XIII: Sliding Scale Discounts

Question 1

Sliding Scale discount build and calculations will be based on:

Answer 1

National Federal Poverty Level data; A patient’s income and family size; organization specific rules determining when to apply a discount.

Question 2

If both self-pay discounts and sliding scale discounts are enabled in a service area which discount will the system try to apply first?

Answer 2

Sliding scale discount.

Question 3

Sliding scale billing does not affect copays displayed or collected at check in.

Answer 3

Sliding scale billing does not affect copays displayed or collected at check in.

Question 4

True or False: If an end user has proper security, the sliding scale table and self-pay discount amounts may be manually overriden.

Answer 4

True.

Question 5

When are automatic write-offs posted?

Answer 5

When transactions are filed to the account.

Question 6

Where can you view the write-off transaction?

Answer 6

in the matching Txs tab.

Question 7

The sliding scale table, discount amount, minimum fee and flat fee information are listed for each transaction on the account under what tab?

Answer 7

Tx Detail additional information tab.

Question 8

What tables are needed for sliding scale discounts?

Answer 8

1. Federal Poverty Level Table
2. Sliding Scale Tables
3. Discount Determination Table.

Question 9

What is the Federal Poverty Level table?

Answer 9

Defines the federal poverty level for different family sizes.

Question 10

What is the Sliding scale tables?

Answer 10

Defines WHAT discount should be given. They are contact specific.

Question 11

What is the Discount determination table?

Answer 11

Defines WHEN different sliding scale tables should be used for a given Service Area.

Question 12

What two tabs are under Extended Information on the Sliding Scale Table?

Answer 12

Flat Fee and Discount Rate Tabs

Question 13

What are the three important fields on the Sliding Scale Discount Determination Table form?

Answer 13

Rule, Table (sliding scale), Default Sliding scale table

Question 14

True or False: Sliding Scale discount may also be enabled at the facility level or per individual location and department.

Answer 14

True.

Question 15

The Automatic Self-Pay Write Off Code is used for Self pay discount or sliding scale discount?

Answer 15

Sliding Scale discount, since unlike self-pay discounts, there is not a place to enter the write off code in the sliding scale table.

Question 16

Which setting int he System Procedures screen also exists for Locations and Departments?

Answer 16

“Use Self-Pay Discount” field

Question 17

Where would you get the ID number of the Federal Poverty Table to input in text?

Answer 17

FPT is created in Hyperspace.

Question 18

What is the Sliding scale search order field do?

Answer 18

Determines the order in which PB should search for family size and income information that drives the sliding scale discount. Account level or Patient level.

Question 19

What are the two basic pieces of information that must be collected in registration in order for sliding scale discounts to work?

Answer 19

Family Size and Income.

Question 20

True or False: Multiple sliding scale tables may be used in one service area.

Answer 20

True

Question 21

True or False: The Federal Poverty Level table must be linked to the service area in Hyperspace

Answer 21

False. It is created in Hyperspace but is linked in text.

Question 22

True or False: The Sliding Scale Discount Determination Table holds the information on discount amounts

Answer 22

False. It tells the system when to use the different sliding scale tables.

Question 23

Which application must you access in text to add the FPL form to registration?

Answer 23

Prelude.

Question 24

At 100% of the FPL or below, all procedures get an 85% discount, except immunizations which get a 100% discount. How could you configure the sliding scale table to accommodate this scenario?

Answer 24

In the sliding scale table, enter 100% of FPL and 85% as discount rate. You can add the immunizations at 100% in the extended information table under discount rate tab.