Contractual Allowances tab
This tab is accessed in the project plan file, in the Financial Inputs tab.
NOTE: The system allows you to make a copy of the Financial Inputs tab and rename it. This allows you to model different scenarios in your project. As a result, you may see several versions of the Financial Inputs tab with different names in the project plan.
Use this tab to manage reimbursement adjustments from your default payors to model out your reimbursements from year to year.
To make adjustments to payor reimbursements:
- From the drop-down next to the Inpatient, Inpatient Ancillary, and Outpatient sections for each payor, select how you want to model out the reimbursements by selecting one of the following:
- Payor Name Inpatient: Pct Charges, Per Case, Per Diem, Lump Sum
- Payor Name Inpatient Auxiliary: Pct Charges, Lump Sum, Per Procedure
- Payor Name Outpatient: Pct Changes, Lump Sum, Per Visit
- In each blue cell, enter a percentage or amount adjustment, as needed.
- At the bottom of the page, in the Bad Debt and Charity section, make adjustments for bad debt and charity, which are calculated as a percentage of gross charges.
- In the Comments column, enter further details, if necessary.
- After making any changes, click Save in the upper right corner of the page.