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