308 lines
11 KiB
Plaintext
308 lines
11 KiB
Plaintext
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English French Notes Complete/Exclude
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Non-Acute Reason:
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Warning: Admission Criteria does NOT appear to be met but Reason for
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Non Acute Admission Missing.
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Warning: Admission Criteria appears to be met but has Reason for
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Non Acute Admission.
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Warning: Acute Care Criteria does NOT appear to be met but Reason for
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Non Acute Days Missing.
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Warning: Acute Care Criteria appears to be met but has Reason for
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Non Acute Days.
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There are other reviews for this admission with a next review date
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specified. Generally, only the last review for an admission should
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have a next review date. Please check the reviews for this case and
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delete all unnecessary 'next review dates'.
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Next Review Dates have all been deleted, except for this review
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Unbilled Amounts Menu Options^1N^
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Average Bill Amounts
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This will automatically be tasked to run and needs no device.
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A mail Message will be sent when the process completes.
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Use the option View Unbilled Amounts to see cumulative totals.
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IB - Generate Avg. Bill Amounts for a Month
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BILLS-
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EPISD-
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BILLS-I
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BILLS-P
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EPISD-I
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EPISD-P
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UNBILLED AMOUNTS JOB FOR
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The background job responsible for calculating and updating MONTHLY and
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YEARLY Average Bill Amounts and Bill numbers for inpatient episodes has
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successfully completed.
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Monthly totals calculated for
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Yearly totals calculated for
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Re-Generate Unbilled Amounts Report
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Do you want to store Unbilled Amounts figures
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Enter 'YES' if you wish to store the Unbilled Amounts summary
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figures in your system for a specific month/year in the past.
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Once stored, these figures will be available for inquiry through
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the View Unbilled Amounts option [IBT VIEW UNBILLED AMOUNTS].
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These summary figures are normally calculated and stored
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automatically by the system at the beginning of each month for
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the previous month.
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If you enter 'NO', the Unbilled Amounts summary figures will
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NOT be stored in your system, and the report may be run for
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any date range.
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Choose report type(s) to print:
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INPATIENT UNBILLED
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OUTPATIENT UNBILLED
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PRESCRIPTION UNBILLED
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Unbilled Amounts
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NOTE: Just a reminder that by entering the above month/year this
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report will re-calculate and update the Unbilled Amounts
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data on file in your system.
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Print detail report with the Unbilled Amounts summary
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Answer YES if you want a detailed listing of the patients
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and events that are unbilled. Answer NO if you just want
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the summary, or '^' to quit this option.
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This report takes a while to run, so you should queue it to run
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after normal business hours.
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IB - Unbilled Amounts Report
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IB REPORTS
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NOTE: After this report is run, the Unbilled Amounts totals for
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will be updated.
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Re-compile
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through MONTH/YEAR:
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Enter a past month/year (ex. Oct 2000).
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NOTE: The earliest month/year that can be entered is
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it is NOT possible to enter the current or a future month/year.
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CPTMS-I
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CPTMS-P
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IBTUB-OPT
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IBTUB-INPT
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EPISM-I
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EPISM-P
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EPISM-A
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IBTUB-RX
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IBTUB-
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Unbilled Amounts Report
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/ DATA RECOMPILED/STORED FOR
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/ '*' AFTER THE PATIENT NAME = USUALLY BILLED MEANS TEST COPAYMENT
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/ 'H' AFTER THE ADMISSION DATE = PATIENT CURRENTLY HOSPITALIZED
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/ '$' AFTER THE ORIGINAL FILL DATE = ORIGINAL FILL DATE HAS BEEN BILLED
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/ 'CF' COLUMN = NUMBER OF CLAIMS ON FILE FOR THE EPISODE
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/ 'I/P' COLUMN = 'I' - INSTUTIONAL CLAIM MISSING,
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'P' - PROFESSIONAL CLAIM MISSING
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Last Prim. Claims
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Fill
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4SSN Elig. Track.ID#
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Admission CF Insurance Carrier(s)
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Care Dt. CF Insurance Carrier(s)
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CPT I. Rate P. Rate
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Date CF Insurance Carrier(s) Drug Name Physician
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Fill Dt.
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...Task stoped at user request
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No information available for the period specified.
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EPISM-
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CPTMS-
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If you enter a start date here, the report will look for
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events ON or AFTER this date. Press <CR> if you want to
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skip this prompt and have the report look thru ALL events
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or enter '^' to exit.
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NOTE: The earliest date that can be entered is
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which is the date of the first event on file, and
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it is NOT possible to enter a future date.
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If you enter a end date here, the report will look for
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events from
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to this date. Press <CR> to have
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the report look at all events from
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to today,
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NOTE: This date MUST NOT be earlier than
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later than today.
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I $P(Y0,U,8)=3,Y0>IBDT S:'IBNDT IBNDT=+Y0 D:IBNDT=+Y0 CKENC^IBTUBOU(Y,Y0,.IBQUIT) S:$S('$G(IBQUIT):1,1:Y0>IBNDT) SDSTOP=1
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UNBILLED AMOUNTS SUMMARY REPORT
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SUMMARY UNBILLED AMOUNTS FOR
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PERIOD: FROM
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DETAILED REPORT PRINTED TO '
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UNBILLED AMOUNTS FIGURES STORED FOR
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*** TEST DATA, TEST DATA ***
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Inpatient Care:
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Number of Unbilled Inpatient Admissions :
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Number of Inpt. Institutional Cases :
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Average Inpt. Institutional Bill Amount :
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Number of Inpt. Professional Cases :
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Average Inpt. Professional Bill Amount :
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Total Unbilled Inpatient Care :
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Outpatient Care:
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Number of Unbilled Outpatient Cases :
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Number of Unbilled CPT Codes :
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Total Unbilled Outpatient Care :
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Prescriptions:
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Number of Unbilled Prescriptions :
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Total Unbilled Prescriptions :
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Total Unbilled Amount (all care) :
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Note: Average bill Amount is based on Bills Authorized during the 12
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months preceding the month of this report.
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Note: Number of cases is insured cases in Claims Tracking that are
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not billed (or bill not authorized) but appear to be billable.
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View unbilled amounts
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IB - Unbilled View Unbilled Amounts
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Inpatient Care:
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Number of Unbilled Inpatient Cases:
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Average Inpt. Institutional Bill Amount:
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Average Inpt. Professional Bill Amount:
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Total Unbilled Inpatient Care:
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Outpatient Care:
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Number of Unbilled Outpatient Cases:
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Number of Unbilled CPT Codes:
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Total Unbilled Outpatient Care:
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Prescriptions:
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Number of Unbilled Prescriptions:
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Total Unbilled Prescriptions:
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No Unbilled Amount information found.
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Number of Unbilled Inpt. Cases:
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Average Inpt. Bill Amount:
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Total Inpatient Unbilled:
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Number of Unbilled Opt. Cases:
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Average Opt. Bill Amount:
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Total Outpatient Unbilled:
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...task stopped at user request
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SCHEDULED ADMISSION
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WORK COMP.
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Previous Spec. Bills:
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No Authorized or Denied Days on file for this Visit!
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For Insurance Company
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Care Authorized for entire Admission on
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Care Denied for entire Admission on
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Care
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Denied
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Deny Entire Admission already answered 'YES'.
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Entired Admission already denied on
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Entire Admission has already be authorized on
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Authorize Entire Admission already answered 'YES'.
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Care Authorized From Date must be before the Care Authorized To Date (
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Date entered is already covered by another entry.
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Care Authorized To Date must not be before the Care Authorized From Date (
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Care Denied From Date must be before the Care Denied To Date (
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Date must not be before the Care Denied From Date (
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Date can't be before admission or visit date (
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Date can not be after Discharge Date (
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Whole Admission has already been Authorized, can not add partial dates!
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Whole Admission has already been Denied, can not add partial dates!
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No Claims Tracking entry has been provided!
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The prompt type was not specified!
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Cannot determine the Package file entry for IB!
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Cannot determine the Visit file entry!
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Cannot determine the Clinic location of the visit!
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HOLD - REVIEW
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Reference Number:
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Primary Elig. Code:
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Clock Begin Date:
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Clock End Date:
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Number Inpatient Days:
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90 Day Inpatient Amounts
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1st 90 Day Amount:
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2nd 90 Day Amount:
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3rd 90 Day Amount:
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4th 90 Day Amount:
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Date Entry Added:
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Date Last Updated:
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Update Reason:
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PRINT ORDER
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# OF COLUMNS
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LINE FORMAT
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ASSOCIATED CLINICS
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SUB-HEADER
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Wage
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Non-Wage
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Percentage
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Locality Modifier
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RP354'I
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IBA(354,
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1:COPAY INCOME EXEMPTION;
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1:EXEMPT;0:NON-EXEMPT;
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RP354.2'I
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EXEMPTION REASON
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IBE(354.2,
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HOW ADDED
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1:SYSTEM;2:MANUAL;
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USER ADDING ENTRY
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DATE/TIME ADDED
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ELECTRONIC SIGNATURE
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PRIOR YEAR THRESHOLDS
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COPAY INCOME EXEMPTION STATUS
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COPAY EXEMPTION STATUS DATE
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COPAY EXEMPTION REASON
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FEDERAL TAX NUMBER
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BLUE CROSS/SHIELD PROVIDER #
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MEDICARE PROVIDER NUMBER
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MAS SERVICE POINTER
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DEFAULT DIVISION
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NAME OF CLAIM FORM SIGNER
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TITLE OF CLAIM FORM SIGNER
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BILLING SUPERVISOR NAME
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MULTIPLE FORM TYPES
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CAN INITIATOR AUTHORIZE?
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CAN CLERK ENTER NON-PTF CODES?
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ASK HINQ IN MCCR
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USE OP CPT SCREEN?
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*DEFAULT AMB SURG REV CODE
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DGCR(399.2,
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TRANSFER PROCEDURES TO SCHED?
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PER DIEM START DATE
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*DEFAULT RX REFILL REV CODE
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SUPPRESS MT INS BULLETIN
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DEFAULT RX REFILL DX
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DEFAULT RX REFILL CPT
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PRINT '001' FOR TOTAL CHARGES?
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HOLD MT BILLS W/INS
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REMARKS TO APPEAR ON EACH FORM
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UB-92 ADDRESS COLUMN
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CANCELLATION REMARK FOR FISCAL
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HCFA 1500 ADDRESS COLUMN
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BILL CANCELLATION MAILGROUP
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XMB(3.8,
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BILL DISAPPROVED MAILGROUP
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COPAY BACKGROUND ERROR GROUP
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MEANS TEST BILLING MAIL GROUP
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DEFAULT FORM TYPE
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IBE(353,
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AGENT CASHIER MAIL SYMBOL
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FACILITY NAME FOR BILLING
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BILLING SITE IS OTHER FACILITY
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AGENT CASHIER STREET ADDRESS
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AGENT CASHIER CITY
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AGENT CASHIER STATE
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AGENT CASHIER ZIP CODE
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AGENT CASHIER PHONE NUMBER
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CATEGORY C BILLING MAIL GROUP
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PATIENT SHORT MAILING ADDRESS
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SC AT TIME OF CARE
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TEMPORARY ADDRESS ACTIVE?
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TEMPORARY ADDRESS START DATE
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TEMPORARY ADDRESS END DATE
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TEMPORARY STREET [LINE 1]
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TEMPORARY STREET [LINE 2]
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TEMPORARY STREET [LINE 3]
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TEMPORARY CITY
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TEMPORARY STATE
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TEMPORARY ZIP+4
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TEMPORARY PHONE NUMBER
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ALIAS SSN
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1:EMPLOYED FULL TIME;2:EMPLOYED PART TIME;3:NOT EMPLOYED;4:SELF EMPLOYED;5:RETIRED;6:ACTIVE MILITARY DUTY;9:UNKNOWN;
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EMPLOYER STREET [LINE 1]
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EMPLOYER STREET [LINE 2]
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EMPLOYER STREET [LINE 3]
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EMPLOYER CITY
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EMPLOYER STATE
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EMPLOYER ZIP+4
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EMPLOYER PHONE NUMBER
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SPOUSE'S EMP STREET [LINE 1]
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SPOUSE'S EMP STREET [LINE 2]
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SPOUSE'S EMP STREET [LINE 3]
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SPOUSE'S EMP ZIP+4
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DGCR(399.3,
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RP353'
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Must be a printable national form type
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PRIMARY INSURANCE POLICY
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SECONDARY INSURANCE POLICY
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TERTIARY INSURANCE POLICY
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RESPONSIBLE INSTITUTION
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CURRENT BILL PAYER SEQUENCE
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P:PRIMARY INSURANCE;S:SECONDARY INSURANCE;T:TERTIARY INSURANCE;A:PATIENT;
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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