Matching Duration Contribution Function (DFTA)

The Matching Duration Contribution function allows Agencies to split billing between an Internal Contract and Private Pay Contract. This function was developed specifically for Agencies who manage DFTA cases, as Patients receiving service under a DFTA Contract frequently contribute for a portion of the services they received.

The amount contributed by the Patient is based on the rate of a specific Service Code which may be unique to the Patient. Furthermore, both the DFTA and Private Pay invoices must be generated for the full duration of the services.

For example, a Patient receives service under the Contract Caring Hands. For every hour of service provided by Caring Hands, the Patient is required to pay $0.90 out of pocket (Private Pay) with an amount limit of $5.00 per day. The billing rate for Caring Hands is $20.00 per hour.

• If 1 hour of service is received, then Patient is invoiced $0.90 via Private Pay.

• If the Patient receives 6 hours and 15 minutes of service on a single day, he is invoiced $5.00 (rather than $5.50) according to the amount limit set in the system.

Complete the following steps to apply contribution settings for a Patient.

1. Go to Patient > Patient Search and select a Patient. Select Contract from the index.

2. On the Contract page, click the Additional Bill Info link.

   

3. The Additional Bill Info window opens. Select the Multiple Payers checkbox. From the Matching Duration Contribution field, specify the applicable Service Code to apply to the Patient’s Private Pay invoice.

   

4. Enter the applicable Amount Limit that the Patient is required to contribute within a defined period (Per Day, Per Week, or Per Month) in the indicated fields.

5. Click Save. Each time a Visit is scheduled and confirmed under the selected Contract, the system automatically generates an invoice for the Patient’s Private Pay Contract.