[604] | 1 | English French Notes Complete/Exclude
|
---|
| 2 | to specify the CPT codes to be included on the report.
|
---|
| 3 | If the Range method is chosen, you will asked for one or more
|
---|
| 4 | ranges of CPT codes. (e.g. from 11000 to 11999)
|
---|
| 5 | If the Individual method is chosen, you will be asked to select
|
---|
| 6 | one or more specific CPT codes.
|
---|
| 7 | Start of CPT Range #
|
---|
| 8 | End of CPT Range #
|
---|
| 9 | Start can't be after the End
|
---|
| 10 | Note: Additional data printed if device supports 130+ characters
|
---|
| 11 | for Payments with Finalized Dates from
|
---|
| 12 | and all CPT Codes
|
---|
| 13 | and CPT Codes:
|
---|
| 14 | No payments found that match criteria.
|
---|
| 15 | REPORT TOTALS
|
---|
| 16 | COST/SAVINGS FROM RBRVS FEE SCHEDULE
|
---|
| 17 | CPT CODE-
|
---|
| 18 | Total Occurrences
|
---|
| 19 | Payments at RBRVS
|
---|
| 20 | Estimated Payments if RBRVS was not used
|
---|
| 21 | Est. Savings
|
---|
| 22 | 75th Percentile
|
---|
| 23 | Usual & Customary*
|
---|
| 24 | from RBRVS
|
---|
| 25 | Patient has been deleted from the Patient file, cannot create transaction!
|
---|
| 26 | Delete MRA has been created!
|
---|
| 27 | CPT Modifier(s):
|
---|
| 28 | Sorry,only the clerk who entered the payment
|
---|
| 29 | or a supervisor can edit this payment.
|
---|
| 30 | Sorry, only the Supervisor can edit a payment once the batch has been released.
|
---|
| 31 | Sorry,you cannot edit a payment once the batch has been Finalized.
|
---|
| 32 | Exit ('^') allowed now
|
---|
| 33 | FPPS CLAIM ID was changed. Updating lines on invoice...
|
---|
| 34 | FPPS LINE ITEM must be entered for each line on the invoice.
|
---|
| 35 | SVC DATE:
|
---|
| 36 | REV. CODE:
|
---|
| 37 | AMT CLAIMED:
|
---|
| 38 | Select Fee Patient:
|
---|
| 39 | No payments for this patient!
|
---|
| 40 | TRAVEL PAYMENTS:
|
---|
| 41 | Check #:
|
---|
| 42 | Paid:
|
---|
| 43 | Vendor ID:
|
---|
| 44 | MEDICAL PAYMENT HISTORY
|
---|
| 45 | ('*' Reimb. to Patient '+' Cancel. Activity '#' Voided Payment)
|
---|
| 46 | (paid symbol: 'R' RBRVS 'F' 75th percentile 'C' contract 'M' Mill Bill
|
---|
| 47 | Svc Date
|
---|
| 48 | Rev.Code
|
---|
| 49 | Units
|
---|
| 50 | Patient Account No.
|
---|
| 51 | Amt Claimed
|
---|
| 52 | Amt Paid
|
---|
| 53 | Adj Code
|
---|
| 54 | Adj Amount
|
---|
| 55 | Remit Remark
|
---|
| 56 | VoucherDt
|
---|
| 57 | You must be a Fee supervisor to use this option.
|
---|
| 58 | Select Invoice number:
|
---|
| 59 | Select Prescription # :
|
---|
| 60 | Payment not voided!
|
---|
| 61 | Payment already voided!
|
---|
| 62 | Is this the prescription you want to
|
---|
| 63 | Cancel the void on
|
---|
| 64 | Void
|
---|
| 65 | Answer 'Yes' if you want to
|
---|
| 66 | Void
|
---|
| 67 | this prescription.
|
---|
| 68 | Patient also has Inpatient Report(s) of Contact with the following date(s):
|
---|
| 69 | Fee site parameters must be initialized!!
|
---|
| 70 | Are you sure you want to enter a new invoice
|
---|
| 71 | Invoice # assigned is:
|
---|
| 72 | Vendor is flagged for Austin deletion!
|
---|
| 73 | Want to edit Vendor data
|
---|
| 74 | Date Correct Invoice Received:
|
---|
| 75 | Vendor Invoice Date:
|
---|
| 76 | Pharmacy Invoice #:
|
---|
| 77 | DATE PRESCRIPTION FILLED:
|
---|
| 78 | Date Prescription Filled is
|
---|
| 79 | prior to
|
---|
| 80 | later than
|
---|
| 81 | authorization period!!
|
---|
| 82 | Select PRESCRIPTION NUMBER
|
---|
| 83 | Prescription referred to Pharmacy Service for determination.
|
---|
| 84 | Since you didn't enter any line items
|
---|
| 85 | has been Deleted!!
|
---|
| 86 | Invoice No.:
|
---|
| 87 | Invoice Total: $
|
---|
| 88 | Want to enter another Invoice
|
---|
| 89 | Incomplete prescription entry. Deleted.
|
---|
| 90 | No prescriptions currently in this invoice.
|
---|
| 91 | Vendor Name:
|
---|
| 92 | Patient I.D.
|
---|
| 93 | Fill Date
|
---|
| 94 | There already is a prescription number entered, from this vendor,
|
---|
| 95 | for that fill date. The invoice number is
|
---|
| 96 | Do you want to continue a previously entered Invoice
|
---|
| 97 | Want to list previously entered line items
|
---|
| 98 | This prescription number already exsists in this invoice.
|
---|
| 99 | Do you wish to enter this prescription again
|
---|
| 100 | You do not have access to the Fee Invoice File, contact your IRM Service.
|
---|
| 101 | Rejected
|
---|
| 102 | Invoice Number:
|
---|
| 103 | Date Received:
|
---|
| 104 | Invoice Date:
|
---|
| 105 | Patient Account #:
|
---|
| 106 | AMT CLAIMED
|
---|
| 107 | AMT PAID
|
---|
| 108 | BATCH NO.
|
---|
| 109 | VOUCHER DATE
|
---|
| 110 | Other Suspension Description
|
---|
| 111 | AMT CLAIMED
|
---|
| 112 | ADJ AMT
|
---|
| 113 | REMIT RMK
|
---|
| 114 | Please enter a whole number! Alpha characters and puctuation are invalid
|
---|
| 115 | Answer must be numeric
|
---|
| 116 | Select Batch for this Invoice:
|
---|
| 117 | Invoice Closed out!!
|
---|
| 118 | Batch selected established by another user, choose another.
|
---|
| 119 | Batch selected is NOT a Pharmacy type batch, choose another.
|
---|
| 120 | Batch selected not in Open status, choose another.
|
---|
| 121 | Batch has reached maximum allowable payment entries!
|
---|
| 122 | Now openning another batch for you.
|
---|
| 123 | That Batch already has maximum allowable payment items!
|
---|
| 124 | Invoice Totals: $
|
---|
| 125 | New Batch to closeout invoice is:
|
---|
| 126 | Select Pharmacy Vendor:
|
---|
| 127 | ** PHARMACY VENDOR LOOK-UP **
|
---|
| 128 | ID #:
|
---|
| 129 | Chain #:
|
---|
| 130 | Strength
|
---|
| 131 | Claimed
|
---|
| 132 | Date Finalized
|
---|
| 133 | Are you sure you want to create a '
|
---|
| 134 | Add
|
---|
| 135 | Change
|
---|
| 136 | Reinstate
|
---|
| 137 | ' type MRA for this patient
|
---|
| 138 | MRA deleted.
|
---|
| 139 | Transaction Created!
|
---|
| 140 | Old Card
|
---|
| 141 | Pt.ID
|
---|
| 142 | Change Date
|
---|
| 143 | There are no Fee Basis prescriptions Pending Pharmacy review
|
---|
| 144 | Fee Prescription(s) Pending Pharmacy review
|
---|
| 145 | Want to review some now
|
---|
| 146 | No more prescriptions pending review!
|
---|
| 147 | >> PATIENT REIMBURSEMENT <<
|
---|
| 148 | Prescription #:
|
---|
| 149 | Fill Date:
|
---|
| 150 | Is Prescription for an Authorized Condition
|
---|
| 151 | A 'No' answer will deny payment.
|
---|
| 152 | Was a Generic Drug issued to patient
|
---|
| 153 | A 'No' answer alerts FEE to pay the generic equivalent, if one exists.
|
---|
| 154 | Enter VA Generic Drug equivalent
|
---|
| 155 | Match the drug entered by FEE to an entry in the VA Drug file.
|
---|
| 156 | Is this an emergency medication
|
---|
| 157 | A 'No' answer will DENY payment.
|
---|
| 158 | Optional Pharmacy Remarks
|
---|
| 159 | >>> PRESCRIPTION REVIEW <<<
|
---|
| 160 | Rx for Authorized condition:
|
---|
| 161 | Emergency Medication:
|
---|
| 162 | Generic Drug Issued:
|
---|
| 163 | Generic Drug Name:
|
---|
| 164 | Current list of Adjustments:
|
---|
| 165 | Code:
|
---|
| 166 | Group:
|
---|
| 167 | Current list of Remittance Remarks:
|
---|
| 168 | Optional Pharmacy Remarks:
|
---|
| 169 | Want to edit prior to release
|
---|
| 170 | Want to review another Prescription
|
---|
| 171 | Enter Invoice number you wish to make a determination on. Must
|
---|
| 172 | be an invoice which is 'Pending Determination' status.
|
---|
| 173 | Someone is editing that invoice now!
|
---|
| 174 | Select Suspense Code
|
---|
| 175 | Suspension Description
|
---|
| 176 | Suspension description is required for a suspense code of 'OTHER'.
|
---|
| 177 | Patient has no Pharmacy payment history.
|
---|
| 178 | FPPS Line Item:
|
---|
| 179 | PHARMACY PAYMENT HISTORY
|
---|
| 180 | Pt ID:
|
---|
| 181 | ID #
|
---|
| 182 | Chain #
|
---|
| 183 | Date Certified
|
---|
| 184 | Paid
|
---|
| 185 | None on File
|
---|
| 186 | Telephone
|
---|
| 187 | Personal
|
---|
| 188 | VA Office
|
---|
| 189 | SSN #
|
---|
| 190 | >> REPORT OF CONTACT <<
|
---|
| 191 | Name of Veteran
|
---|
| 192 | Telephone No. of Vet.
|
---|
| 193 | Date of Contact
|
---|
| 194 | Address of Veteran
|
---|
| 195 | Type of Contact
|
---|
| 196 | Person Contacted
|
---|
| 197 | Telephone Number of
|
---|
| 198 | Person Contacted
|
---|
| 199 | Brief statement of information requested and given
|
---|
| 200 | Division or Section
|
---|
| 201 | Executed by(signature and title)
|
---|
| 202 | VA form 119
|
---|
| 203 | There are no Reports of Contact on line for this patient.
|
---|
| 204 | Fee Purge is not running!
|
---|
| 205 | Total Payment Line Items to be Purged:
|
---|
| 206 | Number of Line Items Purged as of now:
|
---|
| 207 | Not Transmitted
|
---|
| 208 | FEE BASIS VENDORS AWAITING AUSTIN APPROVAL
|
---|
| 209 | DATE TRANSMITTED TO AUSTIN
|
---|
| 210 | There are no venders awaiting Austin approval.
|
---|
| 211 | Batch has been Re-opened!
|
---|
| 212 | Rejects deleted from batch
|
---|
| 213 | Sorry, only Supervisor can Delete reject flag!
|
---|
| 214 | No items rejected in this batch!
|
---|
| 215 | Want line items listed
|
---|
| 216 | Want to delete rejection codes for the entire Batch
|
---|
| 217 | Want to delete rejection code for any line items
|
---|
| 218 | Invalid entry, must enter a number between 1 and
|
---|
| 219 | or an '^' to exit!
|
---|
| 220 | No payments in this batch for that patient!
|
---|
| 221 | Delete Reject flag for all items for this patient
|
---|
| 222 | Delete reject for which line item
|
---|
| 223 | You already deleted that one!!
|
---|
| 224 | Are you sure you want to delete reject for item number
|
---|
| 225 | Item Deleted.
|
---|
| 226 | Want to delete another
|
---|
| 227 | If you answer 'Yes' to this question, all payment items in this batch
|
---|
| 228 | will be flagged as rejected! If you answer 'No', you will be asked if you
|
---|
| 229 | want to reject specific line items!
|
---|
| 230 | Delete reject flag for which line item
|
---|
| 231 | You already did that one !!
|
---|
| 232 | Are you sure you want to delete the reject on item number
|
---|
| 233 | Are you sure you want to delete reject code for all rejected items in this batch
|
---|
| 234 | Reject codes for all items have been deleted!
|
---|
| 235 | There is a problem with your 1358. Unable to delete reject flag!
|
---|
| 236 | No payments rejected in this batch for that patient!
|
---|
| 237 | You just deleted that one!!
|
---|
| 238 | Delete Reject code for all items for this patient
|
---|
| 239 | Delete reject code for which line item
|
---|
| 240 | Reject code deleted!
|
---|
| 241 | No 7078 on file for invoice
|
---|
| 242 | . Could not determine 1358.
|
---|
| 243 | No Rejects Pending!
|
---|
| 244 | Batch Number:
|
---|
| 245 | Voucher Date:
|
---|
| 246 | Voucherer:
|
---|
| 247 | Reject Reason:
|
---|
| 248 | Old Batch #:
|
---|
| 249 | REJECTS PENDING ACTION
|
---|
| 250 | Re-transmit MRA's for which date:
|
---|
| 251 | No MRA's were transmitted on that date!
|
---|
| 252 | Re-Transmitting
|
---|
| 253 | Want to print this Report of Contact
|
---|
| 254 | Select Batch with Rejects:
|
---|
| 255 | Select New Batch number:
|
---|
| 256 | Want to re-initiate all rejected items in the Batch
|
---|
| 257 | 'Yes' will re-initiate all rejected payment items for this batch, 'No' will prompt for re-initiation of specific line items
|
---|
| 258 | Want to re-initiate any line items
|
---|
| 259 | Re-initiate which line item
|
---|
| 260 | You already did that one!!
|
---|
| 261 | Are you sure you want to re-initiate line item number
|
---|
| 262 | Item Re-initiated.
|
---|
| 263 | Want to re-initiate another
|
---|
| 264 | FYI: Invoice
|
---|
| 265 | was split since entire invoice did not move to the new batch.
|
---|
| 266 | Re-initiated lines are being assigned a new invoice number of
|
---|
| 267 | Enter the batch number to which the rejected items you re-initiate will
|
---|
| 268 | be assigned to. It must be an open batch and assigned to you.
|
---|
| 269 | The obligation number from the batch with rejects
|
---|
| 270 | is not the same as the new batch selected !
|
---|
| 271 | Re-Initiate which line item
|
---|
| 272 | New Batch for Rejects is:
|
---|
| 273 | Are you sure you want to re-initiate all line items in this batch
|
---|
| 274 | All rejected items have been re-initiated!
|
---|
| 275 | All rejected items (except for voided payments) have been re-initiated!
|
---|
| 276 | New Batch selected does not have enough room to fit the
|
---|
| 277 | rejects pending from batch
|
---|
| 278 | has a status of VOID. Please delete the VOID
|
---|
| 279 | before re-initiating this rejected payment.
|
---|
| 280 | You just did that one!!
|
---|
| 281 | Line Re-initiated.
|
---|
| 282 | Are you sure you want to re-initiate item number:
|
---|
| 283 | Reject code deleted.
|
---|
| 284 | This report produces a 132 character output.
|
---|
| 285 | There are no batches Pending Release!
|
---|
| 286 | Try releasing batch at another time.
|
---|
| 287 | Batch needs to be released to Pricer first.
|
---|
| 288 | Release of batch
|
---|
| 289 | Sorry, only Supervisor can Release batch!
|
---|
| 290 | Do you want to Release Batch as Correct
|
---|
| 291 | Batch has NOT been Released!
|
---|
| 292 | Batch has been Released!
|
---|
| 293 | This batch CANNOT be released. Check your 1358.
|
---|
| 294 | 1358 not available for posting!
|
---|
| 295 | No invoices found for this batch. Unable to release.
|
---|
| 296 | FB7078(
|
---|
| 297 | No associated 7078 for invoice
|
---|
| 298 | . Unable to release batch.
|
---|
| 299 | Unable to locate reference number on 1358. Run Post Commitments for
|
---|
| 300 | Obligation option.
|
---|
| 301 | STA #-OBLIGATION #-REF #
|
---|
| 302 | A new batch, number
|
---|
| 303 | #################### #################### ####################
|
---|
| 304 | #################### #################### ####################
|
---|
| 305 | #################### #################### ####################
|
---|
| 306 | #################### #################### ####################
|
---|
| 307 | #################### #################### ####################
|
---|