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Billing Register Reconciliation Information - Episodic

Path: Claims > Process > Process a Cycle

The gross amount on the Billing Register Patient Listing may not match the total increase/decrease in revenue due to PEP, Outliers, and Therapy down-coding adjustments.

The revenue reversal is not shown on the claim register listing for episodic claims.

If the Automatic LUPA adjustment option is not selected, the RAP/Interim reversals listed on the claim register must be posted manually to the LUPA claim through collections (Collections/Patient and Collections/Remittance windows in Transactions > General).

LUPA adjustments are shown on the Accounting Summary only if the Automatic LUPA adjustment is used. Telehealth services are excluded from the LUPA calculations.

The total net amount on Accounting Summary should match the total increase or decrease to AR on the Accounts Receivable report minus any automatic LUPA adjustments (with or without the adjustment).