Capitation Functions

The Capitation Functions menu provides the following functions you can use to perform mass write-offs on your capitated procedures:
Prior to using these functions you must perform the Capitation Setup Process.

Posting a Capitation Payment
  1. Post a Debit Adjustment to the capitation patient account - Transactions, Adjustment Entry.
    Use the Offset Adjustment Code.
    Enter the same dollar amount as the capitation payment.
    Enter a Remark that states 'Offset cap pmt - Dr Smith', for example.
    If you have multiple doctors you should post separate debit adjustments for each doctor.

  2. Post the capitation payment to the capitation patient account - Transactions, Payment Entry.
    Use the Capitation Payment Code.
    Allocate the payment to the Debit Adjustment.
    Enter a Remark that states the month and year. For example, 'Sept 2005'.

Month-End Capitation Write-off Process
  1. Create Insurance - Billing, Insurance Billing Functions, Create Insurance File

  2. Create the Pre-Capitation Write-Offs - Managed Care, Capitation Functions, Create Pre-Capitated Write-Offs

  3. Check to make sure the Pre-Capitation Write-Off function has been completed - Managed Care, Capitation Functions, Pre-Capitated Write-Off Inquiry

  4. Print the Pre-Capitated Write-offs Adjustment Journal - Managed Care, Capitation Functions, Print Pre-Capitated Write-Offs

  5. Print the Capitation Roster - Managed Care, Capitation Functions, Capitation Roster.
    Compare to the roster issued by the insurance carrier.

  6. Create the Capitated Write-Offs - Managed Care, Capitation Functions, Create Capitated Write-Offs

  7. Check to make sure the Capitation Write-Off function has been completed - Managed Care, Capitation Functions, Capitated Write-Off Inquiry

  8. Print the Capitation Write-offs Adjustment Journal - Managed Care, Capitation Functions, Print Capitation Write-Off Journal

  9. Print the Capitation Analysis Report - Managed Care, Capitation Functions, Capitation Analysis Report.