source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0172.txt@ 1051

English French  Notes   Complete/Exclude
IBRREL-1                        
This patient does not have any charges 'on hold.'                       
The following IB Actions                        
associated with this bill                       
for this patient                        
 are ON HOLD:                   
 (REF #) to release (or '^' to exit):                   
Enter:    the name of a patient with charges 'on hold,' or                      
'??' --  to see all patients with charges 'on hold,' or                 
The following patients have charges 'on hold:'                  
Print Admission Sheet for Current Adm. (                        
Answer 'YES' if you want to print an admission sheet for the current admission, or 'NO' if you wish to select another admission date.                   
IB - Print single admission sheet                       
Select Visit:                   
PRINT ADMISSION SHEET                   
Answer YES if you wish to print an admission sheet which could be place on the top of the inpatient chart.  Answer NO if you do not want to print one.                  
ADMISSION SHEET                 
No admission Found                      
Adm. Date:                      
Adm. Type:                      
    Pt ID:                      
YES -                   
MORE......                      
Ins. Co                         
Subsc. ID:                      
Final                   
Procedures Done                 
Service Connected Conditions:                   
Treated                 
MORE....                        
NO SC DISABILITIES LISTED                       
I attest that these are the diagnoses and procedures for which the                      
Patient was treated during this episode of care.                        
MD: __________________________________    Date: __________________                      
Bill Preparation Report for a Single Visit                      
IB - Bill Preparation Report                    
Bill Preparation Report                 
 Visit Information                      
    Visit Type:                         
No Visit Selected                       
    Visit Date:                         
  No Outpatient Encounter Found                 
  Special Cond:                         
     Fill Date:                         
   Refill Date:                         
   Days Supply:                         
 Visit Billable:                        
NO-                     
 Second Opinion:                        
REQUIRED-NOT OBTAINED                   
 Auto Bill Date:                        
Special Consent: ROI                    
NOT DETERMINED                  
Special Billing:                        
  Insurance Information                         
Pre-Cert Phone:                         
     Coord Ben:                         
 Billing Phone:                         
Filing Time Fr:                         
  Claims Phone:                         
     Policy Comment:                    
  Billing Information                   
  Initial Bill:                         
   Bill Status:                         
 Total Charges: $                       
   Amount Paid: $                       
Additional Comment:                     
Estimated Recv (Pri): $                         
Estimated Recv (Sec): $                         
Estimated Recv (ter): $                         
  Means Test Charges: $                         
  Eligibility Information                       
       Primary Eligibility:                     
         Means Test Status:                     
 Service Connected Percent:                     
Patient Not Service Connected                   
Group Plan Comments:                    
  Insurance Review Information                  
    Type Review:                        
  Opt Treatment:                        
    Appeal Type:                        
    Case Status:                        
No Days Pending:                        
  Final Outcome:                        
Authorized From:                        
ENTIRE VISIT                    
  Authorized To:                        
Authorized Diag:                        
    Denied From:                        
      Denied To:                        
 Denial Reasons:                        
   Case Pending:                        
    No Coverage:                        
     Review Date:                       
   Insurance Co.:                       
Person Contacted:                       
  Contact Method:                       
Call Ref. Number:                       
  Last Edited By:                       
Patient Contacted:                      
  Hospital Review Information                   
 Severity of Ill:                       
Intensity of Svc:                       
    Criteria Met:                       
Non-Acute Reason:                       
   Day of Review:                       
Dschg Screen Met:                       
Acute Care Dschg:                       
Discharge Screen:                       
  D/C Screen Met:                       
 Special Unit SI:                       
 Special Unit IS:                       
     Review Type:                       
  Diagnosis Information                         
Nothing on File                 
  Procedure Information                         
  Provider Information                  
  Associated Interim DRG Information                    
 Estimate ALOS:                         
 Days Remaining:                        
    Total Cost: $                       
 Delivery Date:                         
 Return Status:                         
Denied Days Report                      
Answer YES if you only want to print a summary or answer NO if you want a detailed listing plus the summary.                    
IB - Denied Days Report                 
No Denials Found in Date Range.                 
MCCR/UR DENIED DAYS Report for Denials Dated                    
Dates of                        
Days Approved                   
Care                    
Attending                       
Denied                  
Denial Reason                   
Appealed                        
on Appeal                       
MCCR/UR DENIED DAYS Summary Report for Reviews Dated                    
Days won                        
Maximum                 
Denials                 
Billing Rate                    
Print Report By [P]atient  [A]ttending  [S]ervice:                      
This report may be prepared by either Patient, Attending, or Service.                   
Print List of Visits Requiring Review                   
LIST OF VISITS FROM                     
 REQUIRING REVIEWS                      
Include [H]ospital Reviews  [I]nsurance Reviews  [B]oth:                        
This report will list visits that are currently indicate that reviews                   
are required.  Indicate if you want visits that require Hospital Reviews, Insurance Reviews or Both                     
The default is Both.                    
List Admissions Only                    
Answer Yes if you only want admissions listed, answer No if you want all visit types (outpatient, prescription, etc) listed                     
Unbilled Care from Claims Tracking                      
IB - Unbilled Care from Claims Tracking                 
Not Done Yet                    
MCCR/UR ACTIVITY REPORT Report                  
Pending Reviews Report                  
Print [H]ospital Reviews  [I]Insurance Reviews  [B]oth:                         
Select if you would like to print pending Hospital Reviews, Insurance                   
Reviews or both.                        
The default is both.  This will print first the hospital reviews, then the insurance reviews.                   
IB - Pending Reviews Report                     
Building your work list...                      
No Pending Reviews found.                       
Pending Reviews Report for Division                     
For Period                      
Review Type                     
Due Date                        
Assigned to                     
Scheduled Admissions Report                     
IB - scheduled Admissions Report                        
No Scheduled Admission found in date range                      
TOTAL =                         
NO -                    
Scheduled Admissions with Insurance                     
Adm. Date                       
Billable                        
....task stop* ed at user request                       
MCCR/UR Summary Report                  
Print Report By [A]dmissions  [D]ischarges:                     
This summary report may be prepared by either Admissions or Discharges.                 
If you choose by discharge the report will contain information on all                   
claims tracking information for the discharges that fall in the date                    
Range.  That is, all reviews for discharges found in the date range                     
will be included in the report.  If you choose by Admissions all                        
reviews found in the date range will be included but the reviews                        
may be for cases not related to the admissions.                 
If you want to know the total reviews done during a date range sort by admissions.  If you want to know the total reviews done on the discharges for a date range sort by Discharges                    
IB - MCCR/UR Summary Report                     
 with Insurance:                        
Total Billable                  
 Requiring Reviews:                     
 Reviewed-Multi Carrier:                        
Total Reviews Done:                     
Number of Days Approved:                        
Amount Collectible Approved for Billing:                        
Number of Days Denied:                  
Amount Denied for Billing:                      
Total Cases Appealed:                   
Number of Initial Appeals:                      
Number of Subsequent Appeals:                   
Penalty Report:  Number of cases              Dollars                   
No Pre Admission Certification:                         
Untimely Pre Admission Certification:                   
VA a Non-Provider:                      
Reason Not Billable Report:  Reason                Count                        
Days Denied by Specialty:  Specialty         No. Days   Dollars                 
Days Approved by Specialty:  Specialty         No. Days   Dollars                       
....task stopped at user request.                       
Claims Tracking Inquiry                 
IB - Inquire to Claims Tracking                 
None on file.                   
Claim Tracking Inquiry                  
Unscheduled Admissions Report                   
IB - Unscheduled Admissions Report                      
No Unscheduled Admission found in date range.                   
Unscheduled Admissions with Insurance                   
UR Activity Report                      
IB - UR Activity Report                 
Sort By [R]eviewer  [S]pecialty  [P]atient:                     
When printing the list of patients reviewed, how should this report be                  
sorted.  It can be sorted by Reviewer or by Specialty or by Patient.                    
If sorted by Reviewer it will be sorted within reviewer by type of review.                      
The default is Patient.                 
HOSPITAL REVIEW SPECIALTY SUMMARY REPORT                        
For Hospital Reviews Dated                      
Days Not                        
Met Criteria                    
Not Met Crit.                   
Met Crit.                       
INSURANCE REVIEW SPECIALTY SUMMARY REPORT                       
For Insurance Reviews Dated                     
Approved                        
ibtour0,ibtrn)=ibtrn (case list)                        
Total Admissions:                       
Total Admissions to NHCU:                       
Total Admissions to Domiciliary:                        
Total Admissions Requiring Reviews:                     
Number of Scheduled Adm. Reviewed:                      
Total Admissions with Insurance:                        
Total Billable Admissions:                      
Cases with Pre-Cert and Follow-up:                      
Cases with Pre-Cert no Follow-up:                       
Number of Closed Cases:                         
Number of Billable Closed Cases:                        
Number of Unbillable Closed Cases:                      
Number of New Cases Still Open:                         
Number of Previous Cases:                       
Number of Previous Cases Closed and Billable:                   
Number of Previous Cases Closed, not Billable:                  
Number of Previous Cases still Open:                    
Number of Outpatient Cases Reviewed:                    
UR ACTIVITY SUMMARY REPORT                      
Total Cases Reviewed:                   
Number of New Case Still Open:                  
Total Random Sample Cases:                      
Total Special Condition Cases:                  
COPD:                   
TURP:                   
Total Locally Added Cases:                      
Total Cases Meeting Criteria on Adm.:                   
Total Cases Not Meeting Crit. on Adm.:                  
Total Days Reviewed:                    
Total Days Meeting Criteria:                    
Total Days Not Meeting Criteria:                        
No Insurance Reviews Found in Date Range.                       
UR Insurance Review Activity Report                     
Last Reviewer                   
No Hospital Reviews Found in Date Range.                        
UR Hospital Review Activity Report                      
Days Met                        
Days Not Met                    
Criteria                        
Assigned Reviewer                       
Reviewer:                       
Type Review:                    
Visit Report                    
IB - Visit Report                       
Select Insurance Review or Contact Date                 
IB CLAIMS SUPERVISOR                    
Must first delete appeals associated with Denials                       
Service Connected Percent:                      
Clin                    
Print Insurance Review Worksheet                        
IB - Print Review Worksheet                     
INSURANCE REVIEW WORKSHEET                      
         Pt ID:                         
     DC Date: ________  LOS: _____                      
  Attending MD:                         
  Primary MD:                   
Complaint/Hist:                         
|Insurance Contact:                     
|Date    |Comments (#day approved, next review date, etc.)                      
Reviewer: _____________________________________  Date: ____________________                     
Expanded Insurance Reviews for:                         
 Action Information                     
   Type Contact:                        
 Opt Treatment:                         
Treatment Auth:                         
 Contact Information                    
    Contact Date:                       
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