Practices that need to post DMO (Dental Maintenance Organization) / Capitation checks in Sensei Cloud can do so by creating a fake patient whose ledger is used specifically for posting capitation checks.
Note: If your practice does not need capitation checks to be part of Payment/Collections reporting, then it is not recommended that DMO/Capitation checks are posted in Sensei Cloud.
If you need to process an ePayment, if you want the check/payment listed on the Financial Daysheet and Deposit Slip, or if you need the capitation check included in Provider Collection calculations, etc., you can utilize the following procedure.
To post a capitation check in Sensei Cloud:
- Create a fake patient so that you can use their ledger as a place to hold the capitation check entries. For example, the Patient Name might be Capitation Patient or Capitation [Payer Name], etc.
- Add a Patient Tag to the fake patient's record so that you can exclude the patient from the Accounts Receivable Report.
- Process the Monthly Check: From the fake patient's ledger, post the Payment, recording the total check amount as a single payment.
- Balance and Review:
-- Use Sensei’s Financial Daysheet/Deposit Slip to match the posted payments to the physical check.
-- Utilize Tagging (and the option in the left side panel to exclude the tag that is applied to the fake Capitation patient) to view Account Receivables without the inflated credit. - Record the Actual Patient Services (as needed):
-- For each patient visit, bill the full fee for services rendered (covered or not) to track Provider Production and create claims.
-- Apply a Write-Off to align the balance with the DMO plan's allowed amounts/patient copays on the actual patient's ledger (not the fake patient).
See the following articles for more information:
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