Ledger in Practicesuite is the Financial summary of a patient. In other words, it is the window where you can view the summary of all financial transactions related to the patient. It gives a snapshot of the details of the individual Claims like DOS, diagnoses, units, charges billed, Amount Paid by Patient, Paid by insurance, Adjustment, Refund, etc. The ledger also provides a detailed view of patient aging.
Image 1 is a screenshot of the ledger page of a patient.
1. Search and Filter Options:
To narrow down the search results according to the Date of Service(DOS), Accounting date, enter the relevant fields and click on the Search button. More Filters button displays additional search fields such as Legal entity, Provider, Case.
2. Print and Save Options:
There are four buttons in this section. The button is for maximizing the result screen. Once the screen is maximized, this button becomes invisible. The button is used to export the result to an excel sheet. The button, when clicked, exports the result to a PDF file. The button is the Legend. Legend provides a list of various line statuses and the corresponding color codes used for each of them (see Image 2). Color codes are for quick identification of line status.
3. Individual Claim Details and Financial transaction Details:
All the financial transaction details concerning a patient are displayed ordered according to the case. The fields include DOS, Charges, Amount applied to Co-pay, Deductible, Co-insurance, Amount paid by Patient, Primary, Secondary, Tertiary, Adjustment amount, Adjustment reason, Provider code, line status, etc. The line status column is colored according to the color codes shown in Image 2.
a. Select Edit Charges to go into the edit charges window.
b. Select View Notes to view encounter line activity notes.
c. Select Add Activity to add a new encounter line activity note.
4. Aging details
Ledger provides aging details of both Insurance and Patient.
Insurance: This line displays the amounts yet to be received from insurance concerning the selected patient for the charges billed. It is sorted according to the number of days it has been kept pending.
Patient: This line displays the amount to be received from the patient for the charges billed, sorted according to the number of days it has been kept pending.
5. Ledger Summary:
This section summarizes the transaction details of a patient to date. It displays the total amount charged, total adjustments, the total amount paid by the patient, the total copay paid, the amount paid by insurances, the balance due, etc. It also displays the date of the last claim sent, date of the previous statement sent, date of last payment received, etc.
6. On account:
On_account is the outstanding amount of the patient available with the practice. The link on_account on the ledger page brings up the payment entry screen, which presents the complete list of payments made by the patient having an unapplied amount. The on_account amount will be a total of all the unapplied amounts for the patient. In case the patient is a minor, the guarantor on_account will be displayed.