Identifying Adjustments and Voids on the Remittance Voucher

Adjustments on the Remittance Voucher

Adjustment requests are printed on the remittance voucher as two different claim entries.

The incorrectly paid claim is listed exactly as it was when it was originally reported. The transaction control number (TCN) for this entry is not the same as the original claim, but is a system-assigned, unique “credit” TCN. The original incorrect payment is credited back to Medicaid’s account. A minus symbol ( - ) appears just to the right of the incorrectly paid amount. The adjusted request is printed directly following the original claim entry.

Incorrect claim information on the original now shows as corrected. The difference between these two entries is the “NET” amount on the remittance voucher.

An Adjustment Reason Code (ADJ-R) and the TCN of the claim being adjusted are listed following the two claim entries. Adjustment reason codes are defined in the summary section of the remittance voucher.

Voids on the RV 

Void requests are printed as one claim entry. The entire claim is displayed and the payment amount is returned to Medicaid. A minus symbol ( - ) appears next to the amount.

Adjustment or Void Reason Codes

An Adjustment Reason Code appears with each adjustment or void shown on the remittance voucher. These numeric codes are explained on the remittance voucher.
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The Benefits of Outsourcing - Process of Medical Billing outsource

Are you a doctor who has a successful medical practice? Have you often heard friends suggesting you to switch outsourced medical billing if you are planning to expand your business further? If the answer to those two questions is “Yes!” you do not have to look any further. We are here to demystify the benefits of outsourcing for you.

First let’s understand what exactly outsourced medical billing is. Outsourcing your medical billing to a company that provides a more efficient solution to organize and arrange your medical billing records. These experienced firms bring their latest and trusted methods to manage your accounts after doing an in-depth analysis of your business. They may have one basic process but they fine-tune in to meet the needs of each client. So before you decide if you want to adopt this model for your business, let’s have a look at some of the benefits of outsourcing.

When you opt for an outsourcing firm to handle your medical billing, you can go back to doing what you do best. You can continue to be the friendly doctor you always dreamt to become, instead of constantly worrying about the financial aspects of the business. Healthcare billing has become quite complex in the last few years. Also the rules of insurance companies and other regulatory agencies change so frequently that it has become almost impossible to keep a tab on all of that. But when you pick a partner to handle your outsourced medical billing, they will resolve all your tensions. After all you have left the task of worrying to the experts.

Also with a company that is dedicated to your medical billing, the rate of defaulters is reduced. After all the company is only going to get paid if it completes the task it was assigned to do. Also, you may not believe it at first when we tell you; but you can actually lower your expenditure this way. It is true that the company will charge a fee for their services, but this cost will still be lower than what you would have spent to train your nursing staff to collect medical bills. And then you also have to worry about buying financial software with its constant updates. But the cost of this software is included in the outsourcing package now.

If you are still not happy with the benefits of outsourcing your medical billing, the last reason will surely make you reconsider your position. If you are suspicious that your employees are stealing from the medical bills, this is the best way to put that suspicion to rest once and for all. You still remain the head of the business, but you have only hired a company to handle one aspect of your business.