| [604] | 1 | English French Notes Complete/Exclude
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| 2 | Number of Incomplete Veteran Regs:
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| 3 | Number of Incomplete Non-Veteran Regs:
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| 4 | Number of Deceased Patients:
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| 5 | Select: '<CR>' to print the trend report without regard to
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| 6 | 'Y' to select those divisions for which a separate
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| 7 | trend report should be created
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| 8 | '^' to quit
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| 9 | OPT. MEDICAL
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| 10 | OPT. DENTAL
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| 11 | This report measures the number of patients who have been treated at the
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| 12 | facility but whose eligibility has not been verified. This report will
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| 13 | also list patients with verified eligibility for at least 2 years, if any.
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| 14 | IB - UNVERIFIED ELIGIBILITY
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| 15 | Unverified Eligibility Report
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| 16 | S:IBQ SDSTOP=1 I 'IBQ,$$ENCHK^IBJDI5(Y0) D ENC^IBJDI21(Y0,.IBQUERY1)
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| 17 | S IBDTF=Y0\1 S:IBDTF>IBLT IBLT=IBDTF I IBDTF'<IBBDT,IBDTF'>IBEDT S IBNUMO=IBNUMO+1
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| 18 | There were no patients treated in this date range with unverified eligibility.
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| 19 | Veterans with Unverified Eligibilities
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| 20 | Patients who were treated in the period
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| 21 | # Opt # Last Nxt Sched Date of
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| 22 | Patient (*=Had inpt. care)
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| 23 | Eligibility Status
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| 24 | Visits Disc Seen Visit/Adm Death
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| 25 | VETERANS WITH UNVERIFIED ELIGIBILITY
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| 26 | Patients treated from
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| 27 | Number of Patients Treated:
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| 28 | Number of Patients with Verified Eligibility:
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| 29 | Number of Patients Whose Verified Eligibility Date
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| 30 | is At Least 2 Years Old (from above total):
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| 31 | Number of Patients with a Pending Eligibility:
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| 32 | Number of Patients Not Verified:
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| 33 | This report provides a measure of the number of veteran patients who
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| 34 | have been identified as being employed, but have no employer on file.
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| 35 | IB - NO EMPLOYER LISTING
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| 36 | No Employer Listing
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| 37 | S IBOED=Y0,IBDT=+IBOED,IBDTF=IBDT\1 S:IBDTF>IBLT IBLT=IBDTF
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| 38 | Patients without an employer treated in the period
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| 39 | ('*' = Had inpatient care)
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| 40 | Employment Status
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| 41 | Last Trmt Date
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| 42 | NO EMPLOYER LISTING
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| 43 | Number of Patients Employed without an Employer:
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| 44 | Number of Patients Unemployed or with an Employer:
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| 45 | *This is the total number of veterans who have no employer on file, but
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| 46 | have an employment status of Full-Time, Part-Time, Retired, Unknown or
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| 47 | This report provides the number of patients who have been treated,
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| 48 | but not identified as having or not having insurance.
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| 49 | Print 1-MAIN REPORT or 2-LINE ITEM REPORTS: 1//
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| 50 | LINE ITEM REPORTS
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| 51 | MAIN REPORT
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| 52 | Do you want the patient's remarks to print on the report
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| 53 | IB - PATIENTS WITH UNIDENTIFIED INSURANCE
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| 54 | Select: '1' to print the Patients w/Unidentified Insurance Report
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| 55 | '2' to print up to nine specific reports based on the line items
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| 56 | of the summary report
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| 57 | HEALTH MAINTENANCE ORGANIZ
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| 58 | POINT OF SERVICE
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| 59 | PREPAID GROUP PRACTICE PLAN
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| 60 | MEDICARE (M)
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| 61 | MEDICARE/MEDICAID (MEDI-CAL)
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| 62 | MEDIGAP (SUPPLEMENTAL)
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| 63 | INCOME PROTECTION (INDEMNITY)
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| 64 | HEALTH MAINTENANCE ORG.
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| 65 | Patients with Unidentified Insurance Report
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| 66 | There were no
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| 67 | during this period.
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| 68 | Patients treated in the period
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| 69 | NOTE: *=Had inpatient care, +=Billable insurance
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| 70 | Home
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| 71 | PATIENT INSURANCE STATISTICS
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| 72 | Number of Patients Covered by Insurance:
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| 73 | No. of Patients Covered by Billable Insurance:
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| 74 | Number of Patients Covered by an HMO:
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| 75 | Number of Patients Covered by Medicare:
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| 76 | Number of Patients Covered by Medigap:
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| 77 | No. of Patients Covered by an Indemnity Policy:
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| 78 | Number of Patients Not Covered by Insurance:
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| 79 | Number of Patients with Unknown Insurance:
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| 80 | No. of Patients w/Insurance Question Unanswered:
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| 81 | *(% from patients treated-% from patients with insurance)
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| 82 | **(% from patients treated-% from patients w/ins-% from patients w/billable ins)
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| 83 | This report provides a number of the insurance policies which were
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| 84 | entered into the system within a given timeframe, but were never verified.
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| 85 | Do you want to print a
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| 86 | separate report for
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| 87 | total number of
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| 88 | policies that were verified
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| 89 | over a year ago
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| 90 | IB - INSURANCE POLICIES NOT VERIFIED
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| 91 | Insurance Policies Not Verified
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| 92 | NO CARE OR TREATMENT REQUIRED
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| 93 | All policies within the selected date range have been verified.
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| 94 | Insurance Policies
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| 95 | Verified Over a Year Ago
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| 96 | For Patients treated for the period
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| 97 | ('*' = Had inpatient care)
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| 98 | Policy Entered By Date Entered
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| 99 | Policy
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| 100 | Verif'd
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| 101 | INSURANCE POLICIES NOT VERIFIED
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| 102 | /VERIFIED OVER 1 YEAR
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| 103 | For Patients treated from
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| 104 | Number of Policies Verified:
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| 105 | Number of Policies Verified Over a Year Ago:
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| 106 | Number of Policies Not Verified:
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| 107 | This report provides a number of the NSC inpatient episodes for SC veterans
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| 108 | which have and have not been billed.
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| 109 | IB - SC VETS W/ NSC EPISODES
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| 110 | SC Vets w/NSC Episodes
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| 111 | All NSC episodes for SC veterans in the selected date range have been billed.
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| 112 | There were no NSC episodes found in the selected date range.
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| 113 | Insured SC Vets w/ Unbilled NSC Care
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| 114 | For Patients discharged in the period
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| 115 | PTF Status
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| 116 | Adm Date
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| 117 | Disc Date
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| 118 | INSURED SC VETERANS W/ UNBILLED NSC INPATIENT EPISODES
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| 119 | For Patients discharged from
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| 120 | Number of Discharges of Insured SC Veterans:
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| 121 | Discharges Which were totally Service-Connected:
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| 122 | Discharges Which included Non-Service Connected Care:
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| 123 | Number of NSC Discharges Which were Billed:
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| 124 | Number of NSC Discharges Flagged as Non-Billable:
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| 125 | Number of Unbilled NSC Discharges:
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| 126 | Unbilled NSC Discharges w/ PTF Status of
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| 127 | Outpatient Services that are provided in the Medical Center.
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| 128 | IB - OUTPATIENT WORKLOAD REPORT
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| 129 | S:IBQ SDSTOP=1 D:'IBQ ENC^IBJDI7(Y,Y0)
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| 130 | Outpatient Workload Report
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| 131 | TOT-A
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| 132 | TOT-I
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| 133 | NSC-A
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| 134 | NSC-I
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| 135 | SC-A
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| 136 | SC-I
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| 137 | SCS-A
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| 138 | SCN-A
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| 139 | OUTPATIENT ENCOUNTER WORKLOAD -
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| 140 | ALL ENCOUNTERS
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| 141 | INSURED ENCOUNTERS ONLY
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| 142 | SUMMARY REPORT FOR
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| 143 | ALL DIVISIONS
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| 144 | Insured
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| 145 | Outpatient Encounters from
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| 146 | Number of Outpatient Encounters:
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| 147 | Number of Encounters for NSC Veterans:
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| 148 | Number of Encounters for SC Veterans:
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| 149 | Number of Service Connected Encounters for SC Veterans:
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| 150 | Number of Non-Svc. Connected Encounters for SC Veterans:
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| 151 | Percentage of Insured Outpatient Encounters for
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| 152 | All Divisions
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| 153 | This Division
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| 154 | Enter RETURN to summarize all outpt. encounters without regard to
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| 155 | division, or 'Yes' to select those divisions for which a separate
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| 156 | summary report should be created.
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| 157 | which are conducted in the Medical Center.
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| 158 | Note: This report may take a while to run.
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| 159 | IB - UTILIZATION WORKLOAD REPORT
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| 160 | Utilization Workload Report
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| 161 | UTILIZATION WORKLOAD
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| 162 | For Reviews from
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| 163 | Total Number of Admissions:
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| 164 | Total Number of Admissions with Insurance:
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| 165 | SC:
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| 166 | NSC:
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| 167 | Total Number of Admission Reviews completed
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| 168 | on Insurance Patients (including pre-certifications):
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| 169 | Total Number of Continued Stay Reviews completed:
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| 170 | Total Number of Admission Denials by Insurance Companies:
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| 171 | Total Number of Continued Stay Denials by Insurance Companies:
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| 172 | Total Number of days denied by Insurance Companies:
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| 173 | Total Number of Appealed Cases:
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| 174 | IBJP AUTO BILLING
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| 175 | GENERAL PARAMETERS
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| 176 | Auto Biller Frequency:
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| 177 | Date Last Completed:
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| 178 | Inpatient Status:
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| 179 | Automate Billing:
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| 180 | Billing Cycle:
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| 181 | Days Delay:
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| 182 | Parameter set not found.
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| 183 | IBJP CLAIMS TRACKING
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| 184 | Tracking Parameters
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| 185 | Track Inpatient:
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| 186 | Track Outpatient:
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| 187 | Track Rx:
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| 188 | Track Prosthetics:
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| 189 | Reports Can Add CT:
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| 190 | Random Sample Parameters
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| 191 | Medicine Sample:
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| 192 | Medicine Admissions:
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| 193 | Surgery Sample:
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| 194 | Surgery Admissions:
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| 195 | Psych Sample:
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| 196 | Psych Admissions:
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| 197 | General Parameters
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| 198 | Initialization Date:
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| 199 | Use Admission Sheet:
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| 200 | Header Line 1:
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| 201 | Header Line 2:
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| 202 | Header Line 3:
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| 203 | IBJP IIV SITE PARAMETERS
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| 204 | This screen displays all of the eIIV Site Parameters used to manage the
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| 205 | eIIV application used for Insurance Identification and Verification.
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| 206 | The first section, General Parameters, concerns overall parameters
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| 207 | for monitoring the interface and retrying communication timeouts.
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| 208 | The second section, Batch Extracts, concerns extract specific parameters
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| 209 | including active status, selection criteria and maximum records extracted
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| 210 | per day.
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| 211 | The third section, Patients without Insurance, concerns whether or not
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| 212 | identification inquiries should be made for patients without insurance on
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| 213 | inactive policies or the Most Popular Insurance Companies list below to see if
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| 214 | the patient is covered by one of those companies.
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| 215 | The final section, Most Popular Insurance Companies, is a generated list
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| 216 | of the most popular insurance companies for a given date range. This list
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| 217 | is based on the quantity of authorized bills generated by insurance company
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| 218 | for the date range. The columns display whether or not the insurance
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| 219 | company is associated with a payer that is locally active or nationally
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| 220 | active. The locally active flag can be updated by the site as long as
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| 221 | the eIIV application has not been deactivated. The nationally active flag
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| 222 | is only updated by the Eligibility Communicator. Both flags must be set
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| 223 | to YES for an insurance inquiry to be transmitted to the Eligibility
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| 224 | Communicator.
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| 225 | Send daily statistical report via MailMan:
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| 226 | Time of day for daily statistical report:
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| 227 | Mail Group for eIIV messages:
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| 228 | HL7 Response Processing Method:
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| 229 | HL7 Batch Start Time:
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| 230 | HL7 Batch Stop Time:
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| 231 | Daily Maximum HL7 Messages:
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| 232 | Contact Person:
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| 233 | How many days designates a communication timeout?
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| 234 | After a communication timeout, retry how many times?
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| 235 | After each communication timeout, send a MailMan message?
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| 236 | After all retries are exhausted, send a MailMan message?
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| 237 | Return all known ins. when validating specific ins. records?
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| 238 | Batch Extracts
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| 239 | Extract Selection Maximum # to Suppress
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| 240 | Name On/Off Criteria Extract/Day Buffer
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| 241 | Patients Without Insurance
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| 242 | Look at a patient's inactive insurance?
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| 243 | Attempt inquiry by most popular insurance companies?
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| 244 | How many insurance companies to try?
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| 245 | Most Popular Insurance Companies
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| 246 | List Date:
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| 247 | Compile Date:
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| 248 | Locally Nationally
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| 249 | Active? Active?
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| 250 | *** NO DATA FOUND!!!! ***
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| 251 | An insurance company will not be available for electronic identification
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| 252 | if the associated payer does not have a National ID or is not locally
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| 253 | Searching active tasks for Most Popular Insurance Companies Background job.
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| 254 | The Most Popular Companies Background Compile is currently active, please retry later.
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| 255 | Most Popular Insurance Company Calculation
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| 256 | Please enter a date range for the calculation of the most popular
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| 257 | insurance companies.
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| 258 | Please enter a valid start date used to calculate the most
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| 259 | popular insurance companies based on submitted bills.
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| 260 | Please enter a valid end date used to calculate the most
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| 261 | The date range selected is
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| 262 | The list must be compiled and saved in the background.
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| 263 | Update the Most Popular Insurance Companies based on this date range
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| 264 | YES - The list will be compiled and saved in the background.
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| 265 | NO - The list will not be updated.
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| 266 | The Most Popular Insurance Companies will NOT be updated!
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| 267 | Scheduling the background process has FAILED!
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| 268 | The background process was successfully scheduled as Task #
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| 269 | The Most Popular Insurance Company List, (MCCR Site Parameter
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| 270 | Display/Edit option, action IV, sub-action MP), could not be updated
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| 271 | because the process is currently running. Please retry at a later time.
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| 272 | range produced an empty list. Please regenerate the list based on
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| 273 | other dates.
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| 274 | Batch Extract Parameters
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| 275 | Batch extract parameters to edit
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| 276 | Extract Not Defined - ERROR!
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| 277 | Please select an extract to view/modify settings:
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| 278 | 1 - INS. BUFFER: Examines entries in the Insurance Buffer to find
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| 279 | patient/insurance combinations that qualify for an
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| 280 | electronic insurance eligibility inquiry
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| 281 | 2 - APPOINTMENT: Reviews upcoming appointments to identify patients that
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| 282 | have active insurance that has not been recently verified,
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| 283 | or patients that have no active insurance for which an
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| 284 | inquiry should be made to search the
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| 285 | National Healthcare Cache for previously unknown policies
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| 286 | 3 - NON-VERIFIED: Uses past visits to identify patients that have
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| 287 | been seen recently and have active insurance coverage, but
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| 288 | have not had the insurance information verified recently.
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| 289 | 4 - NO INSURANCE: Also uses past visits, but identifies patients with no
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| 290 | active insurance on file and attempts to search for
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| 291 | previously unknown policies by sending an
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| 292 | inquiry to the National Healthcare Cache database and/or
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| 293 | queries the most popular insurance companies
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| 294 | General
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| 295 | IBJP MCCR PARAMETERS
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| 296 | Display/Edit MCCR Site Parameters.
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| 297 | IB Site Parameters
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| 298 | Facility Definition
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| 299 | Mail Groups
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| 300 | Patient Billing
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| 301 | Third Party Billing
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| 302 | Provider Id
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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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