| [604] | 1 | English French Notes Complete/Exclude
|
|---|
| 2 | these apply to both billed and unbilled episode reports.
|
|---|
| 3 | 1 - Include Episodes with a RNB: (default excludes episodes with a RNB)
|
|---|
| 4 | 2 - Include Only Episodes with a RNB: (default is No)
|
|---|
| 5 | 3 - Combine Divisions: (default is separate report for each Division)
|
|---|
| 6 | 4 - Sort by Terminal Digit: (default sort alphabetically by Patient Name)
|
|---|
| 7 | 5 - Select Range of Pat Names or Term Digits or Ins Company: (default is all)
|
|---|
| 8 | Terminal Digit Sort: the output will be sorted by the 8th and 9th digits and
|
|---|
| 9 | then the 6th and 7th digits of the patient's SSN
|
|---|
| 10 | {Reason Not Billable}: if episodes with RNB are included then inpatient
|
|---|
| 11 | episodes with all movements SC are included on the report
|
|---|
| 12 | All of the optional print fields apply to the patient and if chosen will
|
|---|
| 13 | print once for each patient on the report.
|
|---|
| 14 | Indications of the Insurance Coverage and Riders, Policy Comments, and Group
|
|---|
| 15 | Comments are only printed if they exist for the policy/plan.
|
|---|
| 16 | IBCONSC-1
|
|---|
| 17 | *** Margin width of this output is 132 ***
|
|---|
| 18 | *** This output should be queued ***
|
|---|
| 19 | *** If queued, Outpatient Visits in Claims Tracking will be updated first ***
|
|---|
| 20 | IB - Patients with Insurance and
|
|---|
| 21 | Outpatient
|
|---|
| 22 | IBCONSC-2
|
|---|
| 23 | *Veterans with Reimbursable Insurance and
|
|---|
| 24 | OUTPATIENT Appointments
|
|---|
| 25 | INPATIENT
|
|---|
| 26 | : All Divisions Combined
|
|---|
| 27 | - Divisions Combined:
|
|---|
| 28 | This report will generate a list of insurance plans by company.
|
|---|
| 29 | It will help you identify duplicates and verify patient coverage.
|
|---|
| 30 | You must select one, many (up to 20) or all of the insurance companies;
|
|---|
| 31 | anywhere from one to all of the plans under each company; and whether to
|
|---|
| 32 | include the patient policies (subscribers) under each plan. The number of
|
|---|
| 33 | plans you select is independent for each company you are including, but
|
|---|
| 34 | subscriber selection is the same (all or none) for all companies and
|
|---|
| 35 | plans within a report. Regardless of how you run the report, the
|
|---|
| 36 | number of subscribers per plan will be included.
|
|---|
| 37 | No plans selected!
|
|---|
| 38 | IB - LIST OF PLANS BY INSURANCE COMPANY
|
|---|
| 39 | insurance company
|
|---|
| 40 | Insurance Company #
|
|---|
| 41 | ...building a list of plans...
|
|---|
| 42 | SELECT REPORT (1 OR 2):
|
|---|
| 43 | 1. List Insurance Plans by Company
|
|---|
| 44 | 2. List Insurance Plans by Company With Subscriber Information
|
|---|
| 45 | Ins. Companies;2:2. List Only Ins. Companies That You Select
|
|---|
| 46 | There are
|
|---|
| 47 | insurance companies associated with plans.
|
|---|
| 48 | 1. List All
|
|---|
| 49 | 2. List Only Ins. Companies That You Select
|
|---|
| 50 | Enter a code from the list: 1 or 2. Only insurance
|
|---|
| 51 | companies with one or more plans can be selected.
|
|---|
| 52 | plans. List all plans for each company
|
|---|
| 53 | If you say yes, the report will list all of the plans for each company.
|
|---|
| 54 | If you selected 2. List Insurance Plans by Company With Subscriber
|
|---|
| 55 | Information and 1. List All
|
|---|
| 56 | this will result in the most complete report possible. However, it
|
|---|
| 57 | may take awhile to run. If you say no, you must make plan selections
|
|---|
| 58 | for each individual company (anywhere from one plan to all).
|
|---|
| 59 | <NO SUBS ID>
|
|---|
| 60 | <NO GROUP NAME>
|
|---|
| 61 | <NO GROUP NUMBER>
|
|---|
| 62 | <STATE MISSING>
|
|---|
| 63 | Ins. Co.:
|
|---|
| 64 | <Street Addr. 1 Missing>
|
|---|
| 65 | ACTIVE COMPANY
|
|---|
| 66 | Number of Plans Selected =
|
|---|
| 67 | Total Subscribers Under Selected Plans =
|
|---|
| 68 | LIST OF PLANS BY INSURANCE COMPANY
|
|---|
| 69 | WITH SUBSCRIBER INFORMATION
|
|---|
| 70 | PLAN TOTAL=
|
|---|
| 71 | SUBSCRIBER TOTAL=
|
|---|
| 72 | BEN.
|
|---|
| 73 | SUBSCRIBER NAME/ID
|
|---|
| 74 | USED?
|
|---|
| 75 | GROUP NAME
|
|---|
| 76 | GROUP OR IND
|
|---|
| 77 | ACTIVE/INACTIVE
|
|---|
| 78 | ANN. BEN? BEN. USED?
|
|---|
| 79 | GROUP #:
|
|---|
| 80 | ANNUAL BENEFITS ON FILE:
|
|---|
| 81 | BENEFITS USED ON FILE:
|
|---|
| 82 | GROUP OR IND:
|
|---|
| 83 | ACTIVE?:
|
|---|
| 84 | NO. SUBSCRIBERS:
|
|---|
| 85 | This report will sort through insurance policies in the patient file
|
|---|
| 86 | and print patients, bills, and payments with an insurance policy source
|
|---|
| 87 | of information equal to pre-registration.
|
|---|
| 88 | Since this report has to loop through all patients and check all insurance
|
|---|
| 89 | policies, it is recommended this report be queued.
|
|---|
| 90 | Pre-Registration Source Report
|
|---|
| 91 | DATE*
|
|---|
| 92 | IBCN*
|
|---|
| 93 | End with Date:
|
|---|
| 94 | END DATE MUST BE GREATER THAN OR EQUAL TO THE START DATE.
|
|---|
| 95 | *** Selected date range from
|
|---|
| 96 | TOTAL NEW POLICIES IDENTIFIED WITH PRE-REGISTRATION:
|
|---|
| 97 | TOTAL INPATIENT BILLS COUNT:
|
|---|
| 98 | TOTAL INPATIENT PAYMENT COUNT:
|
|---|
| 99 | TOTAL OUTPATIENT BILLS COUNT:
|
|---|
| 100 | TOTAL OUTPATIENT PAYMENT COUNT:
|
|---|
| 101 | * Next to bill indicates bill is canceled and not used in totals
|
|---|
| 102 | * Next to payment indicates payment is canceled and not used in totals
|
|---|
| 103 | PRE-REGISTRATION SOURCE REPORT
|
|---|
| 104 | FOR THE DATE RANGE:
|
|---|
| 105 | Patient Source = Pre-Registration
|
|---|
| 106 | Source Date
|
|---|
| 107 | Bills Entered
|
|---|
| 108 | Bill Date
|
|---|
| 109 | Payments Collected
|
|---|
| 110 | Tran Number
|
|---|
| 111 | THERE ARE MORE THAN TEN VISITS DURING THE PERIOD THAT THIS STATEMENT COVERS.
|
|---|
| 112 | Select visits to include in this bill (1-
|
|---|
| 113 | Maximum of 30 visits allowed per bill!
|
|---|
| 114 | The visits already on the bill along with those selected total more than 30.
|
|---|
| 115 | THIS INSURANCE COMPANY WILL ONLY ACCEPT ONE VISIT PER BILL.
|
|---|
| 116 | YOU HAVE SELECTED VISIT(S) NUMBERED-
|
|---|
| 117 | Enter 'Y'es to include these visits.
|
|---|
| 118 | Enter 'N'o to reselect.
|
|---|
| 119 | Can't add OP Visit Date of
|
|---|
| 120 | Only 1 visit date allowed on bills with Amb. Surg. Codes!
|
|---|
| 121 | Adding OP Visit Date of
|
|---|
| 122 | <<<OUTPATIENT VISITS>>>
|
|---|
| 123 | VISIT DATE
|
|---|
| 124 | ELIG/MT
|
|---|
| 125 | BILL# - TYPE
|
|---|
| 126 | STOP CD/CLINIC
|
|---|
| 127 | Press return to continue,
|
|---|
| 128 | to exit display, or
|
|---|
| 129 | or a list or range separated with commas
|
|---|
| 130 | The number(s) must correspond to a visit.
|
|---|
| 131 | NO OUTPATIENT VISITS FOUND DURING THE PERIOD COVERED BY THIS STATEMENT
|
|---|
| 132 | ADMITTING/SCREENING
|
|---|
| 133 | OUTPATIENT VISIT DATE
|
|---|
| 134 | the total amount billed. Please note that you may no longer opt
|
|---|
| 135 | to transmit this report to the MCCR Program Office in VACO using
|
|---|
| 136 | You must select a date range in which bills to be used in the
|
|---|
| 137 | totals will be selected.
|
|---|
| 138 | Enter Start Date on Bill Search:
|
|---|
| 139 | Enter End Date on Bill Search:
|
|---|
| 140 | Enter number of insurance carriers to rank:
|
|---|
| 141 | Would you like this report sent to the MCCR Program Office
|
|---|
| 142 | RANK INSURANCE CARRIERS
|
|---|
| 143 | This report uses the date the bill was first printed to determine if the
|
|---|
| 144 | bill should be included in the accumulative total.
|
|---|
| 145 | Please enter the lower date range for the first printed date, which
|
|---|
| 146 | should be a past date on or after 10/1/86, or '^' to exit.
|
|---|
| 147 | Please enter the upper date range for the first printed date, which
|
|---|
| 148 | should be a past date on or after
|
|---|
| 149 | , or '^' to exit.
|
|---|
| 150 | This report will rank any number of insurance carriers (from 1 to 1000)
|
|---|
| 151 | for the total amount billed within a date range.
|
|---|
| 152 | Please enter a number between 1 and 1000, or '^' to exit.
|
|---|
| 153 | After the new fiscal year begins, this report should be generated for the
|
|---|
| 154 | previous fiscal year and transmitted to the MCCR Program Office. The data
|
|---|
| 155 | will be compiled nationally to determine which insurance carriers are the
|
|---|
| 156 | largest customers of VA. The compiled data will assist the Program Office
|
|---|
| 157 | in planning for future electronic billing systems.
|
|---|
| 158 | Even if you are planning to transmit a report to the Program Office, you
|
|---|
| 159 | should run this report once without transmitting to check the results.
|
|---|
| 160 | You may then re-run the report and transmit it centrally.
|
|---|
| 161 | CARRIER UNKNOWN
|
|---|
| 162 | Total Amount Billed to all Ranked Carriers:
|
|---|
| 163 | Sending the report in a bulletin to the MCCR Program Office...
|
|---|
| 164 | Ranking Of The Top
|
|---|
| 165 | Insurance Carriers By Total Amount Billed
|
|---|
| 166 | ** - denotes an inactive company
|
|---|
| 167 | Rank
|
|---|
| 168 | Insurance Carrier
|
|---|
| 169 | Total Amt Billed
|
|---|
| 170 | REPOINT PATIENTS TO
|
|---|
| 171 | The routine will delete the REPOINT PATIENTS TO field of the entry
|
|---|
| 172 | in the INSURANCE COMPANY file (#36) if the field entry is pointing
|
|---|
| 173 | back to itself (same IEN).
|
|---|
| 174 | A dot (.) will appear for every 50 records processed.
|
|---|
| 175 | records changed.
|
|---|
| 176 | RANKING INSURANCE CARRIERS
|
|---|
| 177 | Page: 1 of 1
|
|---|
| 178 | PRQC IBINS:
|
|---|
| 179 | DUZ(0) must also be defined to run this routine.
|
|---|
| 180 | S.PRQC SERVER IBINS@ISC-ALBANY.VA.GOV
|
|---|
| 181 | This job will compile a ranking of all your insurance carriers by the total
|
|---|
| 182 | number of claims billed from
|
|---|
| 183 | . The compilation will be
|
|---|
| 184 | uploaded into a mail message and sent to the MCCR National Database where
|
|---|
| 185 | it will be re-formatted in a PC-downloadable format and sent to the
|
|---|
| 186 | MCCR Program Office. This mail message will also be sent to you.
|
|---|
| 187 | *** Please note ***
|
|---|
| 188 | You appear to be executing this routine in a test account.
|
|---|
| 189 | The mail message will only be sent to you.
|
|---|
| 190 | Do you want to queue this job now
|
|---|
| 191 | IB - RANKING CARRIERS (FROM IRM)
|
|---|
| 192 | INPATIENT BEDSECTION STAY
|
|---|
| 193 | INPATIENT DRG
|
|---|
| 194 | Updating Bill Mailing Address
|
|---|
| 195 | IBCRC-INDT
|
|---|
| 196 | Charge calculated
|
|---|
| 197 | Miles
|
|---|
| 198 | SubUnits
|
|---|
| 199 | with a Base Charge=
|
|---|
| 200 | Removing old Revenue Codes and Rate Schedules...
|
|---|
| 201 | Updating Revenue Codes and Charges
|
|---|
| 202 | Rev Code
|
|---|
| 203 | Bedsection
|
|---|
| 204 | Adding
|
|---|
| 205 | RC FACILITY
|
|---|
| 206 | Multiple Surgical Procedure Discount
|
|---|
| 207 | Primary/Secondary Discount
|
|---|
| 208 | RC PHYSICIAN
|
|---|
| 209 | Rate Schedules available for an
|
|---|
| 210 | Inpatient
|
|---|
| 211 | Enter the number (1-
|
|---|
| 212 | ) preceding the Rate Schedule/Charge Sets that apply to this bill. All associated charges will be added to the bill.
|
|---|
| 213 | * - these charges are available to be added to this bill if selected here,
|
|---|
| 214 | but will not be added when the bills charges are automatically calculated.
|
|---|
| 215 | s - the items these charges are associated with must be specifically
|
|---|
| 216 | selected here, they do not relate to any item on the bill.
|
|---|
| 217 | If the bill's charge type is exclusively institutional or professional then
|
|---|
| 218 | only sets of charges with a corresponding type will be added when the bills
|
|---|
| 219 | charges are automatically calculated. On this screen these charges will be
|
|---|
| 220 | displayed in the first set and used as the selection default.
|
|---|
| 221 | Select Schedule Charges to ADD to the bill:
|
|---|
| 222 | , there are
|
|---|
| 223 | No Rate Schedules with charges defined
|
|---|
| 224 | Therefore charges can not be calculated for this bill (
|
|---|
| 225 | Select items from
|
|---|
| 226 | to add to the bill's charges:
|
|---|
| 227 | No items selected, press return to continue
|
|---|
| 228 | The following items have been selected to add to the bill's charges:
|
|---|
| 229 | Add these Charges to the Bill
|
|---|
| 230 | Charge:
|
|---|
| 231 | Total:
|
|---|
| 232 | Enter the number of units of service (accommodation days, miles, treatments, etc.) rendered to or for this patient for this service.
|
|---|
| 233 | This is the number times this service was provided to the patient.
|
|---|
| 234 | This number will be multiplied by the service CHARGE to determine
|
|---|
| 235 | the TOTAL charges for this service. Enter a positive whole number.
|
|---|
| 236 | Enter the division where this service took place.
|
|---|
| 237 | This Charge Set has a Billing Region, therefore all services must be
|
|---|
| 238 | associated with one of that region's divisions for a charge to be applied.
|
|---|
| 239 | Only Divisions associated with the Charge Sets Billing Region
|
|---|
| 240 | will be allowed. If the correct division is not in the
|
|---|
| 241 | list then this service does not have a charge in this set, enter '^'.
|
|---|
| 242 | The bills Default Division is:
|
|---|
| 243 | Enter the Revenue Code to associate with this charge on the bill.
|
|---|
| 244 | The Charge Set Default Revenue Code is
|
|---|
| 245 | The Charge Item Default Revenue Code is
|
|---|
| 246 | IBCRC-PTF
|
|---|
| 247 | IBCRC-DIV
|
|---|
| 248 | IBCRCSx
|
|---|
| 249 | Items and Charges on this Bill (
|
|---|
| 250 | Auto Add)
|
|---|
| 251 | Charge Set
|
|---|
| 252 | Div
|
|---|
| 253 | RvCd
|
|---|
| 254 | >>> Bill Division is Freestanding Non-Provider with Professional Charges only.
|
|---|
| 255 | ) not billed using DRG
|
|---|
| 256 | Nursing
|
|---|
| 257 | , use SNF.
|
|---|
| 258 | Observa
|
|---|
| 259 | , use Procedures.
|
|---|
| 260 | Search for Procedure Charges for
|
|---|
| 261 | No Rate Schedules with Procedure charges assigned to this bill.
|
|---|
| 262 | no charge found...
|
|---|
| 263 | **** INACTIVATE CHARGES FOR ALL CURRENTLY INACTIVE CPTS ****
|
|---|
| 264 | For all Charge Sets based on CPT procedures, this option will add an
|
|---|
| 265 | Inactive Date to each Charge Item that is a currently Inactive CPT code.
|
|---|
| 266 | All charges for currently Inactive CPT codes will become inactive
|
|---|
| 267 | on the CPT Inactive Date.
|
|---|
| 268 | Is this correct, do you want to continue
|
|---|
| 269 | None inactivated
|
|---|
| 270 | Beginning Inactivations
|
|---|
| 271 | charges inactivated
|
|---|
| 272 | BILLING RATE
|
|---|
| 273 | Charges for Inactive CPT's
|
|---|
| 274 | Charges for Inactive CPT's
|
|---|
| 275 | **** DELETE INACTIVE CHARGE ITEMS FROM A CHARGE SET ****
|
|---|
| 276 | For a given Charge Set, this option allows deletion of all chargable items
|
|---|
| 277 | that have been inactivated or replaced before a certain date.
|
|---|
| 278 | Since all charges for a billing rate and date range may be deleted with
|
|---|
| 279 | this option, caution is advised.
|
|---|
| 280 | The Charge Set to delete Charge items from:
|
|---|
| 281 | Delete ALL charges for this Charge Set
|
|---|
| 282 | RC-
|
|---|
| 283 | Enter Yes to delete the Charge Set and it's links with Rate Schedules and Special Groups. The sets Region will also be deleted if not associated with another set.
|
|---|
| 284 | Also delete the Charge Set
|
|---|
| 285 | All charges inactive before this date will be deleted:
|
|---|
| 286 | Select INACTIVE DATE
|
|---|
| 287 | No deletions
|
|---|
| 288 | All charges
|
|---|
| 289 | inactive before
|
|---|
| 290 | will be deleted.
|
|---|
| 291 | Beginning Deletions
|
|---|
| 292 | charges deleted.
|
|---|
| 293 | Charges (to be deleted) in
|
|---|
| 294 | inactive before
|
|---|
| 295 | (ALL CHARGES IN SET)
|
|---|
| 296 | Delete Charges Report
|
|---|
| 297 | Charges to be deleted
|
|---|
| 298 | , Region Deleted
|
|---|
| 299 | CAUTION: This is a standard file with entries released nationally, do not add or
|
|---|
| 300 | modify unless necessary. Changing the Name or AR Category or if it is
|
|---|
| 301 | a Third Party rate type will effect processing of claims.
|
|---|
| 302 | Enter/Edit a Rate Type:
|
|---|
| 303 | #################### #################### ####################
|
|---|
| 304 | #################### #################### ####################
|
|---|
| 305 | #################### #################### ####################
|
|---|
| 306 | #################### #################### ####################
|
|---|
| 307 | #################### #################### ####################
|
|---|
