View the Master Account Audit Page

When you want to research a specific account at the master account level, you can access the Master Account Audit page from the Patient Account Audit page. The Master Account Audit page shows information similar to the Patient Account Audit page, but summarizes all of the reprices for an account number and provides easy access to reprice-by-reprice details.

Procedure

Access the Master Account Audit page.
If you know the account number:
- Select Go To > Account Research > By Account Number. The Account Research by Account Number page opens.
- Type the account number and click Display Account. The Patient Account Audit page opens.
- Click Master Account Audit at the top of the page. The Master Account Audit page opens.
If you do not know the account number:

Select Go To > Account Research > from Worklist. The Account Research from Worklist page opens.
From the Task list, select Create Master Worklist.
Specify other selection criteria and click Display Accounts. The Master Account Worklist page opens. For more information about search criteria, refer to Specify Account Worklist Criteria.
Click the account number you want to review in the Account Number column. The Patient Account Audit page opens.
Note: PEM claims are not included in worklist results.

Click Master Account Audit at the top of the page. The Master Account Audit page opens.

Review the account information.
To view additional details regarding the information in the summary sections:
- Click A/R to access the Payments and Adjustments page for this account at the master account level. For more information, refer to View Payments and Adjustments.
- Click CHGS to access the Detail Line Item Charges page for this account at the master account level. For more information, refer to View Detail Line Item Charges.
- The Payor Summary section is replaced by a payor grid, when Coordination of Benefits (COB) is enabled for your facility. The payor grid displays detail information for each payor associated with an account.
If Coordination of Benefits (COB) is enabled for your facility, you can sort and group your results.
- To sort accounts by a different column, select the name of the column you want to sort by from the Sort By list and click Refresh View.
- To group the accounts by payor, select Payor from the Group By list and click Refresh View.
- For more information about COB, refer to Coordination of Benefits.
To view additional details regarding the information in the results table at the bottom of the page:
- Click a link in the Service Type column to view the contract profile for the account.
- Click a link in the DRG/APC/CMG column to view a description of the listed code.
- Click a link in the Bill Type column to open the Billing Type Definition page for a description of the selected bill type.
- Click a link in the Message Code column for a description of that message code.
- Click a link in the Patient Liability column to override the patient liability for the selected account. For more information, refer to Override Patient Liability.

Field Descriptions

The following table describes each of the fields on the Master Account Audit page. The fields are listed in alphabetical order.

For detailed descriptions of the summary sections, refer to the following:

Field	Description
Payor Grid
If Coordination of Benefits (COB) is enabled for your facility, the payor summary section is replaced by a payor grid that displays detail information at the payor level for each payor associated with an account. The information in this grid reflects calculations after COB language is applied
Account Balance	Billed Charges, minus total payments, minus total adjustments
Actual Discount	Total insurance adjustments for all accounts
Billed Charges	The total charges incurred for the claim or set of claims that have been repriced for this payor
Coordination of Benefits	The Coordination of Benefits (COB) calculation language used for secondary or tertiary payors. This column is only populated for secondary and tertiary payors. The value in this column is a link that displays the Coordination of Benefits Language Definition page. For more information refer to the following: View the COB Language Definition COB Language Types
Discount Variance	Expected Discount minus the Actual Discount
Expected Discount	Billed Charges minus non-covered charges, minus Total Expected Reimbursement
Expected Insurance Payment	The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data, minus patient liability
Insurance Payment	The amount paid by the insurance company
Patient Liability	The amount the patient is responsible for
Payor Class	Indicates whether this account is for a (P)rimary, (S)econdary, or (T)ertiary payor
Payor Name	Name of the payor
Total Expected Payment	The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data
Results Area
Account Balance	Billed Charges, minus total payments, minus total adjustments
Actual Discount	Total insurance adjustments for all accounts; Explanation of Benefits (EOB) write-off
Bill Type	Bill type
Billed Charges	The total charges incurred for the claim or set of claims that have been repriced
Day	The number of days that display is determined by the day filter selected when creating the worklist. The available day filters include the following: Days to Payment – The difference between the submit date of the claim and the date of the initial payment Days Outstanding – The difference between the submit date of the claim and today’s date Length of Stay – The length of stay for the claim, in days If no day filter is selected, this column defaults to Days Outstanding.
Discount Variance	Expected Discount minus the Actual Discount
DRG/APC/CMG (Highest Value)	The specified DRG/APC/CMG codes with the highest value on the account
Expected Discount	Billed Charges minus non-covered charges, minus Total Expected Reimbursement
Expected Insurance Payment	The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data, minus patient liability
Expected PCR	Expected Payment-to-Charge ratio
Insurance Payment	The amount paid by the insurance company
LOS	Length of Stay, in days
Medicare Outlier Date	The date on which Medicare Inpatient claims reach the outlier threshold, based on detail charges.
Message Code	Message code (a link to the message code description)
No.	Sequential reference number of the line item. The line number is a link that returns you to the Patient Account Audit page.
Patient Liability	The amount the patient is responsible for
Reprice Type	Indicates the reason the claim was repriced separately from other claims for this account. This column also helps to distinguish between multiple claims on an account. For more information about reprice types, refer to Multiple Reimbursement Calculations > Reprice Types.
Service Type	The highest ranked service type found in the Reimbursement section of the TAC. If the account matches a stop loss condition, an (s) precedes the service type name. If the account matches a stop cap condition, a (c) precedes the service type name.
Total Expected Payment	The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data
Total Payment	Insurance and patient payment posted to the account, as defined in the data
User Code	User-defined code; four digit maximum