| 1 | English French  Notes   Complete/Exclude | 
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| 2 | Billing Rate: | 
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| 3 | Type of Charge. | 
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| 4 | Charge Set: | 
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| 5 | Charges for a specific Billing Rate, broken down by | 
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| 6 | type of event to be billed/charged. | 
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| 7 | Charge Item:       The individual items for a Set | 
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| 8 | and their charge amounts. | 
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| 9 | Billing Region:    The region or divisions the | 
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| 10 | charges apply to. | 
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| 11 | Rate Schedule: | 
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| 12 | Definition of charges billable to specific payers. | 
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| 13 | Link between Charge Sets and Rate Types. | 
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| 14 | Once the Rate Type is set for a bill, the | 
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| 15 | Rate Schedule will be used to find all charges to | 
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| 16 | add to the bill. | 
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| 17 | Special Groups: | 
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| 18 | Special requirements that are applied when charges are | 
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| 19 | calculated for a bill: | 
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| 20 | Revenue Code links to care provided | 
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| 21 | Provider discounts | 
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| 22 | IBCR BILLING REGION | 
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| 23 | Regions/localities covered by the same charges | 
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| 24 | Institution: | 
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| 25 | No Billing Regions defined | 
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| 26 | IBCR CHARGE ITEM | 
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| 27 | Default Revenue Code: | 
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| 28 | items billable to Charge Set | 
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| 29 | on or before | 
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| 30 | on or after | 
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| 31 | The Billing Rate of this Set has no Billable Item defined, therefore no | 
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| 32 | Charge Items may be defined for it.  (The charges may be calculated amounts.) | 
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| 33 | No Charge Items defined for this Set. | 
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| 34 | has no charges for this set. | 
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| 35 | No Charge Item chosen for display: | 
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| 36 | - Non-bedsection type Items must be specifically chosen for display. | 
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| 37 | - Use the CI action and select an item to display. | 
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| 38 | This set has no charges in this date range. | 
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| 39 | has no charges for this set in this date range. | 
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| 40 | Select a billable | 
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| 41 | to display for Charge Set | 
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| 42 | IBCR SPECIAL GROUPS | 
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| 43 | Group Type: | 
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| 44 | No Special Groups | 
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| 45 | IBCR REVENUE CODE LINK | 
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| 46 | Revenue Codes linked to | 
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| 47 | * revenue code used on a bill for | 
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| 48 | applied to bills for: | 
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| 49 | No Revenue Code links for this CPT. | 
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| 50 | IBCR PROVIDER DISCOUNT | 
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| 51 | Provider Discounts for | 
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| 52 | Provider Type: | 
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| 53 | No Person Class Assigned | 
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| 54 | No Provider Discounts for this Group | 
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| 55 | IBCR BILLING RATE | 
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| 56 | No Billing Rates defined | 
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| 57 | IBCR RATE SCHEDULE | 
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| 58 | Link types of payers and charges | 
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| 59 | ~ charges not auto added to bills | 
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| 60 | (if base $=100, adjusted $= | 
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| 61 | No Rate Schedules defined | 
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| 62 | IBCR RATE TYPE | 
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| 63 | This is a Standard file with entries released nationally. | 
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| 64 | Rate Type: | 
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| 65 | Bill Name: | 
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| 66 | Abbreviation: | 
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| 67 | Third Party?: | 
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| 68 | Inactive: | 
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| 69 | AR Category: | 
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| 70 | Who's Respns: | 
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| 71 | RI Statement?: | 
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| 72 | NSC Statement?: | 
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| 73 | No Rate Types defined | 
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| 74 | ****** Charge Item Report ****** | 
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| 75 | This report will list all charges that are effective within a date range. | 
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| 76 | First sort by | 
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| 77 | Select a single item to display or press return for all items. | 
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| 78 | Charges effective beginning on | 
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| 79 | Charges effective ending on | 
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| 80 | CHARGE SET: | 
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| 81 | Charge Item | 
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| 82 | Effective Inactive | 
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| 83 | Effective Inactive | 
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| 84 | Charge Item | 
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| 85 | Charge Set | 
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| 86 | Charge       Rv Cd | 
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| 87 | Charge         Rv Cd | 
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| 88 | Charge Item Report | 
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| 89 | Charges for | 
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| 90 | Charges by Set for | 
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| 91 | Enter 'Y' for a list of all Providers in a discount group. Enter 'N' for a list of discount groups. | 
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| 92 | Print report by Provider | 
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| 93 | Sort Report By | 
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| 94 | IB Provider Discount List | 
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| 95 | BILLING PROVIDER DISCOUNT LIST | 
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| 96 | PROVIDER TYPE | 
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| 97 | VA Code | 
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| 98 | Subspecialty | 
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| 99 | BILLING PROVIDER DISCOUNT LIST FOR PROVIDERS | 
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| 100 | SPECIAL GROUP: | 
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| 101 | PERSON CLASS: | 
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| 102 | Charge Master Reports: | 
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| 103 | Report requires 120 columns. | 
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| 104 | BILL SERVICE | 
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| 105 | CHARGES ADJUSTED | 
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| 106 | Caution: This report may be extremely long for some Charge Sets. | 
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| 107 | Some Charge Sets, such as CMAC or AWP, may have many thousands of Charge Items. | 
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| 108 | THIRD PARTY BILL? | 
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| 109 | REIMB INS? | 
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| 110 | This report is for reference only, the rates and charges in this report are no | 
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| 111 | longer used.  They have been replace by the rates in the Charge Master. | 
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| 112 | Already being edited by another user | 
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| 113 | WANT TO RETURN BILL TO A/R AT THIS TIME | 
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| 114 | YES - To set the status to Returned | 
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| 115 | Select BEDSECTION: | 
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| 116 | Select CPT: | 
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| 117 | Select NDC #: | 
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| 118 | Select DRG: | 
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| 119 | Select MISCELLANEOUS Item: | 
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| 120 | TORTIOUSLY LIABLE | 
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| 121 | Charge Type: | 
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| 122 | Billing Event: | 
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| 123 | Default Rev Cd: | 
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| 124 | Billing Rate: | 
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| 125 | Default Bed: | 
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| 126 | Region: | 
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| 127 | All Charge Items will use Rev Code | 
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| 128 | if one is not specified for the Item. | 
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| 129 | A Default Rev Code is not specified, one will be required for each Item. | 
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| 130 | All items billable to the | 
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| 131 | Billing Rate must be | 
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| 132 | Billing Rate charges are calculated, there are no Charge Items. | 
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| 133 | Set: | 
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| 134 | Date of Death: | 
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| 135 | NO ALIAS ON FILE | 
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| 136 | Pt Short | 
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| 137 | SC Care: | 
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| 138 | (Enter '7' to list disabilites) | 
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| 139 | Rate Type  : | 
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| 140 | Form Type: | 
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| 141 | Responsible: | 
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| 142 | Payer Sequence: | 
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| 143 | Bill Payer : | 
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| 144 | MRA NEEDED FROM MEDICARE | 
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| 145 | Transmit: | 
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| 146 | No- | 
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| 147 | Forced to print local | 
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| 148 | MRA not active | 
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| 149 | EDI not active | 
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| 150 | Rate typ transmit off | 
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| 151 | Ins. co transmit off | 
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| 152 | Failed RULE # | 
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| 153 | Inst. Name : | 
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| 154 | UNKNOWN INSTITUTION | 
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| 155 | Insurance : NO REIMBURSABLE INSURANCE INFORMATION ON FILE | 
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| 156 | [Add Insurance Information by entering '1' at the prompt below] | 
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| 157 | Whose | 
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| 158 | **Patient has additional insurance - use ?INS to see the entire list | 
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| 159 | ORGAN DONOR | 
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| 160 | Facility ID #s: | 
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| 161 | Secondary: | 
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| 162 | Tertiary : | 
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| 163 | Mailing Address : | 
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| 164 | Electronic ID: | 
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| 165 | NO MAILING ADDRESS HAS BEEN SPECIFIED! | 
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| 166 | Send Bill to PAYER listed above. | 
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| 167 | 'MAIL TO' PERSON/PLACE UNSPECIFIED | 
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| 168 | STREET ADDRESS UNSPECIFIED | 
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| 169 | CITY UNSPECIFIED | 
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| 170 | STATE UNSPECIFIED | 
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| 171 | ZIP UNSPECIFIED | 
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| 172 | Ins | 
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| 173 | WILL NOT REIMBURSE | 
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| 174 | Policy #: | 
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| 175 | Grp #: | 
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| 176 | Rel to Insd: | 
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| 177 | Grp Nm: | 
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| 178 | Insd Sex: | 
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| 179 | Insured: | 
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| 180 | (Patient has Medicare) | 
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| 181 | UNSPECIFIED CODE | 
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| 182 | No PTF record for this ADMISSION | 
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| 183 | PTF record status: OPEN | 
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| 184 | Accident Hour: | 
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| 185 | Source     : | 
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| 186 | Status     : | 
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| 187 | Other Diag.: | 
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| 188 | ***There are more diagnoses associated with this bill.*** | 
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| 189 | ICD-9-CM | 
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| 190 | CPT-4 | 
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| 191 | Pro. Code  : | 
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| 192 | CPT Code   : | 
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| 193 | ICD Code   : | 
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| 194 | HCFA Code  : | 
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| 195 | Occ. Code  : | 
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| 196 | Cond. Code : | 
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| 197 | Value Code : | 
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| 198 | SNF Care   : UNSPECIFIED [NOT REQUIRED] | 
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| 199 | SNF Care | 
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| 200 | SUB-ACUTE | 
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| 201 | Sub-Acute | 
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| 202 | Unknown | 
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| 203 | NO DX CODES ENTERED FOR THIS DATE | 
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| 204 | NO PRO CODES ENTERED FOR THIS DATE | 
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| 205 | DIAGNOSIS SCREEN | 
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| 206 | * No DIAGNOSIS CODES in PTF record for this episode of care. | 
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| 207 | date of service | 
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| 208 | Move: | 
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| 209 | <RETURN> to see more | 
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| 210 | codes or '^' to QUIT: | 
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| 211 | Enter <RETURN> to view more | 
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| 212 | movement dates and diagnosis | 
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| 213 | or '^' to stop the display. | 
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| 214 | OPERATION/PROCEDURE | 
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| 215 | OPERATION/PROCEDURE SCREEN | 
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| 216 | Non-O/R Procedure Date: | 
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| 217 | * No PROCEDURE CODES in PTF record for this episode of care. | 
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| 218 | ICD PROCEDURE CODE ( | 
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| 219 | PROCEDURE DATE ( | 
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| 220 | DIAGNOSIS CODE ( | 
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| 221 | You may only choose codes found in PTF record! | 
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| 222 | Select ICD DIAGNOSIS | 
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| 223 | Enter a diagnosis for this bill.  Duplicates are not allowed. Only codes active on | 
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| 224 | Only diagnosis codes active on | 
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| 225 | , no duplicates for a bill, and bill must not be authorized or cancelled. | 
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| 226 | The Diagnosis code is inactive for the date of service ( | 
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| 227 | This diagnosis was removed as a procedure diagnosis. | 
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| 228 | -----------------  Existing Diagnoses for Bill  ----------------- | 
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| 229 | Enter the number preceding the Diagnosis you want added to the bill. | 
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| 230 | Multiple entries may be added separated by commas or ranges separated by a dash. | 
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| 231 | The diagnosis will be added to the bill with a print order corresponding to its position in this list. | 
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| 232 | SELECT NEW DIAGNOSES TO ADD THE BILL | 
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| 233 | YOU HAVE SELECTED | 
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| 234 | TO BE ADDED TO THE BILL IS THIS CORRECT | 
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| 235 | ============================= DIAGNOSIS SCREEN ============================== | 
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| 236 | SELECT DIAGNOSIS FROM THE PTF RECORD TO INCLUDE ON THE BILL | 
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| 237 | Enter the alphanumeric preceding the diagnosis you want added to the bill. | 
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| 238 | To enter more than one separate them by a comma or within a movement use a | 
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| 239 | range separated by a dash.  * indicates the diagnosis is already on the bill. | 
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| 240 | The print order for each diagnosis will be determined by the order in this list. | 
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| 241 | TO BE ADDED TO THE BILL | 
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| 242 | Move | 
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| 243 | No DX Codes Entered For | 
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| 244 | *** No DRG for Charges *** | 
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| 245 | Not In Bill Range | 
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| 246 | Discharge:  NOT DISCHARGED | 
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| 247 | =============================== Diagnosis Screen =============================== | 
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| 248 | Enter Yes to delete all Diagnosis currently defined for a bill, including any CPT Associated Diagnosis. | 
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| 249 | DELETE ALL DIAGNOSIS ON BILL, INCLUDING CPT ASSOCIATED DIAGNOSIS | 
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| 250 | Event Date : | 
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| 251 | OP Visits  : | 
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| 252 | Opt. Code  : | 
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| 253 | ***There are more procedures associated with this bill.*** | 
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| 254 | *** There are more Pros. Items associated with this bill.*** | 
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| 255 | *** There are more Rx. Refills associated with this bill.*** | 
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| 256 | This rx fill does not exist in Pharmacy for this patient! | 
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| 257 | The prescription number for the fill. | 
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| 258 | Select RX FILL | 
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| 259 | ADD/EDIT RX FILL | 
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| 260 | Select RX FILL DATE | 
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| 261 | -----------------  Existing Prescriptions on Bill  ----------------- | 
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| 262 | (Rx Procedure | 
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| 263 | Rev Code | 
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| 264 | This prosthetic item does not exist in this patients prosthetics record. | 
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| 265 | Enter the date the item was delivered to the patient | 
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| 266 | Select ITEM DELIVERY DATE | 
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| 267 | Select PROSTHETIC ITEM | 
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| 268 | -----------------  Existing Prosthetic Items for Bill  ----------------- | 
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| 269 | PROSTHETICS SCREEN | 
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| 270 | PRESCRIPTIONS IN DATE RANGE | 
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| 271 | Enter the number preceding the RX Fills you want added to the bill. | 
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| 272 | SELECT NEW RX FILLS TO ADD THE BILL | 
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| 273 | If an Rx fill has been assigned to another bill it will be displayed in the last column.  [ORG=Original Fill, NR=Not Released, RTS=Returned to Stock, OTC=Over-the-Counter, INV=Investigational, SUP=Supply Item] | 
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| 274 | Bill Type   : | 
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| 275 | Loc. of Care: | 
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| 276 | Covered Days: | 
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| 277 | Bill Classif: | 
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| 278 | Non-Cov Days: | 
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| 279 | Timeframe: | 
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| 280 | Charge Type : | 
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| 281 | Form Type   : | 
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| 282 | Co-Insur Days: | 
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| 283 | Provider # : | 
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| 284 | Assignment: | 
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| 285 | NOT COMPLETED | 
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| 286 | STATUS UNKNOWN | 
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| 287 | Pow of Atty : | 
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| 288 | LOS         : | 
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| 289 | Too many Revenue Codes to display, enter '5' to list | 
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| 290 | Non-Cov: | 
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| 291 | Rate Sched  : (re-calculate charges) | 
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| 292 | Prior Payments: | 
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| 293 | Prior Claims: | 
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| 294 | Bill From   : | 
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| 295 | Bill To: | 
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| 296 | Rev. Code | 
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| 297 | NO OFFSET RECORDED | 
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| 298 | OFFSET DESCRIPTION UNSPECIFIED | 
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| 299 | BILL TOTAL | 
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| 300 | Disch Stat: | 
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| 301 | OP Visits   : | 
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| 302 | Bill Remark    : | 
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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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