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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