[604] | 1 | English French Notes Complete/Exclude
|
---|
| 2 | This claim is not associated with another claim.
|
---|
| 3 | Do you wish to disassociate claim from the above group
|
---|
| 4 | Other claims exist for the same veteran and episode of care.
|
---|
| 5 | Do you wish to associate this new claim with one from the above listing
|
---|
| 6 | Select the claim to which you wish to associate
|
---|
| 7 | Do you want to automatically link this claim with another group
|
---|
| 8 | Start date cannot be in the future.
|
---|
| 9 | End date cannot be prior to the Start date.
|
---|
| 10 | MILLENNIUM ACT EMERGENCY CARE
|
---|
| 11 | SUMMARY REPORT
|
---|
| 12 | RUN DATE:
|
---|
| 13 | Total Number Claims Received:
|
---|
| 14 | Total Dollars Claims Received:
|
---|
| 15 | Total Claimants:
|
---|
| 16 | Total Claims Paid:
|
---|
| 17 | Total Dollars Claims Paid:
|
---|
| 18 | Total Dollars Suspended:
|
---|
| 19 | Total Number Claims Rejected:
|
---|
| 20 | Total Dollars Claims Rejected:
|
---|
| 21 | REASONS REJECTED
|
---|
| 22 | Total Number Claims Pending:
|
---|
| 23 | Total Dollars Claims Pending:
|
---|
| 24 | Average Processing Time:
|
---|
| 25 | Unauthorized Claims Expiring on or before
|
---|
| 26 | Sort by
|
---|
| 27 | STATUS LISTING OF MILL BILL (1725) CLAIMS
|
---|
| 28 | STATUS LISTING OF UNAUTH. NON-MILL BILL CLAIMS
|
---|
| 29 | OTHER PARTY:
|
---|
| 30 | Treatment From:
|
---|
| 31 | Treatment To:
|
---|
| 32 | Select to whom payment should be made
|
---|
| 33 | Unauthorized claim must be Approved or Approved to Stabilization
|
---|
| 34 | in order to make a payment.
|
---|
| 35 | Fee program is community nursing home.
|
---|
| 36 | Payments should not be authorized.
|
---|
| 37 | Is this an ancillary payment
|
---|
| 38 | No authorization associated with this 583!
|
---|
| 39 | Authorization does not pertain to the selected unauthorized claim.
|
---|
| 40 | Authorization Fee program differs from Fee program in Unauthorized Claim.
|
---|
| 41 | < UNAUTHORIZED CLAIM >
|
---|
| 42 | The following information has been requested:
|
---|
| 43 | OTHER Reason
|
---|
| 44 | ;SIGNED STATEMENT FROM CLAIMANT
|
---|
| 45 | Print 38 CFR 17.1002 and 17.1003 text on letter
|
---|
| 46 | Enter NO if the text of the regulations should not be printed on the
|
---|
| 47 | letter that requests additional information from the claimant.
|
---|
| 48 | PRINT REGS
|
---|
| 49 | Receiving
|
---|
| 50 | UNAUTHORIZED CLAIM DISPOSITION AND STATUS STATISTICS
|
---|
| 51 | CATEGORY OF DISPOSITION
|
---|
| 52 | TYPE OF
|
---|
| 53 | COVA APPEAL
|
---|
| 54 | TOTAL DISPOSITIONED
|
---|
| 55 | TOTAL NOT DISPOSITIONED
|
---|
| 56 | TOTAL CLAIMS
|
---|
| 57 | STATUS OF CLAIMS NOT DISPOSITIONED
|
---|
| 58 | # OF CLAIMS
|
---|
| 59 | TOTAL DOLLARS APPROVED BY PSA:
|
---|
| 60 | Date Range Selected:
|
---|
| 61 | UPDATE UNAUTH CLAIM
|
---|
| 62 | Deleting authorization...
|
---|
| 63 | Discharge type is missing! Enter using the Re-open Unauthorized Claim option.
|
---|
| 64 | Claim has been dispositioned to DISAPPROVED
|
---|
| 65 | with disapproval reason of '
|
---|
| 66 | Enter selection
|
---|
| 67 | Nothing found which meets the criteria.
|
---|
| 68 | Select from the following:
|
---|
| 69 | Enter RETURN for more, or Select
|
---|
| 70 | You have selected the above. OK
|
---|
| 71 | FBSADD(
|
---|
| 72 | FBSTA(
|
---|
| 73 | No entry has been made to the New Person file.
|
---|
| 74 | If a new entry is needed, enter the name within quotes.
|
---|
| 75 | Select unauthorized claim
|
---|
| 76 | You may select the claim by entering the vendor, veteran or other party.
|
---|
| 77 | Payments on file!
|
---|
| 78 | You must hold the supervisor's key to edit any data other than Amount Approved.
|
---|
| 79 | PRIMARY CLAIM:
|
---|
| 80 | Authorization From/To dates are missing.
|
---|
| 81 | Disposition has not been updated.
|
---|
| 82 | When entering in this disposition, please include these dates.
|
---|
| 83 | DISPOSITIONED:
|
---|
| 84 | No:
|
---|
| 85 | Enter M to include only 38 U.S.C. 1725 claims.
|
---|
| 86 | Enter N to exclude 38 U.S.C. 1725 claims.
|
---|
| 87 | Enter A for all.
|
---|
| 88 | Want to add NEW insurance data
|
---|
| 89 | Answer 'Yes' if you want to add a new insurance company for this patient.
|
---|
| 90 | You are not allowed to edit current insurance information.
|
---|
| 91 | However, you will be given the opportunity to send a bulletin to MCCR
|
---|
| 92 | if insurance information is incorrect.
|
---|
| 93 | Are there any discrepancies with insurance data on file
|
---|
| 94 | A 'Yes' answer will send a bulletin to MCCR
|
---|
| 95 | Enter description of change
|
---|
| 96 | FB INSURANCE CHANGE
|
---|
| 97 | CODE NOT FOUND IN FILE
|
---|
| 98 | STATUS NOT AVAILABLE FOR SPECIFIED DATE
|
---|
| 99 | Select ADJUSTMENT REASON
|
---|
| 100 | Select a HIPAA Adjustment (suspense) Reason Code
|
---|
| 101 | Adjustment reason codes explain why the amount paid differs
|
---|
| 102 | from the amount claimed.
|
---|
| 103 | ADJUSTMENT REASON
|
---|
| 104 | Enter a HIPAA Adjustment (suspense) Reason Code
|
---|
| 105 | ERROR: A new reason would exceed maximum number (
|
---|
| 106 | ) allowed for this invoice.
|
---|
| 107 | Select a reason code on the current list instead.
|
---|
| 108 | ADJUSTMENT GROUP
|
---|
| 109 | ADJUSTMENT AMOUNT:
|
---|
| 110 | ERROR: Must account for $
|
---|
| 111 | more to cover the total amount suspended.
|
---|
| 112 | The current sum of adjustments is $
|
---|
| 113 | The total amount suspended is $
|
---|
| 114 | ERROR: Maximum number of adjustment reasons (
|
---|
| 115 | ) have been exceeded.
|
---|
| 116 | (reason deleted)
|
---|
| 117 | Select REMITTANCE REMARK
|
---|
| 118 | Select a HIPAA Remittance Remark Code.
|
---|
| 119 | Select a remittance remark code to provide non-financial
|
---|
| 120 | information critical to understanding the adjudication of the claim.
|
---|
| 121 | If necessary, a code on the current list can be selected and changed.
|
---|
| 122 | ERROR: Maximum number of remittance remark codes (
|
---|
| 123 | Is this an EDI Claim from the FPPS system
|
---|
| 124 | The FPPS CLAIM ID must be entered for EDI claims!
|
---|
| 125 | Does this VistA invoice cover all line items on the FPPS Claim
|
---|
| 126 | FPPS LINE ITEM:
|
---|
| 127 | This response must be a number or a list or range, e.g., 1,3,5 or 2-4,8.
|
---|
| 128 | '^' NOT ALLOWED
|
---|
| 129 | Enter the line item sequence number associated with this charge. Each
|
---|
| 130 | charge on the FPPS invoice document will have a line item sequence number
|
---|
| 131 | associated with it. A line item can be entered individually or a group of
|
---|
| 132 | charges from multiple lines can be entered. If all line items in a group
|
---|
| 133 | are in numerical sequence, you may enter the first line item sequence
|
---|
| 134 | number followed by a hyphen and the last line item sequence number. If
|
---|
| 135 | the grouped charges are not in sequential order, each line item must be
|
---|
| 136 | entered individually, followed by a comma.
|
---|
| 137 | (Awaiting Austin Approval)
|
---|
| 138 | (Vendor in Delete Status)
|
---|
| 139 | Examining the FEE BASIS PATIENT file...
|
---|
| 140 | FEE BASIS PATIENTs were evaluated.
|
---|
| 141 | Of these,
|
---|
| 142 | will be included in the next daily transmission to HEC.
|
---|
| 143 | This utility can be run anytime to detect claims that don't have all
|
---|
| 144 | the required information. The user is able to specify a starting date
|
---|
| 145 | for the report. If the date is specified then the utility shows only
|
---|
| 146 | the claims that were received on this date or later.
|
---|
| 147 | Do you want to specify the starting date for the report?
|
---|
| 148 | Please answer Yes or No.
|
---|
| 149 | Starting date for the report:
|
---|
| 150 | Enter a date in proper format.
|
---|
| 151 | The following claims have been completed or dispositioned without
|
---|
| 152 | supplying all required information. It is necessary to review them
|
---|
| 153 | in order to supply the claims with all missed information.
|
---|
| 154 | === STARTING DATE:
|
---|
| 155 | === DISPOSITIONED CLAIMS ===
|
---|
| 156 | without VENDOR information (
|
---|
| 157 | without PATIENT TYPE information (
|
---|
| 158 | without VENDOR and PATIENT TYPE information (
|
---|
| 159 | === NON-DISPOSITIONED CLAIMS ===
|
---|
| 160 | Claim Date Patient Vendor Submitted by
|
---|
| 161 | FB*3.5*27 Install: Claims w/o all necessary information.
|
---|
| 162 | --Updating file 162.96
|
---|
| 163 | ERROR ADDING NEW ZIP
|
---|
| 164 | ERROR ADDING 2001 for
|
---|
| 165 | ---Update of file 162.96 complete
|
---|
| 166 | --Updating file 162.98
|
---|
| 167 | TABLE YEAR NOT IN FILE SKIPPING INPUT RECORD
|
---|
| 168 | ERROR ADDING MOD
|
---|
| 169 | ---Update of file 162.98 complete
|
---|
| 170 | --Updating file 162.97
|
---|
| 171 | ERROR ADDING NEW CPT
|
---|
| 172 | ERROR ADDING 2001 RVU'S for
|
---|
| 173 | CPT NOT IN FILE SKIPPING CPT
|
---|
| 174 | CY NOT IN FILE SKIPPING CPT
|
---|
| 175 | ---Update of file 162.97 complete
|
---|
| 176 | Updating selected POVs in the FEE BASIS PURPOSE OF VISIT (161.82) file...
|
---|
| 177 | ERROR: Fee Program with IEN 2 is not OUTPATIENT.
|
---|
| 178 | Purpose of Visits could not be updated.
|
---|
| 179 | ERROR: Fee Program with IEN 7 is not CONTRACT NURSING HOME.
|
---|
| 180 | ERROR ADDING POV WITH CODE
|
---|
| 181 | Filing conversion factor for RBRVS 2002 fee schedule.
|
---|
| 182 | Recompilation of [FBAA AUTHORIZATION] Input Template:
|
---|
| 183 | Request Queued
|
---|
| 184 | DG*5.3*134
|
---|
| 185 | SERVED MEALS Date:
|
---|
| 186 | ** Input must be for a date before today in order to collect ADT data!
|
---|
| 187 | Calculating Census Values ...
|
---|
| 188 | Starting Date:
|
---|
| 189 | [Must Start before Today!]
|
---|
| 190 | Ending Date:
|
---|
| 191 | [Must End before Today!]
|
---|
| 192 | [End before Start?]
|
---|
| 193 | The report requires a 132 column printer.
|
---|
| 194 | Print on Device:
|
---|
| 195 | Avg.
|
---|
| 196 | MEALS SERVED ON INPATIENT BASIS
|
---|
| 197 | MEALS SERVED TO OTHERS
|
---|
| 198 | | TOTAL| SERVED TRAYS DATA
|
---|
| 199 | | NURSING HOME CU
|
---|
| 200 | | Inp. Abs. Meal| Inp. Abs. Meal| Inp. Abs. Meal| | Outp. Paid Grat.| | | Cafe NPO Trays
|
---|
| 201 | Sun Mon Tue Wed Thu Fri Sat
|
---|
| 202 | | Opt. Emp. Paid OOD Vol. Grt. Total | Opt. Emp. Paid OOD Vol. Grt. Total | Opt. Emp. Paid OOD Vol. Grt. Total |
|
---|
| 203 | STAFFING DATA Date:
|
---|
| 204 | ** Date must not be in the future!
|
---|
| 205 | Avg.
|
---|
| 206 | Adjustment for Unscheduled and Intermittent
|
---|
| 207 | UNS/INT Total
|
---|
| 208 | Adjusted Measured FTEE
|
---|
| 209 | Avg Measured FTEE
|
---|
| 210 | Man Minutes/Meal:
|
---|
| 211 | Enter/Edit Facility Data?
|
---|
| 212 | Enter/Edit Specialized Medical Programs?
|
---|
| 213 | Enter Station Number:
|
---|
| 214 | Enter Qtr/Yr:
|
---|
| 215 | Do Not Enter Dates.
|
---|
| 216 | Answer Qtr 1-4 and Yr as Qtr/Yr.
|
---|
| 217 | Yr CANNOT be greater than now.
|
---|
| 218 | Answer Qtr 1-4 and Yr as 4 digit year, ie 2001.
|
---|
| 219 | Example: 4/2001 for 4th quarter, year 2001.
|
---|
| 220 | Qtr/Yr must not be greater than default.
|
---|
| 221 | Enter YR:
|
---|
| 222 | Do Not Enter Future Year.
|
---|
| 223 | Enter Year Only.
|
---|
| 224 | CMR Cost
|
---|
| 225 | REGION:
|
---|
| 226 | RPM CLASSIFICATION:
|
---|
| 227 | COMPLEXITY LEVEL:
|
---|
| 228 | MULTI DIVISION FACILITY:
|
---|
| 229 | COOK CHILL FOODS:
|
---|
| 230 | DIETETIC INTERNSHIP/PROGRAMS:
|
---|
| 231 | VA SPONSORED DIETETIC INTERNSHIP
|
---|
| 232 | AFFILIATED AP4
|
---|
| 233 | AFFILIATED DIETETIC INTERNSHIP
|
---|
| 234 | AFFILIATED CUP
|
---|
| 235 | VA SPONSORED AP4
|
---|
| 236 | AFFILIATED DIETETIC TECHNICIAN
|
---|
| 237 | FUNDED NUTRITION RESEARCH
|
---|
| 238 | UNFUNDED NUTRITION RESEARCH
|
---|
| 239 | SPECIALIZED MEDICAL PROGRAMS:
|
---|
| 240 | PRIMARY DELIVERY SYSTEM:
|
---|
| 241 | ASSIGNED CLINICAL FTEE
|
---|
| 242 | *** SITE NOT FOUND IN ^XMB GLOBAL ***
|
---|
| 243 | TYPE OF SERVICE SUMMARY
|
---|
| 244 | Average Daily Meals Served
|
---|
| 245 | By Type of Service
|
---|
| 246 | % of Workload
|
---|
| 247 | Bedside Tray
|
---|
| 248 | Cafeteria
|
---|
| 249 | Dining Room Tray
|
---|
| 250 | Another user is editing the entry.
|
---|
| 251 | Hospital
|
---|
| 252 | Nursing Home
|
---|
| 253 | Domicillary
|
---|
| 254 | Total Inpatient Days
|
---|
| 255 | OUTPATIENTS TREATED
|
---|
| 256 | Hospital Clinic
|
---|
| 257 | Satellite Location
|
---|
| 258 | Total Outpatients Treated
|
---|
| 259 | SERVED MEALS SUMMARY
|
---|
| 260 | 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Yearly
|
---|
| 261 | Total Served Meals
|
---|
| 262 | Average Daily Meals
|
---|
| 263 | INPATIENT DAYS OF CARE
|
---|
| 264 | NUTRITION STATUS SUMMARY
|
---|
| 265 | Total Encounters
|
---|
| 266 | CLINICAL ENCOUNTER CATEGORY SUMMARY
|
---|
| 267 | 1st Qtr
|
---|
| 268 | 2nd Qtr
|
---|
| 269 | 3rd Qtr
|
---|
| 270 | 4th Qtr
|
---|
| 271 | Clinical Categories
|
---|
| 272 | Tot Units % Tot Units % Tot Units % Tot Units % Tot Units %
|
---|
| 273 | Select SUNDAY Date:
|
---|
| 274 | .. Date Not Within Qtr
|
---|
| 275 | ..Date Not Within Qtr
|
---|
| 276 | Total Diets
|
---|
| 277 | Change Numbers of Modified Diets and Total Diets for that week? Y//
|
---|
| 278 | Answer YES or NO
|
---|
| 279 | Sun Mon Tues Wed Thur Fri Sat
|
---|
| 280 | Enter string of characters for desired days of week: e.g., MWF
|
---|
| 281 | Select the Day of Week you wish to change the data on:
|
---|
| 282 | Please enter the desired days of the week.
|
---|
| 283 | Sun Mon Tues Wed Thur Fri Sat
|
---|
| 284 | Change # of Modified Diets for
|
---|
| 285 | Enter an amount greater than 0 but less than 999999999
|
---|
| 286 | Change # of Total Diets for
|
---|
| 287 | Error - Illegal Character or Repeated Day.
|
---|
| 288 | MODIFIED DIET SUMMARY
|
---|
| 289 | YTD Avg
|
---|
| 290 | Week Average Modified Diet
|
---|
| 291 | Enter Date Nutritive Analysis was taken:
|
---|
| 292 | [Date Is Not Within the Fiscal Year!]
|
---|
| 293 | Date Taken:
|
---|
| 294 | Calories^%CHO^%PRO^%FAT^Mg CHOL^Mg Na
|
---|
| 295 | Nutritive Analysis 7 Days Average Regular Menu
|
---|
| 296 | Change the number of Specialty Staffing?
|
---|
| 297 | Specialty Staffing
|
---|
| 298 | Staff Certified Diabetes Educators (CDE):
|
---|
| 299 | Staff Certified in Nutrition Support:
|
---|
| 300 | Staff Registered Clinical Dietetic Technicians:
|
---|
| 301 | Staff With Clinical Privileges (Not Scope of Practice):
|
---|
| 302 | SUPPORT STAFF
|
---|
| 303 | #################### #################### ####################
|
---|
| 304 | #################### #################### ####################
|
---|
| 305 | #################### #################### ####################
|
---|
| 306 | #################### #################### ####################
|
---|
| 307 | #################### #################### ####################
|
---|