308 lines
13 KiB
Plaintext
308 lines
13 KiB
Plaintext
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English French Notes Complete/Exclude
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The Rate Schedule Adjustment is an M code field, it therefore requires
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programmer access to enter or edit (using Charge Master IRM Enter/Edit
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[IBCR CHARGE MASTER IRM] option. Contact IRM if this field needs to be modified.
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Enter/Edit a Rate Schedule:
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This option requires programmer access (DUZ(0)=@).
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The base unit charges are not currently Adjusted.
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If the base unit charge is $100,
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this Adjustment will result in a charge of: $
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The base unit charges will not be modified.
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To Exit the option the correct Adjustment must be entered, i.e. must be able to enter Yes to this question.
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The Adjustment has an immediate effect on the charges for this rate.
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Enter/Edit a Rate's Billing Regions:
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Enter/Edit a Billing Rate:
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Only the Abbreviation may be edited, the Billing Rate Definition can not change:
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- this Billing Rate definition was exported Nationally
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- there are Charge Sets defined for this Billing Rate
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- there are Charge Items defined for a Charge Set with this Billing Rate
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This Billing Rate does not have any Charge Sets assigned.
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Enter/Edit a Charge Set:
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Not all elements of this Charge Set may be edited:
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- the Set name, Rate, and Billable Event may not be modified since this
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Charge Set definition was exported nationally.
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- the Billing Rate may not change since the Charge Set has Charge Items.
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The Charge Set requires a Billing Rate.
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The Charge Set requires a Billable Event.
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This Charge Set requires a default Revenue Code:
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- A VA Cost Charge Set requires a default Rev Code since there are no
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Items to assign the rev code to
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This Charge Set requires a default bedsection:
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- a bedsection is required before a charge can be added to a bill
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therefore a default bedsection is required for every Charge Set whose
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charge item is not bedsection
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These are items that are billable but not found in other DHCP source files.
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Items entered that already exist and have no associated charge, can be deleted.
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Enter which type of Billable Item?
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... not added, invalid format (n-n-n)
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... already exists
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=> can not delete, has Charge Items
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... no change
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Enter/edit a billable item (
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) for Charge Set
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CURRENTLY INACTIVE
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... no change
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Editing Charge Item!
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A charge can not be added for this item!
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Adding a new Charge Item!
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Enter either a Default Revenue Code for the Charge Set or a Revenue Code for
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this Charge Item:
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- a charge can not be added to a bill without a revenue code
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- no Revenue Code was added for this Charge Item and there is no
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Default Revenue code for the Charge Set.
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- one or the other must be added before this charge will be used
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You may enter a revenue code for the Charge Item now: (^ to exit)
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Add a new Charge Item?
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Enter/Edit a Special Group:
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This was exported Nationally, only the assigned Billing Rates may be edited.
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This group has associated Revenue Code Links, can not edit Type.
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This group has associated Provider Discount Links, can not edit Type.
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Enter/Edit a Revenue Code Link:
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This is a Nationally exported set of revenue code links.
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This should be modified only if the revenue code links added or changed
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fit the specific group definition:
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Select REVENUE CODE:
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Enter/Edit Provider Discount:
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This is a Nationally exported set of Provider Discounts.
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This should be modified only if the provider discount added or changed
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fits the specific group definition:
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RC
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is an invalid site number.
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is not a valid site number, if you know the correct number for this division you may change it now for all Billing Region and Charge Set names.
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Enter the correct Division number for this site if available
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is not a valid Medical Center division on your system.
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RC-PHYSICIAN
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>>> New Billing Region Name:
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>>> The Billing Region location is not in the standard 'CITY, ST' format.
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>>> If you know the correct City, State for this division you may change it now.
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Enter the STATE where the Division is located
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Enter the CITY where the Division is located
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replaced with
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Fast Enter of Tortiously Liable and Interagency Rates
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Enter which rates
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OUTPATIENT VISIT^OPT VISIT
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PRESCRIPTION REFILL^RX REFILL
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OUTPATIENT DENTAL^OPT DENTAL
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MT OUTPATIENT COPAYMENT^MT OPT COPAY
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(All Inclusive)
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TL-INPT (NPF)
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TL-INPT (PF)
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TL-OPT VST
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TL-RX FILL
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TL-OPT DENTAL
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The Fast Enter of rates expects to find the standard rates and sets released
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nationally, if these are not found this option can not be used.
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OUTPATIENT DENTAL
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IA-INPT
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IA-OPT VST
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IA-RX FILL
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IA-OPT DENTAL
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*** Error: Charge Set
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is not a
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*** Error: The Charge Set
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was not found.
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Can not continue!
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charges effective
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Enter the Revenue Code to use for all non-professional inpatient services:
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Room, Board, Nursing Services:
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Ancillary Services:
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Both of these revenue codes are required for the Inpatient Non-Professional
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charges to be added to bills. Can Not Continue!
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will be added as follows:
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Charge Type
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If any of the revenue codes are incorrect then change the Default Revenue for
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the Charge set.
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(except the non-prof inpt rev codes entered above)
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If any of the Charge Sets are incorrect DO NOT USE this option.
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This option may NOT be used to delete rates or add zero charges.
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The charges will be asked in sections based on the Charge Types listed above.
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The first section is INPATIENT, enter all Inpatient Bedsections and their
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charges, then press return at the Select Bedsection prompt to move to the
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OUTPATIENT VISIT section and enter the Outpatient Visit Bedsection and charge...
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*** Error: Charge set TL-MT OPT COPAY not found
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Enter MT OUTPATIENT COPAYMENT charges effective
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*** Error: Billable Item
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Fast Enter of Transfer Pricing Rates
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TP
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Added Billing Region
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TP-
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INPT
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OPT
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VISN
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*** Charge Set
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Billing Rate does not exist
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Billable Event undefined
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Billing Region does not exist
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Charge Set
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Upload Average Wholesale Price list from a host file: 'AWP_mmddyy.TXT'
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Enter a AWP Host File Name of format: 'AWP_mmddyy.TXT'
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Enter a Host File Name
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AWP_
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**** File not an AWP file: must be 'AWP_mmddyy.TXT'.
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All NDC numbers will be added to the Charge Master with the form of: 5n-4n-2n.
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IBCR UPLOAD
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AWP UPLOAD
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**** Unable to open
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Done.
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lines processed.
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The following files were created, they will be purged in 2 days:
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**** Error while reading file: line not expected format (36 numeric characters):
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Line Length=
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Line read is null
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LINE='
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Upload Aborted!
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First line of file has no data, can not continue!
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IB upload of Host file
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The above files already exist in XTMP.
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Enter either 'Y' or 'N'. This files use the same name as the new upload would use and therefore must be deleted before the upload can proceed.
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Delete the above files and continue with upload
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Proceed with upload now
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Enter the full path specification where the host files may be found
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or press return for the default directory
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Enter the file path
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AWP Host files available for upload in
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AWP*
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**** No AWP files found
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AWP_mmddyy.TXT, can not continue.
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Upload the CMAC from a host file: 'CMACxxx.TXT' w/xxx = locality
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Professional
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Technical
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CMAC UPLOAD
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**** Error reading file: line not expected format (85 or 91 numeric characters):
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First line of file is null, can not continue!
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Can not Continue!
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Some procedures have charges broken into professional and technical components.
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To bill these components a CPT Modifier must be added with the CPT.
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If no modifier is entered the
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Component charges will not be uploaded.
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Enter the CPT Modifier that should be used for every
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component charge.
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Component Modifier
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CMAC Host files available for upload in:
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CMAC*
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**** No CMAC files found
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CMACxxx.TXT, can not continue.
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Enter a CMAC Host File Name of format: 'CMACxxx.TXT' w/xxx = locality
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**** File not a CMAC file: must be 'CMACxxx.TXT'.
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CLASS 1
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CLASS 2
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CLASS 3&4
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CLASS 1 PC
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CLASS 1 TC
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CLASS 4 PC
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CLASS 4 TC
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Upload National Reasonable Charges Host Files to Temporary Vista Files (XTMP)
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IBCR RC CGROUP
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Upload National Reasonable Charges v
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Host Files to Temporary Vista files
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Loading National Reasonable Charges v
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Host Files into temporary local file
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Error while processing host file, can not continue!
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Upload of Reasonable Charges v
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Host Files Complete.
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The following files were created in XTMP, they will be purged in 2 days:
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These files already exist in XTMP:
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Enter either 'Y' or 'N'. These files use the same name as the new upload would use and therefore must be deleted before the upload can proceed.
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Delete the above files and continue with the upload
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IBCR RC SITE
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Enter either 'Y' or 'N'. Enter 'Y' if you want to load the Reasonable Charges Host files into XTMP.
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Proceed with upload of National Reasonable Charges Host Files now
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IBCR RC
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Reasonable Charges Host Files found:
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*** not found ***
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Can not find all required host files, can not continue!
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All required host files found.
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Delete the above XTMP files and reload the Host files
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**** Will Load Test Version of Reasonable Charge Files ****
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This appears to be a test account, the test version of the files will be loaded.
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The test version of the charges should only be loaded into test accounts.
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If this is not a test account but a live production account then do not load
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the charges! Contact support.
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**** If this is a production account do not continue, Contact Support ****
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Error reading file:
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IBCR RC A
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IBCR RC B
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IBCR RC C
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IBCR RC D
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IBCR RC E
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IBCR RC F
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IBCR RC G
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IBCR RC H
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IBCR RC I
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Host File Upload,
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VERSION INACTIVE
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RC SITE LIST
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SITE ERROR:
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ZC
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Select Site to calculate Reasonable Charges v
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for load into Charge Master
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All or some divisions whose care is billed from your site may have charges.
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Some charges are unique to a single division, others cover multiple divisions.
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This may result in multiple sets in the Charge Master.
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Enter '??' for a complete list of divisions.
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Enter a division number or name for a matching list.
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Select a division that will be billed at your site.
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Select Division
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Enter 'Y' if the care provided at this division is billed at your site and you need this divisions charges loaded on your system.
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Calculate RC v
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charges for this division
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Enter return to continue, enter '^' to exit, or enter the number preceding the site you want to select. The number may be no greater than
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Press return to continue or select a site
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is a valid Medical Center division on your system.
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is already assigned to Billing Region:
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is NOT defined as a Medical Center Division on your system ***
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Incorrect Billing Regions found in the Charge Master.
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Billing Regions are defined by the 3-digit zip code identifier of the primary
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division. Only Divisions with the same 3-digit zip code identifier should
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be assigned to a Billing Region.
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There were Divisions incorrectly associated with Billing Regions in the
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Charge Master. For the following Billing Regions, the corresponding Division
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Billing Region
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Division(s) Deleted
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Site incompletely defined in upload, can not continue!
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Calculating Reasonable Charges v
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IBCR UPLOAD RC
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into XTMP.
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Proceed with calculations now
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Inpatient Facility
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Inpt Fac
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- Inpatient Facility Charges
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RC INPATIENT FACILITY
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GENERAL MEDICAL CARE
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RC-INPT R&B
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RC-INPT ANC
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Skilled Nursing
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Inpt SNF
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- Inpatient Skilled Nursing Charges
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RC SKILLED NURSING/SUB-ACUTE
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SKILLED NURSING/SUB-ACUTE CARE
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RC-SNF
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SKILLED NURSING CARE
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SUB-ACUTE CARE
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Outpatient Facility
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Opt Fac
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- Outpatient Facility Charges
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RC FACILITY PR
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RC-OPT FAC
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Physician E
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Phys Fee E
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- Physician Charges E
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RC PHYSICIAN PR
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Physician F
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Phys Fee F
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- Physician Charges F
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Physician G
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Phys Fee G
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- Physician Charges G
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charges for
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IB Upload RC v
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UPLOAD RC
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*** Fatal Error:
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could not find Code Group:
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Adding CPT 2000 Replacement Charges for RC v1 ...
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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