308 lines
12 KiB
Plaintext
308 lines
12 KiB
Plaintext
|
English French Notes Complete/Exclude
|
||
|
, was opened for invoices unable to post to 1358.
|
||
|
Adjust 1358 and take action on new batch.
|
||
|
Print Denials only
|
||
|
Do you want to print letters for ALL Fee Basis programs
|
||
|
Select PROGRAM to print letter for
|
||
|
Do you want to choose another Program
|
||
|
Do you want to choose a different letter for each of the PROGRAMS you have selected
|
||
|
Select letter to print for
|
||
|
Inpatient Payments
|
||
|
Outpatient Payments
|
||
|
Pharmacy Payments
|
||
|
CH Notification/Denials
|
||
|
Select Patient (or RETURN to select all):
|
||
|
Select Vendor (or RETURN to select all):
|
||
|
RX DATE
|
||
|
REASON FOR SUSPENSION
|
||
|
For All Suspension codes
|
||
|
'Yes' to print suspension letters for all suspension codes, 'No' to select specific codes.
|
||
|
There are no suspension letters found that meet the criteria you have
|
||
|
CPT-
|
||
|
No suspension codes selected!
|
||
|
**** REPORT OF FEE SCHEDULE ****
|
||
|
For Fiscal Year
|
||
|
Total #
|
||
|
Date Compiled
|
||
|
Date Range
|
||
|
There is no data on file for fiscal year
|
||
|
Site parameters must be entered before using the Fee system!
|
||
|
You have no open Batches!!
|
||
|
You currently have the following Batches Open
|
||
|
Batch
|
||
|
Obligation
|
||
|
Opened
|
||
|
There is no FEE ID Card information on file for this patient!
|
||
|
Are you sure you want to terminate this ID Card
|
||
|
;.7TERMINATION REASON~;S NIDR=X
|
||
|
UNKNOWN OPTION
|
||
|
REQUEST QUEUED
|
||
|
Fee Basis Site Parameters must be entered to proceed
|
||
|
batches left before the BATCH PURGE routine
|
||
|
needs to be run. Contact your IRM Service!
|
||
|
January^February^March^April^May^June^July^August^September^October^November^December
|
||
|
Date of Service cannot be later than Invoice Date!
|
||
|
Date of Service
|
||
|
Authorization period.
|
||
|
Unable to determine Station Number. Check Fee Site Parameters or Station Number in the Institution File.
|
||
|
Transmission header must exist in FEE BASIS SITE PARAMETER file
|
||
|
before you can proceed.
|
||
|
Please enter 'Yes' or 'No'.
|
||
|
PATIENT HAS NO AUTHORIZATIONS
|
||
|
Veteran does NOT have an Authorization for the Fee Program being used !!
|
||
|
Is this the correct Authorization period (Y/N)
|
||
|
Authorization period
|
||
|
There is already an existing admission for this authorization!
|
||
|
That transfer type NOT consistent with last transfer type!
|
||
|
A 'Transfer From' type transaction can only follow a 'Transfer To' type!
|
||
|
Authorization type selected inconsistent with option being used
|
||
|
This Obligation number does not exist in the IFCAP file!
|
||
|
Queueing has been initiated by another user and is now in progress!
|
||
|
Date entered overlaps existing contract dates!
|
||
|
Select FROM DATE:
|
||
|
Select TO DATE:
|
||
|
There already is an active CNH authorization on file.
|
||
|
Use the 'Edit CNH Authorization' option.
|
||
|
DATE entered overlaps a previous Authorization!
|
||
|
Is this the correct vendor
|
||
|
Want to review fee pharmacy payment history
|
||
|
Re-compile FB input templates
|
||
|
Recompilation of Fee Basis Input Templates
|
||
|
FB VENDOR UPDATE
|
||
|
FBAA AUTHORIZATION
|
||
|
NOT A VALID ENTRY!
|
||
|
CPT code not valid!
|
||
|
CPT Modifier
|
||
|
not valid!
|
||
|
STATION NUMBER-OBLIGATION NUMBER
|
||
|
inappropriate for Business Type. Deleting...
|
||
|
Group OO can't be used with other groups. Deleting OO...
|
||
|
Group S must be specified with group RV. Adding S...
|
||
|
There are no transactions requiring transmission
|
||
|
This option will transmit all Batches and MRA's ready to be transmitted
|
||
|
to Austin
|
||
|
The following Batches will be transmitted:
|
||
|
FEE BASIS MESSAGE #
|
||
|
FEE NON-VA HOSP TO PRICER MESSAGE #
|
||
|
Not approved in Austin yet.
|
||
|
CANNOT BE TRANSMITTED!!!
|
||
|
Want to edit data
|
||
|
*** VENDOR DEMOGRAPHICS ***
|
||
|
==> FLAGGED FOR DELETION <==
|
||
|
==> AWAITING AUSTIN APPROVAL <==
|
||
|
ID Number:
|
||
|
Address [2]:
|
||
|
Type:
|
||
|
Participation Code:
|
||
|
ZIP:
|
||
|
Medicare ID Number:
|
||
|
Chain:
|
||
|
Fax:
|
||
|
Pricer Exempt: Yes
|
||
|
Type (FPDS):
|
||
|
Group (FPDS):
|
||
|
Austin Name:
|
||
|
Last Change
|
||
|
Last Change
|
||
|
Non-Fee User
|
||
|
Station
|
||
|
TO Austin:
|
||
|
FROM Austin:
|
||
|
The following data must be entered when adding a new vendor:
|
||
|
Entering an '^' at this point will delete vendor!
|
||
|
Current Vendor information is pending Austin processing. Changing Vendor
|
||
|
information at this time may jeopardize the processing of the existing
|
||
|
Master Record Adjustment!
|
||
|
Do you wish to continue editing this Vendor
|
||
|
Unable to setup MRA transaction. Trying again.
|
||
|
.... Vendor deleted
|
||
|
>>> CNH INFORMATION <<<
|
||
|
Total Beds:
|
||
|
Inspected/Accredited:
|
||
|
Inspected by VA
|
||
|
Accredited by JCAH
|
||
|
Inspect. & Accred.
|
||
|
Contract #:
|
||
|
Medicare/Medicaid:
|
||
|
Not Cert. for either
|
||
|
Cert. for Medicare
|
||
|
Cert. for Medicaid
|
||
|
Cert. for both
|
||
|
Effect. DT:
|
||
|
Last Assessment:
|
||
|
End Date:
|
||
|
RATE
|
||
|
Unable to access vendor record. Trying again.
|
||
|
Cannot add contract information to this vendor until change has been
|
||
|
approved by Austin.
|
||
|
You cannot change contract numbers or effective dates on
|
||
|
a contract that has rates associated with it.
|
||
|
Contract information reset
|
||
|
Enter Nursing Home Rate
|
||
|
Enter an amount between .01 and 9999999.99
|
||
|
There are too many rates loaded for that contract! Please remove obsolete rates.
|
||
|
Rate already exists for that contract!
|
||
|
Vendor selected is not a Community Nursing Home.
|
||
|
Current vendor information is pending Austin processing.
|
||
|
Use the Display/Edit Vendor option if changes need to be made.
|
||
|
Vendor has been deleted.
|
||
|
Vendor is being accessed by another user.
|
||
|
Select Medical Vendor:
|
||
|
NOT PAID
|
||
|
** VENDOR LOOK-UP **
|
||
|
REV.CODE
|
||
|
PATIENT ACCOUNT NO.
|
||
|
INVOICE #
|
||
|
REMIT REMARK
|
||
|
DATE PAID
|
||
|
Sorry,you must be a supervisor to use this option.
|
||
|
Pt.ID
|
||
|
('*' Reimb. to Patient '#' Voided Payment)
|
||
|
SVC DATE
|
||
|
Which payment item(s) would you like to
|
||
|
Cancel the void on
|
||
|
the payment(s)
|
||
|
Void payment for
|
||
|
You must adjust control point accordingly through IFCAP!
|
||
|
Cancel Voided payment for
|
||
|
Vendor has no Payment data for this Patient!
|
||
|
There are no finalized payments for this vendor
|
||
|
that have been voided.
|
||
|
that may be voided.
|
||
|
Sorry, only Supervisor can Finalize batch!
|
||
|
Rejected items from batch
|
||
|
Want to reject the entire Batch
|
||
|
'Yes' will flag all payment items in batch as rejected, 'No' will prompt for rejection of specific line items.
|
||
|
Want to reject any line items
|
||
|
Do you want to Finalize Batch as Correct
|
||
|
Batch has NOT been Finalized!
|
||
|
Batch has been Finalized!
|
||
|
Batch is still Open!
|
||
|
Supervisor has not Released Batch yet!
|
||
|
Batch has not been Transmitted yet!
|
||
|
Payment already rejected!
|
||
|
Want all line items rejected for this patient
|
||
|
Reject which line item
|
||
|
You already rejected that one!!
|
||
|
Are you sure you want to reject item number:
|
||
|
Enter reason for rejecting
|
||
|
Required Response!!
|
||
|
Item rejected. Want to reject another
|
||
|
Reason for rejecting
|
||
|
Reject all line items for this patient
|
||
|
Are you sure you want to reject line item number:
|
||
|
Item Rejected! Want to reject another
|
||
|
You just did that one!
|
||
|
Item rejected, want to reject another
|
||
|
Reason for Rejecting
|
||
|
Enter Authorization Number
|
||
|
Enter the Authorization Number that appears on the 7079
|
||
|
Enter numerics followed by a dash followed by numerics.
|
||
|
Invalid Authorization Number
|
||
|
There already is a 7078 set up for this request.
|
||
|
The number is
|
||
|
AUTHORIZATION TO DATE:
|
||
|
Authorization To Date must be after Authorization From Date!
|
||
|
DATE OF DISCHARGE:
|
||
|
Date of Discharge must not be earlier than the Authorization To Date!
|
||
|
ADMITTING AUTHORITY
|
||
|
BEDSECTION/TREATING SPECIALTY:
|
||
|
...deleting 7078. Use 'Set-up a 7078' after adjusting 1358.
|
||
|
The reference number did not get set up with the
|
||
|
IFCAP software. Contact your package coordinator.
|
||
|
Obligation number selected is invalid or you are not a control point user in the IFCAP package! Try again
|
||
|
DISCHARGE TYPE:
|
||
|
Is this Correct
|
||
|
....Posting to 1358
|
||
|
Select one of the following:
|
||
|
'00' FOR SURGICAL
|
||
|
'10' FOR MEDICAL
|
||
|
'86' FOR PSYCHIATRY
|
||
|
Estimated amount
|
||
|
Enter the reason for pending disposition or an '^' to exit
|
||
|
This is a required response. Enter an '^' to exit.
|
||
|
Unable to create Non-VA PTF Record.
|
||
|
Non-VA PTF Record Created.
|
||
|
AUTHORIZATION AND INVOICE FOR MEDICAL AND HOSPITAL SERVICES
|
||
|
SPECIAL PROVISIONS: Acceptance of this authorization to render service is governed by the following:
|
||
|
1. ACCEPTANCE OF THIS AUTHORIZATION AND PROVIDING OF SUCH TREATMENT OR SERVICES SUBJECTS YOU, THE PROVIDER OF CARE, TO
|
||
|
THE PROVISIONS OF PUBLIC LAW 93-579, THE PRIVACY ACT OF 1974, TO THE EXTENT OF THE RECORDS
|
||
|
PERTAINING TO THE VA
|
||
|
AUTHORIZED TREATMENT OR SERVICES OF THIS VETERAN.
|
||
|
2. Fees or rates listed represent maximum allowance for services specified. In no event should charges be made to the
|
||
|
VA in excess of usual and customary charges to the general public for similar services.
|
||
|
3. Payment by the VA is payment in full for authorized services rendered.
|
||
|
4. Unless otherwise approved by the VA, services are limited in type and extent to those shown on this authorization.
|
||
|
If services are not initiated for any reason, return a copy of the authorization to the issuing
|
||
|
office with a brief explanation.
|
||
|
5. A copy of the Operative Report will be forwarded to the Authorizing station within one week following any major
|
||
|
6. A copy of the hospital summary will be forwarded to the authorizing station within ten work days following the
|
||
|
release of the patient from the hospital.
|
||
|
All questions relating to this authorization should be referred to the issuing VA Office
|
||
|
VA Form 10-7078
|
||
|
NON-VA HOSPITAL ACTIVITY REPORTS
|
||
|
This option will calculate the
|
||
|
Activity Report.
|
||
|
Enter Month and Year:
|
||
|
Do not specify day of month
|
||
|
Not future dates
|
||
|
ACTIVITY REPORT
|
||
|
For the month of:
|
||
|
DAYS OF
|
||
|
UNAUTH CARE
|
||
|
Must delete all movements associated with this authorization before canceling.
|
||
|
There is already an invoice entered for this hospitalization. Cannot delete!
|
||
|
There already are ancillary services entered against this authorization. Cannot delete!
|
||
|
Are you sure you want to cancel
|
||
|
Authorization cancelled. Now updating 1358.
|
||
|
Unable to affect 1358 adjustment. Use appropriate IFCAP options.
|
||
|
1358 Not available for posting.
|
||
|
Authorization has been cancelled
|
||
|
Unable to delete PTF record.
|
||
|
Select Veteran:
|
||
|
AUTHORIZATION TO DATE
|
||
|
DATE OF DISCHARGE
|
||
|
BEDSECTION/TREATING:
|
||
|
Payment already exists for this disposition, editing of dates not allowed!
|
||
|
Date of Discharge must now be edited to be equal to or later than
|
||
|
the Authorization To Date.
|
||
|
;5ADMITTING AUTHORITY~
|
||
|
This is a mandatory response. Entering an '^' is not allowed!
|
||
|
Choose Report Type
|
||
|
No payments found within specified timeframe!
|
||
|
** Indicates an Ancillary Payment
|
||
|
MILL BILL (1725)
|
||
|
NON-MILL BILL
|
||
|
UNAUTHORIZED CLAIMS
|
||
|
COST REPORT FOR
|
||
|
CIVIL HOSPITAL
|
||
|
DT CLAIM REC
|
||
|
ASSOC 7078
|
||
|
FINAL DRG
|
||
|
TREATING SPECIALTY:
|
||
|
AVE. AMT. PAID
|
||
|
TOTAL CASES:
|
||
|
AVERAGE AMOUNT PAID:
|
||
|
AVERAGE LOS:
|
||
|
TOTAL ANCILLARY PAYMENTS:
|
||
|
Are you sure you want to delete this Request
|
||
|
...request deleted
|
||
|
Associated 7078:
|
||
|
Batch #:
|
||
|
Date Finalized:
|
||
|
Rejects Pending!
|
||
|
Reject reason:
|
||
|
Select Invoice to delete:
|
||
|
Sure you want to delete this invoice
|
||
|
Would you like to reject any invoices from the pricer
|
||
|
70% of Pricer Amount =
|
||
|
Enter a reason for rejecting payment from Austin Pricer
|
||
|
Are you sure you want to reject this item
|
||
|
Reject another
|
||
|
No 7078 on file for this authorization.
|
||
|
#################### #################### ####################
|
||
|
#################### #################### ####################
|
||
|
#################### #################### ####################
|
||
|
#################### #################### ####################
|
||
|
#################### #################### ####################
|