Ledgers must have the following:
Best practice is to remember that you only have one fee for each service (your Actual Fee)
ALL patient ledgers should reflect your ACTUAL fee, no matter how that person pays (i.e. PI, Ins, Cash)
Should show that a discount was applied
You will use some form of "Care Package" feature in your EHR system.
Some may automatically adjust the Actual amount and apply your discount so the balance automatically adjusts
Some may show a large balance due that, as payments are made, it will slowly chip away at.
See GOOD examples below:
Depending on the capabilities of your EHR and how you do things in your office, your ledgers should look like one of the following.
(Above) The Actual fee is listed and the discounted amount is listed under "Allowed".
(Above) The actual fee is listed in the description as $60, but the EHR is set up to only charge $40.
See BAD examples listed below:
(Above) Actual fee of $60 is not listed at all. Only showing discounted fee of $40.
(Above) Showing the Actual fee as $40 when really it is $60.
(Above) Description lists fee as $40 and it's only charging $40.