English French Notes Complete/Exclude Number of Incomplete Veteran Regs: Number of Incomplete Non-Veteran Regs: Number of Deceased Patients: Select: '' to print the trend report without regard to 'Y' to select those divisions for which a separate trend report should be created '^' to quit OPT. MEDICAL OPT. DENTAL This report measures the number of patients who have been treated at the facility but whose eligibility has not been verified. This report will also list patients with verified eligibility for at least 2 years, if any. IB - UNVERIFIED ELIGIBILITY Unverified Eligibility Report S:IBQ SDSTOP=1 I 'IBQ,$$ENCHK^IBJDI5(Y0) D ENC^IBJDI21(Y0,.IBQUERY1) S IBDTF=Y0\1 S:IBDTF>IBLT IBLT=IBDTF I IBDTF'IBEDT S IBNUMO=IBNUMO+1 There were no patients treated in this date range with unverified eligibility. Veterans with Unverified Eligibilities Patients who were treated in the period # Opt # Last Nxt Sched Date of Patient (*=Had inpt. care) Eligibility Status Visits Disc Seen Visit/Adm Death VETERANS WITH UNVERIFIED ELIGIBILITY Patients treated from Number of Patients Treated: Number of Patients with Verified Eligibility: Number of Patients Whose Verified Eligibility Date is At Least 2 Years Old (from above total): Number of Patients with a Pending Eligibility: Number of Patients Not Verified: This report provides a measure of the number of veteran patients who have been identified as being employed, but have no employer on file. IB - NO EMPLOYER LISTING No Employer Listing S IBOED=Y0,IBDT=+IBOED,IBDTF=IBDT\1 S:IBDTF>IBLT IBLT=IBDTF Patients without an employer treated in the period ('*' = Had inpatient care) Employment Status Last Trmt Date NO EMPLOYER LISTING Number of Patients Employed without an Employer: Number of Patients Unemployed or with an Employer: *This is the total number of veterans who have no employer on file, but have an employment status of Full-Time, Part-Time, Retired, Unknown or This report provides the number of patients who have been treated, but not identified as having or not having insurance. Print 1-MAIN REPORT or 2-LINE ITEM REPORTS: 1// LINE ITEM REPORTS MAIN REPORT Do you want the patient's remarks to print on the report IB - PATIENTS WITH UNIDENTIFIED INSURANCE Select: '1' to print the Patients w/Unidentified Insurance Report '2' to print up to nine specific reports based on the line items of the summary report HEALTH MAINTENANCE ORGANIZ POINT OF SERVICE PREPAID GROUP PRACTICE PLAN MEDICARE (M) MEDICARE/MEDICAID (MEDI-CAL) MEDIGAP (SUPPLEMENTAL) INCOME PROTECTION (INDEMNITY) HEALTH MAINTENANCE ORG. Patients with Unidentified Insurance Report There were no during this period. Patients treated in the period NOTE: *=Had inpatient care, +=Billable insurance Home PATIENT INSURANCE STATISTICS Number of Patients Covered by Insurance: No. of Patients Covered by Billable Insurance: Number of Patients Covered by an HMO: Number of Patients Covered by Medicare: Number of Patients Covered by Medigap: No. of Patients Covered by an Indemnity Policy: Number of Patients Not Covered by Insurance: Number of Patients with Unknown Insurance: No. of Patients w/Insurance Question Unanswered: *(% from patients treated-% from patients with insurance) **(% from patients treated-% from patients w/ins-% from patients w/billable ins) This report provides a number of the insurance policies which were entered into the system within a given timeframe, but were never verified. Do you want to print a separate report for total number of policies that were verified over a year ago IB - INSURANCE POLICIES NOT VERIFIED Insurance Policies Not Verified NO CARE OR TREATMENT REQUIRED All policies within the selected date range have been verified. Insurance Policies Verified Over a Year Ago For Patients treated for the period ('*' = Had inpatient care) Policy Entered By Date Entered Policy Verif'd INSURANCE POLICIES NOT VERIFIED /VERIFIED OVER 1 YEAR For Patients treated from Number of Policies Verified: Number of Policies Verified Over a Year Ago: Number of Policies Not Verified: This report provides a number of the NSC inpatient episodes for SC veterans which have and have not been billed. IB - SC VETS W/ NSC EPISODES SC Vets w/NSC Episodes All NSC episodes for SC veterans in the selected date range have been billed. There were no NSC episodes found in the selected date range. Insured SC Vets w/ Unbilled NSC Care For Patients discharged in the period PTF Status Adm Date Disc Date INSURED SC VETERANS W/ UNBILLED NSC INPATIENT EPISODES For Patients discharged from Number of Discharges of Insured SC Veterans: Discharges Which were totally Service-Connected: Discharges Which included Non-Service Connected Care: Number of NSC Discharges Which were Billed: Number of NSC Discharges Flagged as Non-Billable: Number of Unbilled NSC Discharges: Unbilled NSC Discharges w/ PTF Status of Outpatient Services that are provided in the Medical Center. IB - OUTPATIENT WORKLOAD REPORT S:IBQ SDSTOP=1 D:'IBQ ENC^IBJDI7(Y,Y0) Outpatient Workload Report TOT-A TOT-I NSC-A NSC-I SC-A SC-I SCS-A SCN-A OUTPATIENT ENCOUNTER WORKLOAD - ALL ENCOUNTERS INSURED ENCOUNTERS ONLY SUMMARY REPORT FOR ALL DIVISIONS Insured Outpatient Encounters from Number of Outpatient Encounters: Number of Encounters for NSC Veterans: Number of Encounters for SC Veterans: Number of Service Connected Encounters for SC Veterans: Number of Non-Svc. Connected Encounters for SC Veterans: Percentage of Insured Outpatient Encounters for All Divisions This Division Enter RETURN to summarize all outpt. encounters without regard to division, or 'Yes' to select those divisions for which a separate summary report should be created. which are conducted in the Medical Center. Note: This report may take a while to run. IB - UTILIZATION WORKLOAD REPORT Utilization Workload Report UTILIZATION WORKLOAD For Reviews from Total Number of Admissions: Total Number of Admissions with Insurance: SC: NSC: Total Number of Admission Reviews completed on Insurance Patients (including pre-certifications): Total Number of Continued Stay Reviews completed: Total Number of Admission Denials by Insurance Companies: Total Number of Continued Stay Denials by Insurance Companies: Total Number of days denied by Insurance Companies: Total Number of Appealed Cases: IBJP AUTO BILLING GENERAL PARAMETERS Auto Biller Frequency: Date Last Completed: Inpatient Status: Automate Billing: Billing Cycle: Days Delay: Parameter set not found. IBJP CLAIMS TRACKING Tracking Parameters Track Inpatient: Track Outpatient: Track Rx: Track Prosthetics: Reports Can Add CT: Random Sample Parameters Medicine Sample: Medicine Admissions: Surgery Sample: Surgery Admissions: Psych Sample: Psych Admissions: General Parameters Initialization Date: Use Admission Sheet: Header Line 1: Header Line 2: Header Line 3: IBJP IIV SITE PARAMETERS This screen displays all of the eIIV Site Parameters used to manage the eIIV application used for Insurance Identification and Verification. The first section, General Parameters, concerns overall parameters for monitoring the interface and retrying communication timeouts. The second section, Batch Extracts, concerns extract specific parameters including active status, selection criteria and maximum records extracted per day. The third section, Patients without Insurance, concerns whether or not identification inquiries should be made for patients without insurance on inactive policies or the Most Popular Insurance Companies list below to see if the patient is covered by one of those companies. The final section, Most Popular Insurance Companies, is a generated list of the most popular insurance companies for a given date range. This list is based on the quantity of authorized bills generated by insurance company for the date range. The columns display whether or not the insurance company is associated with a payer that is locally active or nationally active. The locally active flag can be updated by the site as long as the eIIV application has not been deactivated. The nationally active flag is only updated by the Eligibility Communicator. Both flags must be set to YES for an insurance inquiry to be transmitted to the Eligibility Communicator. Send daily statistical report via MailMan: Time of day for daily statistical report: Mail Group for eIIV messages: HL7 Response Processing Method: HL7 Batch Start Time: HL7 Batch Stop Time: Daily Maximum HL7 Messages: Contact Person: How many days designates a communication timeout? After a communication timeout, retry how many times? After each communication timeout, send a MailMan message? After all retries are exhausted, send a MailMan message? Return all known ins. when validating specific ins. records? Batch Extracts Extract Selection Maximum # to Suppress Name On/Off Criteria Extract/Day Buffer Patients Without Insurance Look at a patient's inactive insurance? Attempt inquiry by most popular insurance companies? How many insurance companies to try? Most Popular Insurance Companies List Date: Compile Date: Locally Nationally Active? Active? *** NO DATA FOUND!!!! *** An insurance company will not be available for electronic identification if the associated payer does not have a National ID or is not locally Searching active tasks for Most Popular Insurance Companies Background job. The Most Popular Companies Background Compile is currently active, please retry later. Most Popular Insurance Company Calculation Please enter a date range for the calculation of the most popular insurance companies. Please enter a valid start date used to calculate the most popular insurance companies based on submitted bills. Please enter a valid end date used to calculate the most The date range selected is The list must be compiled and saved in the background. Update the Most Popular Insurance Companies based on this date range YES - The list will be compiled and saved in the background. NO - The list will not be updated. The Most Popular Insurance Companies will NOT be updated! Scheduling the background process has FAILED! The background process was successfully scheduled as Task # The Most Popular Insurance Company List, (MCCR Site Parameter Display/Edit option, action IV, sub-action MP), could not be updated because the process is currently running. Please retry at a later time. range produced an empty list. Please regenerate the list based on other dates. Batch Extract Parameters Batch extract parameters to edit Extract Not Defined - ERROR! Please select an extract to view/modify settings: 1 - INS. BUFFER: Examines entries in the Insurance Buffer to find patient/insurance combinations that qualify for an electronic insurance eligibility inquiry 2 - APPOINTMENT: Reviews upcoming appointments to identify patients that have active insurance that has not been recently verified, or patients that have no active insurance for which an inquiry should be made to search the National Healthcare Cache for previously unknown policies 3 - NON-VERIFIED: Uses past visits to identify patients that have been seen recently and have active insurance coverage, but have not had the insurance information verified recently. 4 - NO INSURANCE: Also uses past visits, but identifies patients with no active insurance on file and attempts to search for previously unknown policies by sending an inquiry to the National Healthcare Cache database and/or queries the most popular insurance companies General IBJP MCCR PARAMETERS Display/Edit MCCR Site Parameters. 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