308 lines
13 KiB
Plaintext
308 lines
13 KiB
Plaintext
English French Notes Complete/Exclude
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these apply to both billed and unbilled episode reports.
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1 - Include Episodes with a RNB: (default excludes episodes with a RNB)
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2 - Include Only Episodes with a RNB: (default is No)
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3 - Combine Divisions: (default is separate report for each Division)
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4 - Sort by Terminal Digit: (default sort alphabetically by Patient Name)
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5 - Select Range of Pat Names or Term Digits or Ins Company: (default is all)
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Terminal Digit Sort: the output will be sorted by the 8th and 9th digits and
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then the 6th and 7th digits of the patient's SSN
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{Reason Not Billable}: if episodes with RNB are included then inpatient
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episodes with all movements SC are included on the report
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All of the optional print fields apply to the patient and if chosen will
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print once for each patient on the report.
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Indications of the Insurance Coverage and Riders, Policy Comments, and Group
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Comments are only printed if they exist for the policy/plan.
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IBCONSC-1
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*** Margin width of this output is 132 ***
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*** This output should be queued ***
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*** If queued, Outpatient Visits in Claims Tracking will be updated first ***
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IB - Patients with Insurance and
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Outpatient
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IBCONSC-2
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*Veterans with Reimbursable Insurance and
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OUTPATIENT Appointments
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INPATIENT
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: All Divisions Combined
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- Divisions Combined:
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This report will generate a list of insurance plans by company.
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It will help you identify duplicates and verify patient coverage.
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You must select one, many (up to 20) or all of the insurance companies;
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anywhere from one to all of the plans under each company; and whether to
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include the patient policies (subscribers) under each plan. The number of
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plans you select is independent for each company you are including, but
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subscriber selection is the same (all or none) for all companies and
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plans within a report. Regardless of how you run the report, the
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number of subscribers per plan will be included.
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No plans selected!
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IB - LIST OF PLANS BY INSURANCE COMPANY
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insurance company
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Insurance Company #
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...building a list of plans...
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SELECT REPORT (1 OR 2):
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1. List Insurance Plans by Company
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2. List Insurance Plans by Company With Subscriber Information
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Ins. Companies;2:2. List Only Ins. Companies That You Select
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There are
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insurance companies associated with plans.
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1. List All
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2. List Only Ins. Companies That You Select
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Enter a code from the list: 1 or 2. Only insurance
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companies with one or more plans can be selected.
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plans. List all plans for each company
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If you say yes, the report will list all of the plans for each company.
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If you selected 2. List Insurance Plans by Company With Subscriber
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Information and 1. List All
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this will result in the most complete report possible. However, it
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may take awhile to run. If you say no, you must make plan selections
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for each individual company (anywhere from one plan to all).
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<NO SUBS ID>
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<NO GROUP NAME>
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<NO GROUP NUMBER>
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<STATE MISSING>
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Ins. Co.:
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<Street Addr. 1 Missing>
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ACTIVE COMPANY
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Number of Plans Selected =
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Total Subscribers Under Selected Plans =
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LIST OF PLANS BY INSURANCE COMPANY
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WITH SUBSCRIBER INFORMATION
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PLAN TOTAL=
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SUBSCRIBER TOTAL=
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BEN.
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SUBSCRIBER NAME/ID
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USED?
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GROUP NAME
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GROUP OR IND
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ACTIVE/INACTIVE
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ANN. BEN? BEN. USED?
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GROUP #:
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ANNUAL BENEFITS ON FILE:
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BENEFITS USED ON FILE:
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GROUP OR IND:
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ACTIVE?:
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NO. SUBSCRIBERS:
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This report will sort through insurance policies in the patient file
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and print patients, bills, and payments with an insurance policy source
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of information equal to pre-registration.
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Since this report has to loop through all patients and check all insurance
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policies, it is recommended this report be queued.
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Pre-Registration Source Report
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DATE*
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IBCN*
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End with Date:
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END DATE MUST BE GREATER THAN OR EQUAL TO THE START DATE.
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*** Selected date range from
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TOTAL NEW POLICIES IDENTIFIED WITH PRE-REGISTRATION:
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TOTAL INPATIENT BILLS COUNT:
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TOTAL INPATIENT PAYMENT COUNT:
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TOTAL OUTPATIENT BILLS COUNT:
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TOTAL OUTPATIENT PAYMENT COUNT:
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* Next to bill indicates bill is canceled and not used in totals
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* Next to payment indicates payment is canceled and not used in totals
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PRE-REGISTRATION SOURCE REPORT
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FOR THE DATE RANGE:
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Patient Source = Pre-Registration
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Source Date
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Bills Entered
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Bill Date
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Payments Collected
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Tran Number
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THERE ARE MORE THAN TEN VISITS DURING THE PERIOD THAT THIS STATEMENT COVERS.
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Select visits to include in this bill (1-
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Maximum of 30 visits allowed per bill!
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The visits already on the bill along with those selected total more than 30.
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THIS INSURANCE COMPANY WILL ONLY ACCEPT ONE VISIT PER BILL.
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YOU HAVE SELECTED VISIT(S) NUMBERED-
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Enter 'Y'es to include these visits.
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Enter 'N'o to reselect.
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Can't add OP Visit Date of
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Only 1 visit date allowed on bills with Amb. Surg. Codes!
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Adding OP Visit Date of
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<<<OUTPATIENT VISITS>>>
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VISIT DATE
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ELIG/MT
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BILL# - TYPE
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STOP CD/CLINIC
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Press return to continue,
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to exit display, or
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or a list or range separated with commas
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The number(s) must correspond to a visit.
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NO OUTPATIENT VISITS FOUND DURING THE PERIOD COVERED BY THIS STATEMENT
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ADMITTING/SCREENING
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OUTPATIENT VISIT DATE
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the total amount billed. Please note that you may no longer opt
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to transmit this report to the MCCR Program Office in VACO using
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You must select a date range in which bills to be used in the
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totals will be selected.
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Enter Start Date on Bill Search:
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Enter End Date on Bill Search:
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Enter number of insurance carriers to rank:
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Would you like this report sent to the MCCR Program Office
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RANK INSURANCE CARRIERS
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This report uses the date the bill was first printed to determine if the
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bill should be included in the accumulative total.
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Please enter the lower date range for the first printed date, which
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should be a past date on or after 10/1/86, or '^' to exit.
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Please enter the upper date range for the first printed date, which
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should be a past date on or after
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, or '^' to exit.
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This report will rank any number of insurance carriers (from 1 to 1000)
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for the total amount billed within a date range.
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Please enter a number between 1 and 1000, or '^' to exit.
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After the new fiscal year begins, this report should be generated for the
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previous fiscal year and transmitted to the MCCR Program Office. The data
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will be compiled nationally to determine which insurance carriers are the
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largest customers of VA. The compiled data will assist the Program Office
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in planning for future electronic billing systems.
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Even if you are planning to transmit a report to the Program Office, you
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should run this report once without transmitting to check the results.
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You may then re-run the report and transmit it centrally.
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CARRIER UNKNOWN
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Total Amount Billed to all Ranked Carriers:
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Sending the report in a bulletin to the MCCR Program Office...
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Ranking Of The Top
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Insurance Carriers By Total Amount Billed
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** - denotes an inactive company
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Rank
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Insurance Carrier
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Total Amt Billed
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REPOINT PATIENTS TO
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The routine will delete the REPOINT PATIENTS TO field of the entry
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in the INSURANCE COMPANY file (#36) if the field entry is pointing
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back to itself (same IEN).
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A dot (.) will appear for every 50 records processed.
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records changed.
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RANKING INSURANCE CARRIERS
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Page: 1 of 1
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PRQC IBINS:
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DUZ(0) must also be defined to run this routine.
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S.PRQC SERVER IBINS@ISC-ALBANY.VA.GOV
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This job will compile a ranking of all your insurance carriers by the total
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number of claims billed from
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. The compilation will be
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uploaded into a mail message and sent to the MCCR National Database where
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it will be re-formatted in a PC-downloadable format and sent to the
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MCCR Program Office. This mail message will also be sent to you.
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*** Please note ***
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You appear to be executing this routine in a test account.
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The mail message will only be sent to you.
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Do you want to queue this job now
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IB - RANKING CARRIERS (FROM IRM)
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INPATIENT BEDSECTION STAY
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INPATIENT DRG
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Updating Bill Mailing Address
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IBCRC-INDT
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Charge calculated
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Miles
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SubUnits
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with a Base Charge=
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Removing old Revenue Codes and Rate Schedules...
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Updating Revenue Codes and Charges
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Rev Code
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Bedsection
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Adding
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RC FACILITY
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Multiple Surgical Procedure Discount
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Primary/Secondary Discount
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RC PHYSICIAN
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Rate Schedules available for an
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Inpatient
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Enter the number (1-
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) preceding the Rate Schedule/Charge Sets that apply to this bill. All associated charges will be added to the bill.
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* - these charges are available to be added to this bill if selected here,
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but will not be added when the bills charges are automatically calculated.
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s - the items these charges are associated with must be specifically
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selected here, they do not relate to any item on the bill.
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If the bill's charge type is exclusively institutional or professional then
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only sets of charges with a corresponding type will be added when the bills
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charges are automatically calculated. On this screen these charges will be
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displayed in the first set and used as the selection default.
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Select Schedule Charges to ADD to the bill:
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, there are
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No Rate Schedules with charges defined
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Therefore charges can not be calculated for this bill (
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Select items from
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to add to the bill's charges:
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No items selected, press return to continue
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The following items have been selected to add to the bill's charges:
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Add these Charges to the Bill
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Charge:
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Total:
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Enter the number of units of service (accommodation days, miles, treatments, etc.) rendered to or for this patient for this service.
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This is the number times this service was provided to the patient.
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This number will be multiplied by the service CHARGE to determine
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the TOTAL charges for this service. Enter a positive whole number.
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Enter the division where this service took place.
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This Charge Set has a Billing Region, therefore all services must be
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associated with one of that region's divisions for a charge to be applied.
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Only Divisions associated with the Charge Sets Billing Region
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will be allowed. If the correct division is not in the
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list then this service does not have a charge in this set, enter '^'.
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The bills Default Division is:
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Enter the Revenue Code to associate with this charge on the bill.
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The Charge Set Default Revenue Code is
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The Charge Item Default Revenue Code is
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IBCRC-PTF
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IBCRC-DIV
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IBCRCSx
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Items and Charges on this Bill (
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Auto Add)
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Charge Set
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Div
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RvCd
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>>> Bill Division is Freestanding Non-Provider with Professional Charges only.
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) not billed using DRG
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Nursing
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, use SNF.
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Observa
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, use Procedures.
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Search for Procedure Charges for
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No Rate Schedules with Procedure charges assigned to this bill.
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no charge found...
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**** INACTIVATE CHARGES FOR ALL CURRENTLY INACTIVE CPTS ****
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For all Charge Sets based on CPT procedures, this option will add an
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Inactive Date to each Charge Item that is a currently Inactive CPT code.
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All charges for currently Inactive CPT codes will become inactive
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on the CPT Inactive Date.
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Is this correct, do you want to continue
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None inactivated
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Beginning Inactivations
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charges inactivated
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BILLING RATE
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Charges for Inactive CPT's
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Charges for Inactive CPT's
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**** DELETE INACTIVE CHARGE ITEMS FROM A CHARGE SET ****
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For a given Charge Set, this option allows deletion of all chargable items
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that have been inactivated or replaced before a certain date.
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Since all charges for a billing rate and date range may be deleted with
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this option, caution is advised.
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The Charge Set to delete Charge items from:
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Delete ALL charges for this Charge Set
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RC-
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Enter Yes to delete the Charge Set and it's links with Rate Schedules and Special Groups. The sets Region will also be deleted if not associated with another set.
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Also delete the Charge Set
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All charges inactive before this date will be deleted:
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Select INACTIVE DATE
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No deletions
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All charges
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inactive before
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will be deleted.
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Beginning Deletions
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charges deleted.
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Charges (to be deleted) in
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inactive before
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(ALL CHARGES IN SET)
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Delete Charges Report
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Charges to be deleted
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, Region Deleted
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CAUTION: This is a standard file with entries released nationally, do not add or
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modify unless necessary. Changing the Name or AR Category or if it is
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a Third Party rate type will effect processing of claims.
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Enter/Edit a Rate Type:
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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