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Create Accounts Receivable for MSP claims (Home Health)

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When creating accounts receivable for MSP claims, be aware of the following considerations.

  • You can enter a zero beginning balance. Entering zero gives you the ability to post payments and adjustments as necessary. Using zero prevents the patient from being including in the Accounts Receivable report. For more information, see Accounts Receivable report.
  • At the conclusion of posting payments received by Medicare, follow your agency's accounting rules to bring the records to a zero balance.
  • For Home Health PPS, you can enter the total expected episode payment (EEP). This requires that the balance be adjusted to zero once payment is received.
  • You can enter the adjusted reimbursement amount as determined by Medicare (MSP) calculations.
  • Netsmart recommends that you create an adjustment code specifically for MSP adjustments for easier tracking and reporting.
  • To ensure MSP claims are ageing for the correct accounting period, Netsmart recommends that you select the following privileges in Administration > Operators > Privileges:
    • Transactions > Load Patient Balances: Full Access
    • Transactions > Load Patient Balances Ageing Date: Ageing dates must be prior to CGSD or after Close AR date.