual discounts and denials, we have developed codes to help track dollars adjusted for specific reasons.

Note: After you make any adjustments on an account, it is recommended that you leave an Account Note detailing the Date of Service and action that you have taken.

ARIP Adjustment

The ARIP adjustment code is reserved to remove an insurance overpayment from your working A/R. We refer to this process as “reversing the credit” from the patient’s account. We recommend that you thoroughly research every insurance overpayment before you process a refund or reverse the credit from the patient’s account.

ARIP Adjustment Procedure

If an insurance overpayment was posted correctly, the overpayment should have posted to a charge line.

  1. Review the patient’s Ledger Visit to locate the overpayment charge line.
  2. Next, open the Payment menu and select Add Adjustments.
  3. Enter the required information as shown below.
    1. Insurance: Select the insurance from the drop-down list who made the overpayment.
    2. Date of Service: Enter the Date of Service that the overpayment was posted to.
    3. Adjustment Code: Select the ARIP adjustment code.
    4. Adj: Enter the negative equivalent of the overpayment.
    5. xFerIns/Place of Service: Select the insurance from the drop-down list who made the overpayment.
  4. After you have entered all of the required information click Save.

ARPP Adjustment

An ARPP adjustment is used to remove a patient overpayment from an account. Before you remove a patient overpayment or issue a refund to a patient, all charges outstanding to insurance should be resolved.

ARPP Adjustment Procedure

  1. After you have verified that the patient overpayment is valid, review the patient’s Ledger Visit to locate the patient’s first treatment date.
  2. Next, open the Payment menu and select Add Adjustments.
  3. Enter the required information as shown below.
    1. Insurance: Leave this field blank.
    2. Date of Service: Enter the patient’s first treatment date.
    3. Show All Charges: Click this checkbox.
    4. Adjustment Code: Select the ARPP adjustment code.
    5. Adj: Enter the negative equivalent of the overpayment.
    6. xFerIns/Place of Service: Select Patient.
  4. After you have entered all the required information, click Save.

The ARPP adjustment procedure will create a charge line on the patient’s account for the amount of the overpayment to “zero-out” the credit balance.

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