308 lines
10 KiB
Plaintext
308 lines
10 KiB
Plaintext
English French Notes Complete/Exclude
|
|
Billing Rate:
|
|
Type of Charge.
|
|
Charge Set:
|
|
Charges for a specific Billing Rate, broken down by
|
|
type of event to be billed/charged.
|
|
Charge Item: The individual items for a Set
|
|
and their charge amounts.
|
|
Billing Region: The region or divisions the
|
|
charges apply to.
|
|
Rate Schedule:
|
|
Definition of charges billable to specific payers.
|
|
Link between Charge Sets and Rate Types.
|
|
Once the Rate Type is set for a bill, the
|
|
Rate Schedule will be used to find all charges to
|
|
add to the bill.
|
|
Special Groups:
|
|
Special requirements that are applied when charges are
|
|
calculated for a bill:
|
|
Revenue Code links to care provided
|
|
Provider discounts
|
|
IBCR BILLING REGION
|
|
Regions/localities covered by the same charges
|
|
Institution:
|
|
No Billing Regions defined
|
|
IBCR CHARGE ITEM
|
|
Default Revenue Code:
|
|
items billable to Charge Set
|
|
on or before
|
|
on or after
|
|
The Billing Rate of this Set has no Billable Item defined, therefore no
|
|
Charge Items may be defined for it. (The charges may be calculated amounts.)
|
|
No Charge Items defined for this Set.
|
|
has no charges for this set.
|
|
No Charge Item chosen for display:
|
|
- Non-bedsection type Items must be specifically chosen for display.
|
|
- Use the CI action and select an item to display.
|
|
This set has no charges in this date range.
|
|
has no charges for this set in this date range.
|
|
Select a billable
|
|
to display for Charge Set
|
|
IBCR SPECIAL GROUPS
|
|
Group Type:
|
|
No Special Groups
|
|
IBCR REVENUE CODE LINK
|
|
Revenue Codes linked to
|
|
* revenue code used on a bill for
|
|
applied to bills for:
|
|
No Revenue Code links for this CPT.
|
|
IBCR PROVIDER DISCOUNT
|
|
Provider Discounts for
|
|
Provider Type:
|
|
No Person Class Assigned
|
|
No Provider Discounts for this Group
|
|
IBCR BILLING RATE
|
|
No Billing Rates defined
|
|
IBCR RATE SCHEDULE
|
|
Link types of payers and charges
|
|
~ charges not auto added to bills
|
|
(if base $=100, adjusted $=
|
|
No Rate Schedules defined
|
|
IBCR RATE TYPE
|
|
This is a Standard file with entries released nationally.
|
|
Rate Type:
|
|
Bill Name:
|
|
Abbreviation:
|
|
Third Party?:
|
|
Inactive:
|
|
AR Category:
|
|
Who's Respns:
|
|
RI Statement?:
|
|
NSC Statement?:
|
|
No Rate Types defined
|
|
****** Charge Item Report ******
|
|
This report will list all charges that are effective within a date range.
|
|
First sort by
|
|
Select a single item to display or press return for all items.
|
|
Charges effective beginning on
|
|
Charges effective ending on
|
|
CHARGE SET:
|
|
Charge Item
|
|
Effective Inactive
|
|
Effective Inactive
|
|
Charge Item
|
|
Charge Set
|
|
Charge Rv Cd
|
|
Charge Rv Cd
|
|
Charge Item Report
|
|
Charges for
|
|
Charges by Set for
|
|
Enter 'Y' for a list of all Providers in a discount group. Enter 'N' for a list of discount groups.
|
|
Print report by Provider
|
|
Sort Report By
|
|
IB Provider Discount List
|
|
BILLING PROVIDER DISCOUNT LIST
|
|
PROVIDER TYPE
|
|
VA Code
|
|
Subspecialty
|
|
BILLING PROVIDER DISCOUNT LIST FOR PROVIDERS
|
|
SPECIAL GROUP:
|
|
PERSON CLASS:
|
|
Charge Master Reports:
|
|
Report requires 120 columns.
|
|
BILL SERVICE
|
|
CHARGES ADJUSTED
|
|
Caution: This report may be extremely long for some Charge Sets.
|
|
Some Charge Sets, such as CMAC or AWP, may have many thousands of Charge Items.
|
|
THIRD PARTY BILL?
|
|
REIMB INS?
|
|
This report is for reference only, the rates and charges in this report are no
|
|
longer used. They have been replace by the rates in the Charge Master.
|
|
Already being edited by another user
|
|
WANT TO RETURN BILL TO A/R AT THIS TIME
|
|
YES - To set the status to Returned
|
|
Select BEDSECTION:
|
|
Select CPT:
|
|
Select NDC #:
|
|
Select DRG:
|
|
Select MISCELLANEOUS Item:
|
|
TORTIOUSLY LIABLE
|
|
Charge Type:
|
|
Billing Event:
|
|
Default Rev Cd:
|
|
Billing Rate:
|
|
Default Bed:
|
|
Region:
|
|
All Charge Items will use Rev Code
|
|
if one is not specified for the Item.
|
|
A Default Rev Code is not specified, one will be required for each Item.
|
|
All items billable to the
|
|
Billing Rate must be
|
|
Billing Rate charges are calculated, there are no Charge Items.
|
|
Set:
|
|
Date of Death:
|
|
NO ALIAS ON FILE
|
|
Pt Short
|
|
SC Care:
|
|
(Enter '7' to list disabilites)
|
|
Rate Type :
|
|
Form Type:
|
|
Responsible:
|
|
Payer Sequence:
|
|
Bill Payer :
|
|
MRA NEEDED FROM MEDICARE
|
|
Transmit:
|
|
No-
|
|
Forced to print local
|
|
MRA not active
|
|
EDI not active
|
|
Rate typ transmit off
|
|
Ins. co transmit off
|
|
Failed RULE #
|
|
Inst. Name :
|
|
UNKNOWN INSTITUTION
|
|
Insurance : NO REIMBURSABLE INSURANCE INFORMATION ON FILE
|
|
[Add Insurance Information by entering '1' at the prompt below]
|
|
Whose
|
|
**Patient has additional insurance - use ?INS to see the entire list
|
|
ORGAN DONOR
|
|
Facility ID #s:
|
|
Secondary:
|
|
Tertiary :
|
|
Mailing Address :
|
|
Electronic ID:
|
|
NO MAILING ADDRESS HAS BEEN SPECIFIED!
|
|
Send Bill to PAYER listed above.
|
|
'MAIL TO' PERSON/PLACE UNSPECIFIED
|
|
STREET ADDRESS UNSPECIFIED
|
|
CITY UNSPECIFIED
|
|
STATE UNSPECIFIED
|
|
ZIP UNSPECIFIED
|
|
Ins
|
|
WILL NOT REIMBURSE
|
|
Policy #:
|
|
Grp #:
|
|
Rel to Insd:
|
|
Grp Nm:
|
|
Insd Sex:
|
|
Insured:
|
|
(Patient has Medicare)
|
|
UNSPECIFIED CODE
|
|
No PTF record for this ADMISSION
|
|
PTF record status: OPEN
|
|
Accident Hour:
|
|
Source :
|
|
Status :
|
|
Other Diag.:
|
|
***There are more diagnoses associated with this bill.***
|
|
ICD-9-CM
|
|
CPT-4
|
|
Pro. Code :
|
|
CPT Code :
|
|
ICD Code :
|
|
HCFA Code :
|
|
Occ. Code :
|
|
Cond. Code :
|
|
Value Code :
|
|
SNF Care : UNSPECIFIED [NOT REQUIRED]
|
|
SNF Care
|
|
SUB-ACUTE
|
|
Sub-Acute
|
|
Unknown
|
|
NO DX CODES ENTERED FOR THIS DATE
|
|
NO PRO CODES ENTERED FOR THIS DATE
|
|
DIAGNOSIS SCREEN
|
|
* No DIAGNOSIS CODES in PTF record for this episode of care.
|
|
date of service
|
|
Move:
|
|
<RETURN> to see more
|
|
codes or '^' to QUIT:
|
|
Enter <RETURN> to view more
|
|
movement dates and diagnosis
|
|
or '^' to stop the display.
|
|
OPERATION/PROCEDURE
|
|
OPERATION/PROCEDURE SCREEN
|
|
Non-O/R Procedure Date:
|
|
* No PROCEDURE CODES in PTF record for this episode of care.
|
|
ICD PROCEDURE CODE (
|
|
PROCEDURE DATE (
|
|
DIAGNOSIS CODE (
|
|
You may only choose codes found in PTF record!
|
|
Select ICD DIAGNOSIS
|
|
Enter a diagnosis for this bill. Duplicates are not allowed. Only codes active on
|
|
Only diagnosis codes active on
|
|
, no duplicates for a bill, and bill must not be authorized or cancelled.
|
|
The Diagnosis code is inactive for the date of service (
|
|
This diagnosis was removed as a procedure diagnosis.
|
|
----------------- Existing Diagnoses for Bill -----------------
|
|
Enter the number preceding the Diagnosis you want added to the bill.
|
|
Multiple entries may be added separated by commas or ranges separated by a dash.
|
|
The diagnosis will be added to the bill with a print order corresponding to its position in this list.
|
|
SELECT NEW DIAGNOSES TO ADD THE BILL
|
|
YOU HAVE SELECTED
|
|
TO BE ADDED TO THE BILL IS THIS CORRECT
|
|
============================= DIAGNOSIS SCREEN ==============================
|
|
SELECT DIAGNOSIS FROM THE PTF RECORD TO INCLUDE ON THE BILL
|
|
Enter the alphanumeric preceding the diagnosis you want added to the bill.
|
|
To enter more than one separate them by a comma or within a movement use a
|
|
range separated by a dash. * indicates the diagnosis is already on the bill.
|
|
The print order for each diagnosis will be determined by the order in this list.
|
|
TO BE ADDED TO THE BILL
|
|
Move
|
|
No DX Codes Entered For
|
|
*** No DRG for Charges ***
|
|
Not In Bill Range
|
|
Discharge: NOT DISCHARGED
|
|
=============================== Diagnosis Screen ===============================
|
|
Enter Yes to delete all Diagnosis currently defined for a bill, including any CPT Associated Diagnosis.
|
|
DELETE ALL DIAGNOSIS ON BILL, INCLUDING CPT ASSOCIATED DIAGNOSIS
|
|
Event Date :
|
|
OP Visits :
|
|
Opt. Code :
|
|
***There are more procedures associated with this bill.***
|
|
*** There are more Pros. Items associated with this bill.***
|
|
*** There are more Rx. Refills associated with this bill.***
|
|
This rx fill does not exist in Pharmacy for this patient!
|
|
The prescription number for the fill.
|
|
Select RX FILL
|
|
ADD/EDIT RX FILL
|
|
Select RX FILL DATE
|
|
----------------- Existing Prescriptions on Bill -----------------
|
|
(Rx Procedure
|
|
Rev Code
|
|
This prosthetic item does not exist in this patients prosthetics record.
|
|
Enter the date the item was delivered to the patient
|
|
Select ITEM DELIVERY DATE
|
|
Select PROSTHETIC ITEM
|
|
----------------- Existing Prosthetic Items for Bill -----------------
|
|
PROSTHETICS SCREEN
|
|
PRESCRIPTIONS IN DATE RANGE
|
|
Enter the number preceding the RX Fills you want added to the bill.
|
|
SELECT NEW RX FILLS TO ADD THE BILL
|
|
If an Rx fill has been assigned to another bill it will be displayed in the last column. [ORG=Original Fill, NR=Not Released, RTS=Returned to Stock, OTC=Over-the-Counter, INV=Investigational, SUP=Supply Item]
|
|
Bill Type :
|
|
Loc. of Care:
|
|
Covered Days:
|
|
Bill Classif:
|
|
Non-Cov Days:
|
|
Timeframe:
|
|
Charge Type :
|
|
Form Type :
|
|
Co-Insur Days:
|
|
Provider # :
|
|
Assignment:
|
|
NOT COMPLETED
|
|
STATUS UNKNOWN
|
|
Pow of Atty :
|
|
LOS :
|
|
Too many Revenue Codes to display, enter '5' to list
|
|
Non-Cov:
|
|
Rate Sched : (re-calculate charges)
|
|
Prior Payments:
|
|
Prior Claims:
|
|
Bill From :
|
|
Bill To:
|
|
Rev. Code
|
|
NO OFFSET RECORDED
|
|
OFFSET DESCRIPTION UNSPECIFIED
|
|
BILL TOTAL
|
|
Disch Stat:
|
|
OP Visits :
|
|
Bill Remark :
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|