Ledger in Practicesuite is the Financial summary of a particular patient that we select. 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 Claim and also projects the Total Amounts i.e. Billed, Paid by Patient, Paid by insurance, Adjustment, Refund, etc. A detailed view of patient aging is also provided.
Below is a screen shot of the ledger page of a patient.
1. Search and Filter Options:
In order to narrow down the search results according to the Date of Service(DOS), Accounting date, enter the relevant fields and click on Search button. By clicking More Filters button, additional search fields such as Legal entity, Provider, Case are displayed.
2. Print and Save Options:
There are four buttons in this section. The button is for maximizing the result screen. Once maximized, this button becomes invisible. The button is used to export the result to an excel sheet. The button is for exporting the result to a PDF file. The button is the Legend. This provides a list of various line statuses and the corresponding color codes used for each of them. Color codes are for quick identification of a line status.
3. Individual Claim Details and Financial transaction Details:
All the financial transaction details with respect to a patient are displayed ordered according to 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 above.
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
Two types of aging details are given here: Insurance, Patient.
Insurance: This line displays the amounts yet to be received from insurance with regard to the selected patient for the charges billed, sorted according to the number of days it has been kept pending.
Patient: This line displays the amounts 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, total amount paid by patient, total copay paid, total paid by insurances, total balance due, date of last claim sent, date of last 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 in the ledger page brings up the payment entry screen where the complete list of payments made by the patient having unapplied amount is presented. On_account amount will be sum total of all the unapplied amounts for the patient. In case the patient is a minor, the guarantor on_account will be displayed.