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