Manage Unadjusted Transaction Charges

Unadjusted Transaction Charges are associated with Third Party Payments in CareStack. While creating a third-party payment type in CareStack, a transaction charge can be set to account for the transaction charges levied by the third party in question. CareStack already includes a system-level adjustment code called TRNCH for Transaction Charges that will reduce the patient portion by the amount of the charge when applied.

The Post UnAdj. Trans. Charges field inside the patient payment modal ensures that the patient portion reflects the transaction charge that the third party levies without leaving a stray balance in the patient’s ledger.

To understand how the unadjusted transaction charges work, we would need to revisit the workflow of adding a third-party payment to a patient’s ledger.

Let's get started!

• Search for the patient using the Global Patient Search bar.
• Click on the Payment quick link.

Step 1

• Select Regular Payment.
• Review or update the Payment Amount, Payment Location, and Payment Date as needed.

• Select your Third Party Financing Payment Type.
• CareStack will calculate the Transaction Charge based on the selected Payment Type and the Payment Amount.
• Click the Post UnAdj. Trans. Charges so that it turns from Blue to Grey.

Step 2

• CareStack will apply the TRNCH Adjustment Code to the codes and add the Adjustment Amount in your selected application order (Oldest to Newest or Newest to Oldest).

Tip: Depending on your codes and amounts, not all codes may have an adjustment applied. You can manually change the code the charge adjustment is applied to or the split of the adjustment code.

• Click Add Receipt & Apply when you are ready to finish posting a payment.

• The payment and discount will be applied to the Patient Ledger.
• You will see the following three Ledger entries:
  • • Payment amount less than the Transaction Charge.
    • Transaction charge.
    • Adjustment to offset the Transaction Charge.

Practices can use this simple guide to post and manage the unadjusted transaction charges in CareStack.