308 lines
11 KiB
Plaintext
308 lines
11 KiB
Plaintext
English French Notes Complete/Exclude
|
|
Units Paid =
|
|
Therefore, fee schedule amount increased to $
|
|
Fee schedule not complied on per unit basis so amount not adjusted for units.
|
|
AMOUNT PAID:
|
|
You must be a holder of the 'FBAASUPERVISOR' key to
|
|
exceed the Fee Schedule. Entering an up-arrow ('^') will
|
|
delete the payment or you can accept the default.
|
|
Entering an '^' will delete this payment!
|
|
Do you want to delete? No//
|
|
Enter a dollar amount that does not exceed the amount claimed.
|
|
Entering an '^' will delete the payment.
|
|
Only the holder of the 'FBAASUPERVISOR' key may exceed the
|
|
Fee Schedule.
|
|
Confidential Communication address until:
|
|
Line 1:
|
|
Line 3:
|
|
WARNING: The Confidential address is NOT active for the Billing Category.
|
|
Want to edit Confidential Address data
|
|
Want to add Confidential Address data
|
|
Is this line item for a contracted service
|
|
Answering no indicates that interest will not be paid for this line item.
|
|
Required Response!
|
|
Vendor has been flagged for Austin deletion!
|
|
Want to Edit data
|
|
Want a new Invoice number assigned
|
|
Invoice #
|
|
assigned to this Invoice
|
|
Select Invoice number
|
|
Select one of the previously entered Invoice #'s
|
|
Only previously entered invoices in the same batch may be selected!
|
|
Current Total: $
|
|
Enter Date Correct Invoice Received or Last Date of Service
|
|
(whichever is later):
|
|
Invoice date is earlier than Patient's Authorization date!!
|
|
Enter Vendor Invoice Date:
|
|
Vendor's invoice date is later than the date you received it!!
|
|
for travel already entered for this date of service
|
|
Total already paid on ID Card for month: $
|
|
Maximum allowed: $
|
|
Total already paid on All/Other for month: $
|
|
Want this payment stored as a Medical Denial
|
|
Enter 'Yes' to store payment entry as a denial and send a Suspension letter. Enter 'No' to have nothing happen.
|
|
Entering an '^' will delete
|
|
. Are you sure you want to delete?
|
|
Warning Patient already at maximum allowed for month of service
|
|
You have reached the maximum number of payments for a Batch!
|
|
You must select another Batch for entering Payments!
|
|
exceed the Fee Schedule.
|
|
This payment CANNOT be edited. The batch the payment is in
|
|
has been Vouchered. You may void the payment with the Void Payment option.
|
|
Suspense code is required!
|
|
Incomplete payment entry deleted.
|
|
Vendor has no prior payments for this patient
|
|
That number not valid for this vendor!
|
|
Cannot select this Vendor at this time
|
|
Date of Service:
|
|
Enter the date the Vendor provided the service to the Patient.
|
|
The date must be prior to the date the invoice is received.
|
|
PRIMARY DIAGNOSIS
|
|
You must use the Enter Payment option for CPT codes that have a
|
|
Fee Schedule set equal to zero.
|
|
Enter Amount Paid: $
|
|
exceed the FEE Schedule. Enter an '^' to quit or accept the default.
|
|
The answer to the following will apply to all payments entered via this option.
|
|
Are payments for contracted services
|
|
Answering yes indicates interest will be paid.
|
|
A fee schedule is not used for contracted services.
|
|
Denial
|
|
Payment
|
|
Data Entered for Patient
|
|
TOTAL PAYMENTS:
|
|
TOTAL PATIENTS:
|
|
AVE. PAID FOR A PAYMENT:
|
|
AVE. PAID FOR A PATIENT:
|
|
OUTPATIENT COST REPORT
|
|
AMOUNT PAID
|
|
There are No Closed Batches that have not been Certified!
|
|
FEE BATCHES PENDING RELEASE
|
|
Clerk Who Opened
|
|
FCP-Obligation #
|
|
Are you sure you want to reject all line items in this batch
|
|
Enter reason for rejecting (2-40 characters)
|
|
Please enter the reason this item was rejected
|
|
All items in batch flagged as rejected!!
|
|
Total dollars/Line count of batch is equal zero!
|
|
*** Patient Died on
|
|
Pt.ID:
|
|
TEL:
|
|
CLAIM #:
|
|
Primary Elig. Code:
|
|
Fee ID Card #:
|
|
Fee Card Issue Date:
|
|
AUTHORIZATIONS:
|
|
FR:
|
|
VENDOR:
|
|
Authorization Type:
|
|
Outpatient -
|
|
Short Term
|
|
Home Health
|
|
ID Card
|
|
Purpose of Visit:
|
|
FB583(
|
|
>> Unauthorized Claim <<
|
|
PSA:
|
|
>> DELETE MRA SENT TO AUSTIN ON -
|
|
VENDOR CONTACTS:
|
|
Not Found
|
|
There are No Open Batches!
|
|
Dt Open
|
|
Obligation #
|
|
Pharmacy
|
|
Travel
|
|
Unable to delete, vendor is Awaiting Austin Approval.
|
|
Are you sure you want to place this vendor in delete status
|
|
Not Deleted
|
|
Vendor flagged for deletion!
|
|
Unable to delete vendor record at this time.
|
|
Select Invoice #:
|
|
DATE RX FILLED:
|
|
You cannot edit a payment once released by a supervisor.
|
|
You cannot edit an invoice when the batch has a status of transmitted
|
|
or vouchered.
|
|
EDI Claim from FPPS was changed. Updating each Rx on invoice...
|
|
Since EDI Claim from FPPS was changed from NO to YES, the
|
|
FPPS LINE ITEM must be entered for each Rx on the invoice.
|
|
Finished updating FPPS LINE ITEM on each Rx.
|
|
Select Site:
|
|
Date of Travel is
|
|
prior to
|
|
authorization date.
|
|
Travel Payment entry not complete. Deleting entry...
|
|
You must hold the FBAASUPERVISOR security key to use this option!
|
|
Select Invoice Number
|
|
Invoice
|
|
has not been transmitted to FPPS.
|
|
Only EDI Claims can be selected!
|
|
Can not change EDI from YES to NO on invoice that has been sent to FPPS!
|
|
Are you finished entering patients for this invoice
|
|
Are you finished entering vendors for this patient
|
|
Vendor =
|
|
Select DATE OF SERVICE:
|
|
Are you finished entering dates for this patient
|
|
Are you finished entering services for this date
|
|
Line is not on invoice
|
|
Enter date of service
|
|
Note: Date is prior to VA implementation of RBRVS fee schedule (9/1/99).
|
|
Enter Fee Basis Vendor [optional]
|
|
Place of Service:
|
|
NON-FACILITY
|
|
Error: Can't determine if facility or non-facility setting
|
|
Amount to Pay: $
|
|
from the
|
|
Missing CPT
|
|
Invalid Date of Service
|
|
GPCIs are not on file for this zip code.
|
|
Do you want to enter a different zip code
|
|
Geographic Practice Cost Index (GPCI) values are
|
|
needed for calculation of the RBRVS physician fee
|
|
schedule amount. There are not any GPCI values on
|
|
file for the specified year and zip code.
|
|
Answer YES to enter a different zip code.
|
|
Time entry is required!
|
|
CPT missing
|
|
Date of Service missing
|
|
Missing ZIP Code
|
|
Missing Facility Flag
|
|
Could not determine GPCIs
|
|
Could not determine the conversion factor
|
|
There are no Invoices pending completion!
|
|
Pharmacy Invoices Pending MAS completion
|
|
No invoices Pending MAS completion.
|
|
Want to complete one of them now
|
|
Invoice No:
|
|
line items to be completed
|
|
Service Provided
|
|
The Current Procedural Terminology Code (CPT Code) as
|
|
specified on the vendors invoice identifying the service
|
|
the vendor provided to the veteran.
|
|
SURE YOU WANT TO DELETE THE ENTIRE SERVICE PROVIDED
|
|
CPT code inactive on date of service (
|
|
Select CPT MODIFIER
|
|
Current list of modifiers:
|
|
CPT MODIFIER
|
|
CPT Modifier inactive on date of service (
|
|
Change was not accepted because the new value is already on the list.
|
|
Major Category:
|
|
Sub-Category:
|
|
Modifiers:
|
|
Detail Description
|
|
Modifiers are used to better describe the service (CPT)
|
|
rendered. Modifier(s) will be combined with the CPT code
|
|
for Fee Schedule calculations and to check for duplicate
|
|
payment entry.
|
|
Amount Claimed: $
|
|
Enter the amount being claimed by the vendor
|
|
Is $
|
|
correct for Amount Claimed
|
|
correct for Amount Paid
|
|
Invalid Date of Service.
|
|
Code already exists for that date! Want to add another service for the SAME DATE
|
|
more line items!
|
|
Enter date to use for CPT/ICD checks and fee schedule calc
|
|
Enter a date. This date will be used when checking for
|
|
an active CPT/Modifier/ICD code. Also, the fee schedule
|
|
amount will be computed based on this date.
|
|
Enter '^' to exit.
|
|
Amount Paid: $
|
|
Amount paid cannot be greater than the amount claimed.
|
|
CPT Code
|
|
inactive on date of service.
|
|
CPT Modifier
|
|
Warning: The fee schedule amount (
|
|
) for this date of service
|
|
differs from the initial fee schedule amount (
|
|
Amount paid (
|
|
) exceeds the fee schedule amount.
|
|
You must be a holder of the 'FBAASUPERVISOR' key in order
|
|
to exceed the Fee Schedule.
|
|
You may want to separately process this date of service.
|
|
Amount Suspended: $
|
|
Press Return if $
|
|
is Amount Suspended, otherwise enter correct suspension amount
|
|
Invalid entry, enter a number between .01 and 999999
|
|
correct for Amount Suspended
|
|
Suspension Description:
|
|
Description of Suspense is required.
|
|
Service connected condition
|
|
Respond by answering 'Yes' or 'No'.
|
|
No transmitted MRA's currently on file!
|
|
FBAA PURGE TRANSMITTED MRA'S
|
|
Purge Veteran and Vendor MRA's transmitted PRIOR to:
|
|
Deleting....
|
|
Total Veteran MRA's deleted:
|
|
Total Vendor MRA's deleted:
|
|
Purpose of Visit Code 55 (MST) not found. Can't print the MST report.
|
|
From Date
|
|
To Date:
|
|
Summary or Detail Output
|
|
Enter D to print veteran, authorization, and payment details.
|
|
Enter S to just print a report summary.
|
|
Enter a code from the list.
|
|
MST Report
|
|
FBDT*
|
|
No MST authorizations found during period.
|
|
Patient ID:
|
|
Gender:
|
|
Authorization #:
|
|
No finalized payments on file.
|
|
Svc Date:
|
|
CPT-MOD:
|
|
DIAG:
|
|
AMT PAID:
|
|
Vendor ID:
|
|
MST
|
|
Detailed
|
|
REPORT SUMMARY
|
|
Gender
|
|
Average Paid
|
|
Per Patient
|
|
Per Visit
|
|
Notes: (1) # Unique Patients represents patients having one or more MST
|
|
authorizations that overlap the period being reported.
|
|
(2) # Visits and Total Payments are obtained from any finalized
|
|
payment(s) that are linked to the MST authorizations and have a
|
|
date of service within the period being reported.
|
|
Unspec.
|
|
Site Parameters have not been entered. Must be entered
|
|
before using this option
|
|
Want to create a Medical batch
|
|
Want to create a Pharmacy Batch
|
|
Want to create a Travel Batch
|
|
Travel Batch number assigned is:
|
|
Medical Batch number assigned is:
|
|
Pharmacy Batch number assigned is:
|
|
Want to create a Community Nursing Home batch
|
|
Batch number assigned is:
|
|
Select Obligation Number:
|
|
Batch #
|
|
deleted because Obligation number was not selected!
|
|
You must be an authorized user in IFCAP package to select an obligation.
|
|
Want to create a Contract Hospital Batch
|
|
Want to create an Ancillary Payment Medical Batch
|
|
Batch was not created!
|
|
Vendor has no prior claims
|
|
Sorry, that payment is not in the Batch you selected!
|
|
Are you sure you want to delete this payment record
|
|
Payment record Deleted!
|
|
CPT:
|
|
- INACTIVE on
|
|
MOD:
|
|
*** DATE RANGE SELECTION ***
|
|
Enter fiscal year or date range within fiscal year.
|
|
Beginning Date :
|
|
Ending Date :
|
|
Dates must be within a fiscal year.
|
|
Card No.
|
|
Patient SSN
|
|
Issue Date
|
|
Include all CPT codes
|
|
Choose a method to specify CPT Codes
|
|
You must choose one of the two methods that can be used
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|