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Canine III

PROFESSIONAL COURTESY DISCOUNTS

What code should you use to give a patient a discount when the doctor is trading services with the patient?

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10 Replies
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First Molar I

Re: PROFESSIONAL COURTESY DISCOUNTS

Are you talking about bartering?  That I don't know.  We have used 58 to discount services for work done but the patient won't be charged, as a professional courtesy.  We have added extensions to identify if they are doctor and family, employees, pro bono bases etc., meaning those codes would be 58.1, 58.2, etc.

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Moderator
Moderator

Re: PROFESSIONAL COURTESY DISCOUNTS

awkessler12‌ ,you can use code 51.00 professional courtesy credit already included in ADA codes list 

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Canine III

Re: PROFESSIONAL COURTESY DISCOUNTS

Yes bartering. I just need a code that does not affect the production amounts. We have a bonus system and with code 51 it affects the production amount.

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Moderator
Moderator

Re: PROFESSIONAL COURTESY DISCOUNTS

you can try the range 21-29  it is a credit without affecting production 

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CS Dental Employee
CS Dental Employee

Re: PROFESSIONAL COURTESY DISCOUNTS

You are correct 21-29 will decrease the patient's balance without affecting production, but please keep in mind it does increase collection.  You can create a code in this range if this works for you.  

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First Molar I

Re: PROFESSIONAL COURTESY DISCOUNTS

Or, simply post the transaction, with a zero amount.  If you would like to keep track of barter amounts you could add the amount in the notes column.  Of course, if you need the totals calculated it would take a bit of investigation, the tradeoff is that no totals would be effected. 

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First Molar I

Re: PROFESSIONAL COURTESY DISCOUNTS

A production adjustment should be in the 50 range.  Avoid any reserved code.

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Premolar I

Re: PROFESSIONAL COURTESY DISCOUNTS

@ayman : can you post a list of the default transaction codes for version 18?  I would greatly appreciate it!

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Premolar III

Re: PROFESSIONAL COURTESY DISCOUNTS

I think it works best, and the patient can see the value for the services rendered, if you bill out the full fee (using whichever codes you did), and then apply the courtesy (code 50 - credit) on the spot.  If you want to be "really" fancy, you can create a different fee schedule (default fee schedule is 0), and that new fee schedule applies only to that patient (with a courtesy of 100%).  But that might be somewhat overkill if this patient is the only patient for which you barter.  Another way is to specify a courtesy to that patient for a specific code range and a specific courtesy (ie, 100%).  In any event, a walkout statement should show the full fee, and then the courtesy amount, or credit amount should be a separate line item to make the net of the services zero for that day.