[604] | 1 | English French Notes Complete/Exclude
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| 2 | Units Paid =
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| 3 | Therefore, fee schedule amount increased to $
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| 4 | Fee schedule not complied on per unit basis so amount not adjusted for units.
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| 5 | AMOUNT PAID:
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| 6 | You must be a holder of the 'FBAASUPERVISOR' key to
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| 7 | exceed the Fee Schedule. Entering an up-arrow ('^') will
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| 8 | delete the payment or you can accept the default.
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| 9 | Entering an '^' will delete this payment!
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| 10 | Do you want to delete? No//
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| 11 | Enter a dollar amount that does not exceed the amount claimed.
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| 12 | Entering an '^' will delete the payment.
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| 13 | Only the holder of the 'FBAASUPERVISOR' key may exceed the
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| 14 | Fee Schedule.
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| 15 | Confidential Communication address until:
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| 16 | Line 1:
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| 17 | Line 3:
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| 18 | WARNING: The Confidential address is NOT active for the Billing Category.
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| 19 | Want to edit Confidential Address data
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| 20 | Want to add Confidential Address data
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| 21 | Is this line item for a contracted service
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| 22 | Answering no indicates that interest will not be paid for this line item.
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| 23 | Required Response!
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| 24 | Vendor has been flagged for Austin deletion!
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| 25 | Want to Edit data
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| 26 | Want a new Invoice number assigned
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| 27 | Invoice #
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| 28 | assigned to this Invoice
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| 29 | Select Invoice number
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| 30 | Select one of the previously entered Invoice #'s
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| 31 | Only previously entered invoices in the same batch may be selected!
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| 32 | Current Total: $
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| 33 | Enter Date Correct Invoice Received or Last Date of Service
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| 34 | (whichever is later):
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| 35 | Invoice date is earlier than Patient's Authorization date!!
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| 36 | Enter Vendor Invoice Date:
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| 37 | Vendor's invoice date is later than the date you received it!!
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| 38 | for travel already entered for this date of service
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| 39 | Total already paid on ID Card for month: $
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| 40 | Maximum allowed: $
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| 41 | Total already paid on All/Other for month: $
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| 42 | Want this payment stored as a Medical Denial
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| 43 | Enter 'Yes' to store payment entry as a denial and send a Suspension letter. Enter 'No' to have nothing happen.
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| 44 | Entering an '^' will delete
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| 45 | . Are you sure you want to delete?
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| 46 | Warning Patient already at maximum allowed for month of service
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| 47 | You have reached the maximum number of payments for a Batch!
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| 48 | You must select another Batch for entering Payments!
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| 49 | exceed the Fee Schedule.
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| 50 | This payment CANNOT be edited. The batch the payment is in
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| 51 | has been Vouchered. You may void the payment with the Void Payment option.
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| 52 | Suspense code is required!
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| 53 | Incomplete payment entry deleted.
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| 54 | Vendor has no prior payments for this patient
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| 55 | That number not valid for this vendor!
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| 56 | Cannot select this Vendor at this time
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| 57 | Date of Service:
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| 58 | Enter the date the Vendor provided the service to the Patient.
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| 59 | The date must be prior to the date the invoice is received.
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| 60 | PRIMARY DIAGNOSIS
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| 61 | You must use the Enter Payment option for CPT codes that have a
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| 62 | Fee Schedule set equal to zero.
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| 63 | Enter Amount Paid: $
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| 64 | exceed the FEE Schedule. Enter an '^' to quit or accept the default.
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| 65 | The answer to the following will apply to all payments entered via this option.
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| 66 | Are payments for contracted services
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| 67 | Answering yes indicates interest will be paid.
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| 68 | A fee schedule is not used for contracted services.
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| 69 | Denial
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| 70 | Payment
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| 71 | Data Entered for Patient
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| 72 | TOTAL PAYMENTS:
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| 73 | TOTAL PATIENTS:
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| 74 | AVE. PAID FOR A PAYMENT:
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| 75 | AVE. PAID FOR A PATIENT:
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| 76 | OUTPATIENT COST REPORT
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| 77 | AMOUNT PAID
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| 78 | There are No Closed Batches that have not been Certified!
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| 79 | FEE BATCHES PENDING RELEASE
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| 80 | Clerk Who Opened
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| 81 | FCP-Obligation #
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| 82 | Are you sure you want to reject all line items in this batch
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| 83 | Enter reason for rejecting (2-40 characters)
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| 84 | Please enter the reason this item was rejected
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| 85 | All items in batch flagged as rejected!!
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| 86 | Total dollars/Line count of batch is equal zero!
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| 87 | *** Patient Died on
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| 88 | Pt.ID:
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| 89 | TEL:
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| 90 | CLAIM #:
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| 91 | Primary Elig. Code:
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| 92 | Fee ID Card #:
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| 93 | Fee Card Issue Date:
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| 94 | AUTHORIZATIONS:
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| 95 | FR:
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| 96 | VENDOR:
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| 97 | Authorization Type:
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| 98 | Outpatient -
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| 99 | Short Term
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| 100 | Home Health
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| 101 | ID Card
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| 102 | Purpose of Visit:
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| 103 | FB583(
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| 104 | >> Unauthorized Claim <<
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| 105 | PSA:
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| 106 | >> DELETE MRA SENT TO AUSTIN ON -
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| 107 | VENDOR CONTACTS:
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| 108 | Not Found
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| 109 | There are No Open Batches!
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| 110 | Dt Open
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| 111 | Obligation #
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| 112 | Pharmacy
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| 113 | Travel
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| 114 | Unable to delete, vendor is Awaiting Austin Approval.
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| 115 | Are you sure you want to place this vendor in delete status
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| 116 | Not Deleted
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| 117 | Vendor flagged for deletion!
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| 118 | Unable to delete vendor record at this time.
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| 119 | Select Invoice #:
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| 120 | DATE RX FILLED:
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| 121 | You cannot edit a payment once released by a supervisor.
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| 122 | You cannot edit an invoice when the batch has a status of transmitted
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| 123 | or vouchered.
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| 124 | EDI Claim from FPPS was changed. Updating each Rx on invoice...
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| 125 | Since EDI Claim from FPPS was changed from NO to YES, the
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| 126 | FPPS LINE ITEM must be entered for each Rx on the invoice.
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| 127 | Finished updating FPPS LINE ITEM on each Rx.
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| 128 | Select Site:
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| 129 | Date of Travel is
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| 130 | prior to
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| 131 | authorization date.
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| 132 | Travel Payment entry not complete. Deleting entry...
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| 133 | You must hold the FBAASUPERVISOR security key to use this option!
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| 134 | Select Invoice Number
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| 135 | Invoice
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| 136 | has not been transmitted to FPPS.
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| 137 | Only EDI Claims can be selected!
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| 138 | Can not change EDI from YES to NO on invoice that has been sent to FPPS!
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| 139 | Are you finished entering patients for this invoice
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| 140 | Are you finished entering vendors for this patient
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| 141 | Vendor =
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| 142 | Select DATE OF SERVICE:
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| 143 | Are you finished entering dates for this patient
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| 144 | Are you finished entering services for this date
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| 145 | Line is not on invoice
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| 146 | Enter date of service
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| 147 | Note: Date is prior to VA implementation of RBRVS fee schedule (9/1/99).
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| 148 | Enter Fee Basis Vendor [optional]
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| 149 | Place of Service:
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| 150 | NON-FACILITY
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| 151 | Error: Can't determine if facility or non-facility setting
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| 152 | Amount to Pay: $
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| 153 | from the
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| 154 | Missing CPT
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| 155 | Invalid Date of Service
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| 156 | GPCIs are not on file for this zip code.
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| 157 | Do you want to enter a different zip code
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| 158 | Geographic Practice Cost Index (GPCI) values are
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| 159 | needed for calculation of the RBRVS physician fee
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| 160 | schedule amount. There are not any GPCI values on
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| 161 | file for the specified year and zip code.
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| 162 | Answer YES to enter a different zip code.
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| 163 | Time entry is required!
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| 164 | CPT missing
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| 165 | Date of Service missing
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| 166 | Missing ZIP Code
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| 167 | Missing Facility Flag
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| 168 | Could not determine GPCIs
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| 169 | Could not determine the conversion factor
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| 170 | There are no Invoices pending completion!
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| 171 | Pharmacy Invoices Pending MAS completion
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| 172 | No invoices Pending MAS completion.
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| 173 | Want to complete one of them now
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| 174 | Invoice No:
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| 175 | line items to be completed
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| 176 | Service Provided
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| 177 | The Current Procedural Terminology Code (CPT Code) as
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| 178 | specified on the vendors invoice identifying the service
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| 179 | the vendor provided to the veteran.
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| 180 | SURE YOU WANT TO DELETE THE ENTIRE SERVICE PROVIDED
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| 181 | CPT code inactive on date of service (
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| 182 | Select CPT MODIFIER
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| 183 | Current list of modifiers:
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| 184 | CPT MODIFIER
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| 185 | CPT Modifier inactive on date of service (
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| 186 | Change was not accepted because the new value is already on the list.
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| 187 | Major Category:
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| 188 | Sub-Category:
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| 189 | Modifiers:
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| 190 | Detail Description
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| 191 | Modifiers are used to better describe the service (CPT)
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| 192 | rendered. Modifier(s) will be combined with the CPT code
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| 193 | for Fee Schedule calculations and to check for duplicate
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| 194 | payment entry.
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| 195 | Amount Claimed: $
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| 196 | Enter the amount being claimed by the vendor
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| 197 | Is $
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| 198 | correct for Amount Claimed
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| 199 | correct for Amount Paid
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| 200 | Invalid Date of Service.
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| 201 | Code already exists for that date! Want to add another service for the SAME DATE
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| 202 | more line items!
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| 203 | Enter date to use for CPT/ICD checks and fee schedule calc
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| 204 | Enter a date. This date will be used when checking for
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| 205 | an active CPT/Modifier/ICD code. Also, the fee schedule
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| 206 | amount will be computed based on this date.
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| 207 | Enter '^' to exit.
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| 208 | Amount Paid: $
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| 209 | Amount paid cannot be greater than the amount claimed.
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| 210 | CPT Code
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| 211 | inactive on date of service.
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| 212 | CPT Modifier
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| 213 | Warning: The fee schedule amount (
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| 214 | ) for this date of service
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| 215 | differs from the initial fee schedule amount (
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| 216 | Amount paid (
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| 217 | ) exceeds the fee schedule amount.
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| 218 | You must be a holder of the 'FBAASUPERVISOR' key in order
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| 219 | to exceed the Fee Schedule.
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| 220 | You may want to separately process this date of service.
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| 221 | Amount Suspended: $
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| 222 | Press Return if $
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| 223 | is Amount Suspended, otherwise enter correct suspension amount
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| 224 | Invalid entry, enter a number between .01 and 999999
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| 225 | correct for Amount Suspended
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| 226 | Suspension Description:
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| 227 | Description of Suspense is required.
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| 228 | Service connected condition
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| 229 | Respond by answering 'Yes' or 'No'.
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| 230 | No transmitted MRA's currently on file!
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| 231 | FBAA PURGE TRANSMITTED MRA'S
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| 232 | Purge Veteran and Vendor MRA's transmitted PRIOR to:
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| 233 | Deleting....
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| 234 | Total Veteran MRA's deleted:
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| 235 | Total Vendor MRA's deleted:
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| 236 | Purpose of Visit Code 55 (MST) not found. Can't print the MST report.
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| 237 | From Date
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| 238 | To Date:
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| 239 | Summary or Detail Output
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| 240 | Enter D to print veteran, authorization, and payment details.
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| 241 | Enter S to just print a report summary.
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| 242 | Enter a code from the list.
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| 243 | MST Report
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| 244 | FBDT*
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| 245 | No MST authorizations found during period.
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| 246 | Patient ID:
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| 247 | Gender:
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| 248 | Authorization #:
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| 249 | No finalized payments on file.
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| 250 | Svc Date:
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| 251 | CPT-MOD:
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| 252 | DIAG:
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| 253 | AMT PAID:
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| 254 | Vendor ID:
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| 255 | MST
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| 256 | Detailed
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| 257 | REPORT SUMMARY
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| 258 | Gender
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| 259 | Average Paid
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| 260 | Per Patient
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| 261 | Per Visit
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| 262 | Notes: (1) # Unique Patients represents patients having one or more MST
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| 263 | authorizations that overlap the period being reported.
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| 264 | (2) # Visits and Total Payments are obtained from any finalized
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| 265 | payment(s) that are linked to the MST authorizations and have a
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| 266 | date of service within the period being reported.
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| 267 | Unspec.
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| 268 | Site Parameters have not been entered. Must be entered
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| 269 | before using this option
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| 270 | Want to create a Medical batch
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| 271 | Want to create a Pharmacy Batch
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| 272 | Want to create a Travel Batch
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| 273 | Travel Batch number assigned is:
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| 274 | Medical Batch number assigned is:
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| 275 | Pharmacy Batch number assigned is:
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| 276 | Want to create a Community Nursing Home batch
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| 277 | Batch number assigned is:
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| 278 | Select Obligation Number:
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| 279 | Batch #
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| 280 | deleted because Obligation number was not selected!
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| 281 | You must be an authorized user in IFCAP package to select an obligation.
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| 282 | Want to create a Contract Hospital Batch
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| 283 | Want to create an Ancillary Payment Medical Batch
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| 284 | Batch was not created!
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| 285 | Vendor has no prior claims
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| 286 | Sorry, that payment is not in the Batch you selected!
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| 287 | Are you sure you want to delete this payment record
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| 288 | Payment record Deleted!
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| 289 | CPT:
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| 290 | - INACTIVE on
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| 291 | MOD:
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| 292 | *** DATE RANGE SELECTION ***
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| 293 | Enter fiscal year or date range within fiscal year.
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| 294 | Beginning Date :
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| 295 | Ending Date :
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| 296 | Dates must be within a fiscal year.
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| 297 | Card No.
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| 298 | Patient SSN
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| 299 | Issue Date
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| 300 | Include all CPT codes
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| 301 | Choose a method to specify CPT Codes
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| 302 | You must choose one of the two methods that can be used
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| 303 | #################### #################### ####################
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| 304 | #################### #################### ####################
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| 305 | #################### #################### ####################
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| 306 | #################### #################### ####################
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| 307 | #################### #################### ####################
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