English French Notes Complete/Exclude The Rate Schedule Adjustment is an M code field, it therefore requires programmer access to enter or edit (using Charge Master IRM Enter/Edit [IBCR CHARGE MASTER IRM] option. Contact IRM if this field needs to be modified. Enter/Edit a Rate Schedule: This option requires programmer access (DUZ(0)=@). The base unit charges are not currently Adjusted. If the base unit charge is $100, this Adjustment will result in a charge of: $ The base unit charges will not be modified. To Exit the option the correct Adjustment must be entered, i.e. must be able to enter Yes to this question. The Adjustment has an immediate effect on the charges for this rate. Enter/Edit a Rate's Billing Regions: Enter/Edit a Billing Rate: Only the Abbreviation may be edited, the Billing Rate Definition can not change: - this Billing Rate definition was exported Nationally - there are Charge Sets defined for this Billing Rate - there are Charge Items defined for a Charge Set with this Billing Rate This Billing Rate does not have any Charge Sets assigned. Enter/Edit a Charge Set: Not all elements of this Charge Set may be edited: - the Set name, Rate, and Billable Event may not be modified since this Charge Set definition was exported nationally. - the Billing Rate may not change since the Charge Set has Charge Items. The Charge Set requires a Billing Rate. The Charge Set requires a Billable Event. This Charge Set requires a default Revenue Code: - A VA Cost Charge Set requires a default Rev Code since there are no Items to assign the rev code to This Charge Set requires a default bedsection: - a bedsection is required before a charge can be added to a bill therefore a default bedsection is required for every Charge Set whose charge item is not bedsection These are items that are billable but not found in other DHCP source files. Items entered that already exist and have no associated charge, can be deleted. Enter which type of Billable Item? ... not added, invalid format (n-n-n) ... already exists => can not delete, has Charge Items ... no change Enter/edit a billable item ( ) for Charge Set CURRENTLY INACTIVE ... no change Editing Charge Item! A charge can not be added for this item! Adding a new Charge Item! Enter either a Default Revenue Code for the Charge Set or a Revenue Code for this Charge Item: - a charge can not be added to a bill without a revenue code - no Revenue Code was added for this Charge Item and there is no Default Revenue code for the Charge Set. - one or the other must be added before this charge will be used You may enter a revenue code for the Charge Item now: (^ to exit) Add a new Charge Item? Enter/Edit a Special Group: This was exported Nationally, only the assigned Billing Rates may be edited. This group has associated Revenue Code Links, can not edit Type. This group has associated Provider Discount Links, can not edit Type. Enter/Edit a Revenue Code Link: This is a Nationally exported set of revenue code links. This should be modified only if the revenue code links added or changed fit the specific group definition: Select REVENUE CODE: Enter/Edit Provider Discount: This is a Nationally exported set of Provider Discounts. This should be modified only if the provider discount added or changed fits the specific group definition: RC is an invalid site number. is not a valid site number, if you know the correct number for this division you may change it now for all Billing Region and Charge Set names. Enter the correct Division number for this site if available is not a valid Medical Center division on your system. RC-PHYSICIAN >>> New Billing Region Name: >>> The Billing Region location is not in the standard 'CITY, ST' format. >>> If you know the correct City, State for this division you may change it now. Enter the STATE where the Division is located Enter the CITY where the Division is located replaced with Fast Enter of Tortiously Liable and Interagency Rates Enter which rates OUTPATIENT VISIT^OPT VISIT PRESCRIPTION REFILL^RX REFILL OUTPATIENT DENTAL^OPT DENTAL MT OUTPATIENT COPAYMENT^MT OPT COPAY (All Inclusive) TL-INPT (NPF) TL-INPT (PF) TL-OPT VST TL-RX FILL TL-OPT DENTAL The Fast Enter of rates expects to find the standard rates and sets released nationally, if these are not found this option can not be used. OUTPATIENT DENTAL IA-INPT IA-OPT VST IA-RX FILL IA-OPT DENTAL *** Error: Charge Set is not a *** Error: The Charge Set was not found. Can not continue! charges effective Enter the Revenue Code to use for all non-professional inpatient services: Room, Board, Nursing Services: Ancillary Services: Both of these revenue codes are required for the Inpatient Non-Professional charges to be added to bills. Can Not Continue! will be added as follows: Charge Type If any of the revenue codes are incorrect then change the Default Revenue for the Charge set. (except the non-prof inpt rev codes entered above) If any of the Charge Sets are incorrect DO NOT USE this option. This option may NOT be used to delete rates or add zero charges. The charges will be asked in sections based on the Charge Types listed above. The first section is INPATIENT, enter all Inpatient Bedsections and their charges, then press return at the Select Bedsection prompt to move to the OUTPATIENT VISIT section and enter the Outpatient Visit Bedsection and charge... *** Error: Charge set TL-MT OPT COPAY not found Enter MT OUTPATIENT COPAYMENT charges effective *** Error: Billable Item Fast Enter of Transfer Pricing Rates TP Added Billing Region TP- INPT OPT VISN *** Charge Set Billing Rate does not exist Billable Event undefined Billing Region does not exist Charge Set Upload Average Wholesale Price list from a host file: 'AWP_mmddyy.TXT' Enter a AWP Host File Name of format: 'AWP_mmddyy.TXT' Enter a Host File Name AWP_ **** File not an AWP file: must be 'AWP_mmddyy.TXT'. All NDC numbers will be added to the Charge Master with the form of: 5n-4n-2n. IBCR UPLOAD AWP UPLOAD **** Unable to open Done. lines processed. The following files were created, they will be purged in 2 days: **** Error while reading file: line not expected format (36 numeric characters): Line Length= Line read is null LINE=' Upload Aborted! First line of file has no data, can not continue! IB upload of Host file The above files already exist in XTMP. Enter either 'Y' or 'N'. This files use the same name as the new upload would use and therefore must be deleted before the upload can proceed. Delete the above files and continue with upload Proceed with upload now Enter the full path specification where the host files may be found or press return for the default directory Enter the file path AWP Host files available for upload in AWP* **** No AWP files found AWP_mmddyy.TXT, can not continue. Upload the CMAC from a host file: 'CMACxxx.TXT' w/xxx = locality Professional Technical CMAC UPLOAD **** Error reading file: line not expected format (85 or 91 numeric characters): First line of file is null, can not continue! Can not Continue! Some procedures have charges broken into professional and technical components. To bill these components a CPT Modifier must be added with the CPT. If no modifier is entered the Component charges will not be uploaded. Enter the CPT Modifier that should be used for every component charge. Component Modifier CMAC Host files available for upload in: CMAC* **** No CMAC files found CMACxxx.TXT, can not continue. Enter a CMAC Host File Name of format: 'CMACxxx.TXT' w/xxx = locality **** File not a CMAC file: must be 'CMACxxx.TXT'. CLASS 1 CLASS 2 CLASS 3&4 CLASS 1 PC CLASS 1 TC CLASS 4 PC CLASS 4 TC Upload National Reasonable Charges Host Files to Temporary Vista Files (XTMP) IBCR RC CGROUP Upload National Reasonable Charges v Host Files to Temporary Vista files Loading National Reasonable Charges v Host Files into temporary local file Error while processing host file, can not continue! Upload of Reasonable Charges v Host Files Complete. The following files were created in XTMP, they will be purged in 2 days: These files already exist in XTMP: Enter either 'Y' or 'N'. These files use the same name as the new upload would use and therefore must be deleted before the upload can proceed. Delete the above files and continue with the upload IBCR RC SITE Enter either 'Y' or 'N'. Enter 'Y' if you want to load the Reasonable Charges Host files into XTMP. Proceed with upload of National Reasonable Charges Host Files now IBCR RC Reasonable Charges Host Files found: *** not found *** Can not find all required host files, can not continue! All required host files found. Delete the above XTMP files and reload the Host files **** Will Load Test Version of Reasonable Charge Files **** This appears to be a test account, the test version of the files will be loaded. The test version of the charges should only be loaded into test accounts. If this is not a test account but a live production account then do not load the charges! Contact support. **** If this is a production account do not continue, Contact Support **** Error reading file: IBCR RC A IBCR RC B IBCR RC C IBCR RC D IBCR RC E IBCR RC F IBCR RC G IBCR RC H IBCR RC I Host File Upload, VERSION INACTIVE RC SITE LIST SITE ERROR: ZC Select Site to calculate Reasonable Charges v for load into Charge Master All or some divisions whose care is billed from your site may have charges. Some charges are unique to a single division, others cover multiple divisions. This may result in multiple sets in the Charge Master. Enter '??' for a complete list of divisions. Enter a division number or name for a matching list. Select a division that will be billed at your site. Select Division Enter 'Y' if the care provided at this division is billed at your site and you need this divisions charges loaded on your system. Calculate RC v charges for this division Enter return to continue, enter '^' to exit, or enter the number preceding the site you want to select. The number may be no greater than Press return to continue or select a site is a valid Medical Center division on your system. is already assigned to Billing Region: is NOT defined as a Medical Center Division on your system *** Incorrect Billing Regions found in the Charge Master. Billing Regions are defined by the 3-digit zip code identifier of the primary division. Only Divisions with the same 3-digit zip code identifier should be assigned to a Billing Region. There were Divisions incorrectly associated with Billing Regions in the Charge Master. For the following Billing Regions, the corresponding Division Billing Region Division(s) Deleted Site incompletely defined in upload, can not continue! Calculating Reasonable Charges v IBCR UPLOAD RC into XTMP. Proceed with calculations now Inpatient Facility Inpt Fac - Inpatient Facility Charges RC INPATIENT FACILITY GENERAL MEDICAL CARE RC-INPT R&B RC-INPT ANC Skilled Nursing Inpt SNF - Inpatient Skilled Nursing Charges RC SKILLED NURSING/SUB-ACUTE SKILLED NURSING/SUB-ACUTE CARE RC-SNF SKILLED NURSING CARE SUB-ACUTE CARE Outpatient Facility Opt Fac - Outpatient Facility Charges RC FACILITY PR RC-OPT FAC Physician E Phys Fee E - Physician Charges E RC PHYSICIAN PR Physician F Phys Fee F - Physician Charges F Physician G Phys Fee G - Physician Charges G charges for IB Upload RC v UPLOAD RC *** Fatal Error: could not find Code Group: Adding CPT 2000 Replacement Charges for RC v1 ... #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################