When a write-off is held for further review in an Adjustment Review workqueue, what must occur before the follow-up record completes?

• A. The write-off must be approved and posted
• B. The payer must approve
• C. The denial must be resolved
• D. The deferral must expire

Answer: (A)

The key point is that an adjustment write-off in the Adjustment Review queue must be officially authorized and recorded in the system before the follow-up record can be closed. Authorization confirms the write-off is appropriate and compliant with policy, and posting actually updates the patient’s account and financials to reflect the reduced balance. Payer approval isn’t required for this internal write-off decision, and resolving a denial or waiting for a deferral to expire aren’t the gating steps for completing the follow-up record. Once the write-off is approved and posted, the record can be completed.