| 1 | English French Notes Complete/Exclude
|
|---|
| 2 | Number of Incomplete Veteran Regs:
|
|---|
| 3 | Number of Incomplete Non-Veteran Regs:
|
|---|
| 4 | Number of Deceased Patients:
|
|---|
| 5 | Select: '<CR>' to print the trend report without regard to
|
|---|
| 6 | 'Y' to select those divisions for which a separate
|
|---|
| 7 | trend report should be created
|
|---|
| 8 | '^' to quit
|
|---|
| 9 | OPT. MEDICAL
|
|---|
| 10 | OPT. DENTAL
|
|---|
| 11 | This report measures the number of patients who have been treated at the
|
|---|
| 12 | facility but whose eligibility has not been verified. This report will
|
|---|
| 13 | also list patients with verified eligibility for at least 2 years, if any.
|
|---|
| 14 | IB - UNVERIFIED ELIGIBILITY
|
|---|
| 15 | Unverified Eligibility Report
|
|---|
| 16 | S:IBQ SDSTOP=1 I 'IBQ,$$ENCHK^IBJDI5(Y0) D ENC^IBJDI21(Y0,.IBQUERY1)
|
|---|
| 17 | S IBDTF=Y0\1 S:IBDTF>IBLT IBLT=IBDTF I IBDTF'<IBBDT,IBDTF'>IBEDT S IBNUMO=IBNUMO+1
|
|---|
| 18 | There were no patients treated in this date range with unverified eligibility.
|
|---|
| 19 | Veterans with Unverified Eligibilities
|
|---|
| 20 | Patients who were treated in the period
|
|---|
| 21 | # Opt # Last Nxt Sched Date of
|
|---|
| 22 | Patient (*=Had inpt. care)
|
|---|
| 23 | Eligibility Status
|
|---|
| 24 | Visits Disc Seen Visit/Adm Death
|
|---|
| 25 | VETERANS WITH UNVERIFIED ELIGIBILITY
|
|---|
| 26 | Patients treated from
|
|---|
| 27 | Number of Patients Treated:
|
|---|
| 28 | Number of Patients with Verified Eligibility:
|
|---|
| 29 | Number of Patients Whose Verified Eligibility Date
|
|---|
| 30 | is At Least 2 Years Old (from above total):
|
|---|
| 31 | Number of Patients with a Pending Eligibility:
|
|---|
| 32 | Number of Patients Not Verified:
|
|---|
| 33 | This report provides a measure of the number of veteran patients who
|
|---|
| 34 | have been identified as being employed, but have no employer on file.
|
|---|
| 35 | IB - NO EMPLOYER LISTING
|
|---|
| 36 | No Employer Listing
|
|---|
| 37 | S IBOED=Y0,IBDT=+IBOED,IBDTF=IBDT\1 S:IBDTF>IBLT IBLT=IBDTF
|
|---|
| 38 | Patients without an employer treated in the period
|
|---|
| 39 | ('*' = Had inpatient care)
|
|---|
| 40 | Employment Status
|
|---|
| 41 | Last Trmt Date
|
|---|
| 42 | NO EMPLOYER LISTING
|
|---|
| 43 | Number of Patients Employed without an Employer:
|
|---|
| 44 | Number of Patients Unemployed or with an Employer:
|
|---|
| 45 | *This is the total number of veterans who have no employer on file, but
|
|---|
| 46 | have an employment status of Full-Time, Part-Time, Retired, Unknown or
|
|---|
| 47 | This report provides the number of patients who have been treated,
|
|---|
| 48 | but not identified as having or not having insurance.
|
|---|
| 49 | Print 1-MAIN REPORT or 2-LINE ITEM REPORTS: 1//
|
|---|
| 50 | LINE ITEM REPORTS
|
|---|
| 51 | MAIN REPORT
|
|---|
| 52 | Do you want the patient's remarks to print on the report
|
|---|
| 53 | IB - PATIENTS WITH UNIDENTIFIED INSURANCE
|
|---|
| 54 | Select: '1' to print the Patients w/Unidentified Insurance Report
|
|---|
| 55 | '2' to print up to nine specific reports based on the line items
|
|---|
| 56 | of the summary report
|
|---|
| 57 | HEALTH MAINTENANCE ORGANIZ
|
|---|
| 58 | POINT OF SERVICE
|
|---|
| 59 | PREPAID GROUP PRACTICE PLAN
|
|---|
| 60 | MEDICARE (M)
|
|---|
| 61 | MEDICARE/MEDICAID (MEDI-CAL)
|
|---|
| 62 | MEDIGAP (SUPPLEMENTAL)
|
|---|
| 63 | INCOME PROTECTION (INDEMNITY)
|
|---|
| 64 | HEALTH MAINTENANCE ORG.
|
|---|
| 65 | Patients with Unidentified Insurance Report
|
|---|
| 66 | There were no
|
|---|
| 67 | during this period.
|
|---|
| 68 | Patients treated in the period
|
|---|
| 69 | NOTE: *=Had inpatient care, +=Billable insurance
|
|---|
| 70 | Home
|
|---|
| 71 | PATIENT INSURANCE STATISTICS
|
|---|
| 72 | Number of Patients Covered by Insurance:
|
|---|
| 73 | No. of Patients Covered by Billable Insurance:
|
|---|
| 74 | Number of Patients Covered by an HMO:
|
|---|
| 75 | Number of Patients Covered by Medicare:
|
|---|
| 76 | Number of Patients Covered by Medigap:
|
|---|
| 77 | No. of Patients Covered by an Indemnity Policy:
|
|---|
| 78 | Number of Patients Not Covered by Insurance:
|
|---|
| 79 | Number of Patients with Unknown Insurance:
|
|---|
| 80 | No. of Patients w/Insurance Question Unanswered:
|
|---|
| 81 | *(% from patients treated-% from patients with insurance)
|
|---|
| 82 | **(% from patients treated-% from patients w/ins-% from patients w/billable ins)
|
|---|
| 83 | This report provides a number of the insurance policies which were
|
|---|
| 84 | entered into the system within a given timeframe, but were never verified.
|
|---|
| 85 | Do you want to print a
|
|---|
| 86 | separate report for
|
|---|
| 87 | total number of
|
|---|
| 88 | policies that were verified
|
|---|
| 89 | over a year ago
|
|---|
| 90 | IB - INSURANCE POLICIES NOT VERIFIED
|
|---|
| 91 | Insurance Policies Not Verified
|
|---|
| 92 | NO CARE OR TREATMENT REQUIRED
|
|---|
| 93 | All policies within the selected date range have been verified.
|
|---|
| 94 | Insurance Policies
|
|---|
| 95 | Verified Over a Year Ago
|
|---|
| 96 | For Patients treated for the period
|
|---|
| 97 | ('*' = Had inpatient care)
|
|---|
| 98 | Policy Entered By Date Entered
|
|---|
| 99 | Policy
|
|---|
| 100 | Verif'd
|
|---|
| 101 | INSURANCE POLICIES NOT VERIFIED
|
|---|
| 102 | /VERIFIED OVER 1 YEAR
|
|---|
| 103 | For Patients treated from
|
|---|
| 104 | Number of Policies Verified:
|
|---|
| 105 | Number of Policies Verified Over a Year Ago:
|
|---|
| 106 | Number of Policies Not Verified:
|
|---|
| 107 | This report provides a number of the NSC inpatient episodes for SC veterans
|
|---|
| 108 | which have and have not been billed.
|
|---|
| 109 | IB - SC VETS W/ NSC EPISODES
|
|---|
| 110 | SC Vets w/NSC Episodes
|
|---|
| 111 | All NSC episodes for SC veterans in the selected date range have been billed.
|
|---|
| 112 | There were no NSC episodes found in the selected date range.
|
|---|
| 113 | Insured SC Vets w/ Unbilled NSC Care
|
|---|
| 114 | For Patients discharged in the period
|
|---|
| 115 | PTF Status
|
|---|
| 116 | Adm Date
|
|---|
| 117 | Disc Date
|
|---|
| 118 | INSURED SC VETERANS W/ UNBILLED NSC INPATIENT EPISODES
|
|---|
| 119 | For Patients discharged from
|
|---|
| 120 | Number of Discharges of Insured SC Veterans:
|
|---|
| 121 | Discharges Which were totally Service-Connected:
|
|---|
| 122 | Discharges Which included Non-Service Connected Care:
|
|---|
| 123 | Number of NSC Discharges Which were Billed:
|
|---|
| 124 | Number of NSC Discharges Flagged as Non-Billable:
|
|---|
| 125 | Number of Unbilled NSC Discharges:
|
|---|
| 126 | Unbilled NSC Discharges w/ PTF Status of
|
|---|
| 127 | Outpatient Services that are provided in the Medical Center.
|
|---|
| 128 | IB - OUTPATIENT WORKLOAD REPORT
|
|---|
| 129 | S:IBQ SDSTOP=1 D:'IBQ ENC^IBJDI7(Y,Y0)
|
|---|
| 130 | Outpatient Workload Report
|
|---|
| 131 | TOT-A
|
|---|
| 132 | TOT-I
|
|---|
| 133 | NSC-A
|
|---|
| 134 | NSC-I
|
|---|
| 135 | SC-A
|
|---|
| 136 | SC-I
|
|---|
| 137 | SCS-A
|
|---|
| 138 | SCN-A
|
|---|
| 139 | OUTPATIENT ENCOUNTER WORKLOAD -
|
|---|
| 140 | ALL ENCOUNTERS
|
|---|
| 141 | INSURED ENCOUNTERS ONLY
|
|---|
| 142 | SUMMARY REPORT FOR
|
|---|
| 143 | ALL DIVISIONS
|
|---|
| 144 | Insured
|
|---|
| 145 | Outpatient Encounters from
|
|---|
| 146 | Number of Outpatient Encounters:
|
|---|
| 147 | Number of Encounters for NSC Veterans:
|
|---|
| 148 | Number of Encounters for SC Veterans:
|
|---|
| 149 | Number of Service Connected Encounters for SC Veterans:
|
|---|
| 150 | Number of Non-Svc. Connected Encounters for SC Veterans:
|
|---|
| 151 | Percentage of Insured Outpatient Encounters for
|
|---|
| 152 | All Divisions
|
|---|
| 153 | This Division
|
|---|
| 154 | Enter RETURN to summarize all outpt. encounters without regard to
|
|---|
| 155 | division, or 'Yes' to select those divisions for which a separate
|
|---|
| 156 | summary report should be created.
|
|---|
| 157 | which are conducted in the Medical Center.
|
|---|
| 158 | Note: This report may take a while to run.
|
|---|
| 159 | IB - UTILIZATION WORKLOAD REPORT
|
|---|
| 160 | Utilization Workload Report
|
|---|
| 161 | UTILIZATION WORKLOAD
|
|---|
| 162 | For Reviews from
|
|---|
| 163 | Total Number of Admissions:
|
|---|
| 164 | Total Number of Admissions with Insurance:
|
|---|
| 165 | SC:
|
|---|
| 166 | NSC:
|
|---|
| 167 | Total Number of Admission Reviews completed
|
|---|
| 168 | on Insurance Patients (including pre-certifications):
|
|---|
| 169 | Total Number of Continued Stay Reviews completed:
|
|---|
| 170 | Total Number of Admission Denials by Insurance Companies:
|
|---|
| 171 | Total Number of Continued Stay Denials by Insurance Companies:
|
|---|
| 172 | Total Number of days denied by Insurance Companies:
|
|---|
| 173 | Total Number of Appealed Cases:
|
|---|
| 174 | IBJP AUTO BILLING
|
|---|
| 175 | GENERAL PARAMETERS
|
|---|
| 176 | Auto Biller Frequency:
|
|---|
| 177 | Date Last Completed:
|
|---|
| 178 | Inpatient Status:
|
|---|
| 179 | Automate Billing:
|
|---|
| 180 | Billing Cycle:
|
|---|
| 181 | Days Delay:
|
|---|
| 182 | Parameter set not found.
|
|---|
| 183 | IBJP CLAIMS TRACKING
|
|---|
| 184 | Tracking Parameters
|
|---|
| 185 | Track Inpatient:
|
|---|
| 186 | Track Outpatient:
|
|---|
| 187 | Track Rx:
|
|---|
| 188 | Track Prosthetics:
|
|---|
| 189 | Reports Can Add CT:
|
|---|
| 190 | Random Sample Parameters
|
|---|
| 191 | Medicine Sample:
|
|---|
| 192 | Medicine Admissions:
|
|---|
| 193 | Surgery Sample:
|
|---|
| 194 | Surgery Admissions:
|
|---|
| 195 | Psych Sample:
|
|---|
| 196 | Psych Admissions:
|
|---|
| 197 | General Parameters
|
|---|
| 198 | Initialization Date:
|
|---|
| 199 | Use Admission Sheet:
|
|---|
| 200 | Header Line 1:
|
|---|
| 201 | Header Line 2:
|
|---|
| 202 | Header Line 3:
|
|---|
| 203 | IBJP IIV SITE PARAMETERS
|
|---|
| 204 | This screen displays all of the eIIV Site Parameters used to manage the
|
|---|
| 205 | eIIV application used for Insurance Identification and Verification.
|
|---|
| 206 | The first section, General Parameters, concerns overall parameters
|
|---|
| 207 | for monitoring the interface and retrying communication timeouts.
|
|---|
| 208 | The second section, Batch Extracts, concerns extract specific parameters
|
|---|
| 209 | including active status, selection criteria and maximum records extracted
|
|---|
| 210 | per day.
|
|---|
| 211 | The third section, Patients without Insurance, concerns whether or not
|
|---|
| 212 | identification inquiries should be made for patients without insurance on
|
|---|
| 213 | inactive policies or the Most Popular Insurance Companies list below to see if
|
|---|
| 214 | the patient is covered by one of those companies.
|
|---|
| 215 | The final section, Most Popular Insurance Companies, is a generated list
|
|---|
| 216 | of the most popular insurance companies for a given date range. This list
|
|---|
| 217 | is based on the quantity of authorized bills generated by insurance company
|
|---|
| 218 | for the date range. The columns display whether or not the insurance
|
|---|
| 219 | company is associated with a payer that is locally active or nationally
|
|---|
| 220 | active. The locally active flag can be updated by the site as long as
|
|---|
| 221 | the eIIV application has not been deactivated. The nationally active flag
|
|---|
| 222 | is only updated by the Eligibility Communicator. Both flags must be set
|
|---|
| 223 | to YES for an insurance inquiry to be transmitted to the Eligibility
|
|---|
| 224 | Communicator.
|
|---|
| 225 | Send daily statistical report via MailMan:
|
|---|
| 226 | Time of day for daily statistical report:
|
|---|
| 227 | Mail Group for eIIV messages:
|
|---|
| 228 | HL7 Response Processing Method:
|
|---|
| 229 | HL7 Batch Start Time:
|
|---|
| 230 | HL7 Batch Stop Time:
|
|---|
| 231 | Daily Maximum HL7 Messages:
|
|---|
| 232 | Contact Person:
|
|---|
| 233 | How many days designates a communication timeout?
|
|---|
| 234 | After a communication timeout, retry how many times?
|
|---|
| 235 | After each communication timeout, send a MailMan message?
|
|---|
| 236 | After all retries are exhausted, send a MailMan message?
|
|---|
| 237 | Return all known ins. when validating specific ins. records?
|
|---|
| 238 | Batch Extracts
|
|---|
| 239 | Extract Selection Maximum # to Suppress
|
|---|
| 240 | Name On/Off Criteria Extract/Day Buffer
|
|---|
| 241 | Patients Without Insurance
|
|---|
| 242 | Look at a patient's inactive insurance?
|
|---|
| 243 | Attempt inquiry by most popular insurance companies?
|
|---|
| 244 | How many insurance companies to try?
|
|---|
| 245 | Most Popular Insurance Companies
|
|---|
| 246 | List Date:
|
|---|
| 247 | Compile Date:
|
|---|
| 248 | Locally Nationally
|
|---|
| 249 | Active? Active?
|
|---|
| 250 | *** NO DATA FOUND!!!! ***
|
|---|
| 251 | An insurance company will not be available for electronic identification
|
|---|
| 252 | if the associated payer does not have a National ID or is not locally
|
|---|
| 253 | Searching active tasks for Most Popular Insurance Companies Background job.
|
|---|
| 254 | The Most Popular Companies Background Compile is currently active, please retry later.
|
|---|
| 255 | Most Popular Insurance Company Calculation
|
|---|
| 256 | Please enter a date range for the calculation of the most popular
|
|---|
| 257 | insurance companies.
|
|---|
| 258 | Please enter a valid start date used to calculate the most
|
|---|
| 259 | popular insurance companies based on submitted bills.
|
|---|
| 260 | Please enter a valid end date used to calculate the most
|
|---|
| 261 | The date range selected is
|
|---|
| 262 | The list must be compiled and saved in the background.
|
|---|
| 263 | Update the Most Popular Insurance Companies based on this date range
|
|---|
| 264 | YES - The list will be compiled and saved in the background.
|
|---|
| 265 | NO - The list will not be updated.
|
|---|
| 266 | The Most Popular Insurance Companies will NOT be updated!
|
|---|
| 267 | Scheduling the background process has FAILED!
|
|---|
| 268 | The background process was successfully scheduled as Task #
|
|---|
| 269 | The Most Popular Insurance Company List, (MCCR Site Parameter
|
|---|
| 270 | Display/Edit option, action IV, sub-action MP), could not be updated
|
|---|
| 271 | because the process is currently running. Please retry at a later time.
|
|---|
| 272 | range produced an empty list. Please regenerate the list based on
|
|---|
| 273 | other dates.
|
|---|
| 274 | Batch Extract Parameters
|
|---|
| 275 | Batch extract parameters to edit
|
|---|
| 276 | Extract Not Defined - ERROR!
|
|---|
| 277 | Please select an extract to view/modify settings:
|
|---|
| 278 | 1 - INS. BUFFER: Examines entries in the Insurance Buffer to find
|
|---|
| 279 | patient/insurance combinations that qualify for an
|
|---|
| 280 | electronic insurance eligibility inquiry
|
|---|
| 281 | 2 - APPOINTMENT: Reviews upcoming appointments to identify patients that
|
|---|
| 282 | have active insurance that has not been recently verified,
|
|---|
| 283 | or patients that have no active insurance for which an
|
|---|
| 284 | inquiry should be made to search the
|
|---|
| 285 | National Healthcare Cache for previously unknown policies
|
|---|
| 286 | 3 - NON-VERIFIED: Uses past visits to identify patients that have
|
|---|
| 287 | been seen recently and have active insurance coverage, but
|
|---|
| 288 | have not had the insurance information verified recently.
|
|---|
| 289 | 4 - NO INSURANCE: Also uses past visits, but identifies patients with no
|
|---|
| 290 | active insurance on file and attempts to search for
|
|---|
| 291 | previously unknown policies by sending an
|
|---|
| 292 | inquiry to the National Healthcare Cache database and/or
|
|---|
| 293 | queries the most popular insurance companies
|
|---|
| 294 | General
|
|---|
| 295 | IBJP MCCR PARAMETERS
|
|---|
| 296 | Display/Edit MCCR Site Parameters.
|
|---|
| 297 | IB Site Parameters
|
|---|
| 298 | Facility Definition
|
|---|
| 299 | Mail Groups
|
|---|
| 300 | Patient Billing
|
|---|
| 301 | Third Party Billing
|
|---|
| 302 | Provider Id
|
|---|
| 303 | #################### #################### ####################
|
|---|
| 304 | #################### #################### ####################
|
|---|
| 305 | #################### #################### ####################
|
|---|
| 306 | #################### #################### ####################
|
|---|
| 307 | #################### #################### ####################
|
|---|
