'Payments by Encounters' Report provides a clear breakdown of payments received for each encounter, grouped by providers. It is a great tool to analyze payment distribution, track financial performance at the encounter level, and review how payments are allocated across different services and patients.
In this article, you'll learn how to:
Navigate to the report and run it
The report is available in the RCM under the Reports tab:
To run the report:
1. Click on '+ New Report' button from the 'Payments by Encounters' tab.
2. Put a 'Start date' and 'End date' for the report (you can enter it or select from the calendar) and hit 'Generate'.
Note: The report will show all the encounters with Dates of Service within the specified date range.
3. Once the report is generated, you will be able to download it from the grid.
Understand the report structure and its components
The report includes detailed information such as Date of Service, patient details, procedure codes (CPT/HCPCS), diagnosis codes, and the following financial fields:
- Billed - Amount billed by your practice
- Undistributed Balance - Charges sent to insurance for which no claim has been created yet
- Adjustments - Insurance adjustments posted when remittances are received
- Ins. Paid - Confirmed insurance payments
- Ins. Balance - Claims that have been submitted but not fully settled, or amounts received from insurance with a payment status other than confirmed
- Pt. Paid - Amounts paid by the patient
- Pt. Balance - Amount owed by the patient
Each row represents a specific encounter, providing detailed visibility into how charges and payments are processed.
In addition, the report calculates totals for each provider, making it easier to evaluate overall performance and compare payment activity across providers within the selected time frame.