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