This article is intended to provide a thorough overview of all areas of the Ledger Tab, located in the Patients Ability of MacPractice.

If you’re looking for a basic review of the functionality, please refer to the How to Use The Ledger article.

Account Structure

Accounts in MacPractice are groups of individual Patient records.

All patients on an account share information in the Primary, Secondary, and Account tabs. Account statements will reflect balances for all patients on the account. Account are generally based on families, though in some cases (such as worker's compensation), they may be grouped by employer, or another criteria. The Account Ledger shows all ledger activity for a selected account.

Each patient can additionally have multiple incidents. Inside an Incident, you will be able to keep track of transactions unique to a patient. 

Ledger Preferences

• Ledger Preferences

Ledger Layout

• Ledger Tab OverviewThis article will explain the basics of the three parts of the ledger as well as their sub-areas.

• Treatment PlansThis article will go through the basics of each area of the Treatment Plan.

• Incident TabsThis article will guide you through each tab under the Incident node in the Ledger Sidebar. 

Menus

These guides will explain each menu as well as each option and what they do.

• Incident Menu

• Charges Menu

• Payments Menu

• Other Menu

• Print Menu

Windows

These guides will go through the additional windows a user may encounter while working within the ledger.

• Charge Window

• Payment Window

• Incident Tabs | Incident Tab

• Claim Creation Window

Helpful Guides

We have compiled a few articles we though would be helpful to offices based on frequently asked questions. 

• Helpful Guide - Credit vs. Debit List

• Helpful Guide - Self-Referrals for Medicare Part B

• Helpful Guide - Timing Filing Limit

• Helpful Guide - Crossover Claims

• Helpful Guide - Copay

• Helpful Guide - Imported Transactions

• Helpful Guide - Code Mapping

• Helpful Guide - National Provider Identification (NPI)

Advanced Ledger Guides

These articles include the more advanced function of the ledger.

• Advanced Ledger - Cross Coding

• Advanced Ledger - Sequestration

• Advanced Ledger - Demonstration Codes

• Advanced Ledger - Collections

• Advanced Ledger - Anesthesia Billing

• Advanced Ledger - Balance Forward

• Advanced Ledger - Contract Billing

Ledger Highlights

When you select an item on the ledger, related transactions are highlighted in yellow. In the example below, we can see the selected charge is associated to a patient payment, an insurance claim, and an insurance payment.

Open

When highlighting a claim, you may notice procedures highlighted in green instead. This indicates the selected charge has been edited since the claim was created, so information in the charge window may be different from the information on the claim.