English	French	Notes	Complete/Exclude
This claim is not associated with another claim.			
Do you wish to disassociate claim from the above group			
Other claims exist for the same veteran and episode of care.			
Do you wish to associate this new claim with one from the above listing			
Select the claim to which you wish to associate			
Do you want to automatically link this claim with another group			
Start date cannot be in the future.			
End date cannot be prior to the Start date.			
MILLENNIUM ACT EMERGENCY CARE			
SUMMARY REPORT			
RUN DATE: 			
Total Number Claims Received: 			
Total Dollars Claims Received: 			
Total Claimants: 			
Total Claims Paid: 			
Total Dollars Claims Paid: 			
Total Dollars Suspended: 			
Total Number Claims Rejected: 			
Total Dollars Claims Rejected: 			
REASONS REJECTED			
Total Number Claims Pending: 			
Total Dollars Claims Pending: 			
Average Processing Time: 			
Unauthorized Claims Expiring on or before 			
Sort by			
STATUS LISTING OF MILL BILL (1725) CLAIMS			
STATUS LISTING OF UNAUTH. NON-MILL BILL CLAIMS			
OTHER PARTY: 			
Treatment From: 			
Treatment To: 			
Select to whom payment should be made			
Unauthorized claim must be Approved or Approved to Stabilization			
 in order to make a payment.			
Fee program is community nursing home.			
Payments should not be authorized.			
Is this an ancillary payment			
No authorization associated with this 583!			
Authorization does not pertain to the selected unauthorized claim.			
Authorization Fee program differs from Fee program in Unauthorized Claim.			
< UNAUTHORIZED CLAIM >			
The following information has been requested:			
OTHER Reason			
;SIGNED STATEMENT FROM CLAIMANT			
Print 38 CFR 17.1002 and 17.1003 text on letter			
Enter NO if the text of the regulations should not be printed on the			
letter that requests additional information from the claimant.			
 PRINT REGS			
Receiving 			
UNAUTHORIZED CLAIM DISPOSITION AND STATUS STATISTICS			
CATEGORY OF DISPOSITION			
TYPE OF			
COVA APPEAL			
TOTAL DISPOSITIONED			
TOTAL NOT DISPOSITIONED			
TOTAL CLAIMS			
STATUS OF CLAIMS NOT DISPOSITIONED			
# OF CLAIMS			
TOTAL DOLLARS APPROVED BY PSA:			
Date Range Selected: 			
UPDATE UNAUTH CLAIM			
Deleting authorization...			
Discharge type is missing!  Enter using the Re-open Unauthorized Claim option.			
Claim has been dispositioned to DISAPPROVED			
with disapproval reason of '			
Enter selection			
Nothing found which meets the criteria.			
Select from the following:			
Enter RETURN for more, or Select			
You have selected the above.  OK			
FBSADD(			
FBSTA(			
No entry has been made to the New Person file.			
If a new entry is needed, enter the name within quotes.			
Select unauthorized claim			
You may select the claim by entering the vendor, veteran or other party.			
Payments on file!			
You must hold the supervisor's key to edit any data other than Amount Approved.			
PRIMARY CLAIM: 			
Authorization From/To dates are missing.			
Disposition has not been updated.			
When entering in this disposition, please include these dates.			
DISPOSITIONED: 			
No: 			
Enter M to include only 38 U.S.C. 1725 claims.			
Enter N to exclude 38 U.S.C. 1725 claims.			
Enter A for all.			
Want to add NEW insurance data			
Answer 'Yes' if you want to add a new insurance company for this patient.			
You are not allowed to edit current insurance information.			
However, you will be given the opportunity to send a bulletin to MCCR			
if insurance information is incorrect.			
Are there any discrepancies with insurance data on file			
A 'Yes' answer will send a bulletin to MCCR			
Enter description of change			
FB INSURANCE CHANGE			
CODE NOT FOUND IN FILE			
STATUS NOT AVAILABLE FOR SPECIFIED DATE			
Select ADJUSTMENT REASON			
Select a HIPAA Adjustment (suspense) Reason Code			
Adjustment reason codes explain why the amount paid differs			
from the amount claimed.			
  ADJUSTMENT REASON			
Enter a HIPAA Adjustment (suspense) Reason Code			
ERROR: A new reason would exceed maximum number (			
) allowed for this invoice.			
   Select a reason code on the current list instead.			
  ADJUSTMENT GROUP			
  ADJUSTMENT AMOUNT: 			
ERROR: Must account for $			
 more to cover the total amount suspended.			
   The current sum of adjustments is $			
   The total amount suspended is $			
ERROR: Maximum number of adjustment reasons (			
) have been exceeded.			
   (reason deleted)			
Select REMITTANCE REMARK			
Select a HIPAA Remittance Remark Code.			
Select a remittance remark code to provide non-financial			
information critical to understanding the adjudication of the claim.			
  If necessary, a code on the current list can be selected and changed.			
ERROR: Maximum number of remittance remark codes (			
Is this an EDI Claim from the FPPS system			
  The FPPS CLAIM ID must be entered for EDI claims!			
Does this VistA invoice cover all line items on the FPPS Claim			
FPPS LINE ITEM: 			
This response must be a number or a list or range, e.g., 1,3,5 or 2-4,8.			
'^' NOT ALLOWED			
Enter the line item sequence number associated with this charge.  Each			
charge on the FPPS invoice document will have a line item sequence number			
associated with it.  A line item can be entered individually or a group of			
charges from multiple lines can be entered.  If all line items in a group			
are in numerical sequence, you may enter the first line item sequence			
number followed by a hyphen and the last line item sequence number.  If			
the grouped charges are not in sequential order, each line item must be			
entered individually, followed by a comma.			
(Awaiting Austin Approval)			
(Vendor in Delete Status)			
  Examining the FEE BASIS PATIENT file...			
 FEE BASIS PATIENTs were evaluated.			
    Of these, 			
 will be included in the next daily transmission to HEC.			
  This utility can be run anytime to detect claims that don't have all			
  the required information. The user is able to specify a starting date			
  for the report. If the date is specified then the utility shows only			
  the claims that were received on this date or later.			
  Do you want to specify the starting date for the report? 			
  Please answer Yes or No.			
  Starting date for the report: 			
  Enter a date in proper format.			
  The following claims have been completed or dispositioned without			
  supplying all required information. It is necessary to review them			
  in order to supply the claims with all missed information.			
  === STARTING DATE: 			
  === DISPOSITIONED CLAIMS ===			
  without VENDOR information ( 			
  without PATIENT TYPE information ( 			
  without VENDOR and PATIENT TYPE information ( 			
  === NON-DISPOSITIONED CLAIMS ===			
  Claim Date   Patient                Vendor           Submitted by			
FB*3.5*27 Install: Claims w/o all necessary information.			
--Updating file 162.96			
ERROR ADDING NEW ZIP 			
ERROR ADDING 2001 for 			
---Update of file 162.96 complete			
--Updating file 162.98			
TABLE YEAR NOT IN FILE SKIPPING INPUT RECORD 			
ERROR ADDING MOD 			
---Update of file 162.98 complete			
--Updating file 162.97			
ERROR ADDING NEW CPT 			
ERROR ADDING 2001 RVU'S for 			
CPT NOT IN FILE SKIPPING CPT 			
CY NOT IN FILE SKIPPING CPT 			
---Update of file 162.97 complete			
  Updating selected POVs in the FEE BASIS PURPOSE OF VISIT (161.82) file...			
    ERROR: Fee Program with IEN 2 is not OUTPATIENT.			
    Purpose of Visits could not be updated.			
    ERROR: Fee Program with IEN 7 is not CONTRACT NURSING HOME.			
ERROR ADDING POV WITH CODE 			
  Filing conversion factor for RBRVS 2002 fee schedule.			
Recompilation of [FBAA AUTHORIZATION] Input Template:			
Request Queued			
DG*5.3*134			
SERVED MEALS Date: 			
** Input must be for a date before today in order to collect ADT data!			
Calculating Census Values ...			
Starting Date: 			
  [Must Start before Today!] 			
 Ending Date: 			
  [Must End before Today!] 			
  [End before Start?] 			
The report requires a 132 column printer.			
Print on Device: 			
Avg. 			
MEALS SERVED ON INPATIENT BASIS			
MEALS SERVED TO OTHERS			
| TOTAL| SERVED TRAYS DATA			
| NURSING HOME CU			
|  Inp.  Abs.  Meal|  Inp.  Abs.  Meal|  Inp.  Abs.  Meal|      | Outp.  Paid Grat.|      |      |  Cafe   NPO Trays			
Sun Mon Tue Wed Thu Fri Sat			
| Opt. Emp. Paid OOD  Vol. Grt. Total | Opt. Emp. Paid OOD  Vol. Grt. Total | Opt. Emp. Paid OOD  Vol. Grt. Total |			
STAFFING DATA Date: 			
** Date must not be in the future!			
Avg.			
Adjustment for Unscheduled and Intermittent			
UNS/INT Total 			
Adjusted Measured FTEE 			
Avg Measured FTEE       			
Man Minutes/Meal:    			
Enter/Edit Facility Data? 			
Enter/Edit Specialized Medical Programs? 			
Enter Station Number: 			
Enter Qtr/Yr: 			
  Do Not Enter Dates.			
  Answer Qtr 1-4 and Yr as Qtr/Yr.			
  Yr CANNOT be greater than now.			
  Answer Qtr 1-4 and Yr as 4 digit year, ie 2001.			
  Example:  4/2001 for 4th quarter, year 2001.			
  Qtr/Yr must not be greater than default.			
Enter YR: 			
  Do Not Enter Future Year.			
  Enter Year Only.			
CMR Cost			
REGION:			
RPM CLASSIFICATION: 			
COMPLEXITY LEVEL: 			
MULTI DIVISION FACILITY:			
COOK CHILL FOODS: 			
DIETETIC INTERNSHIP/PROGRAMS:			
VA SPONSORED DIETETIC INTERNSHIP			
AFFILIATED AP4			
AFFILIATED DIETETIC INTERNSHIP			
AFFILIATED CUP			
VA SPONSORED AP4			
AFFILIATED DIETETIC TECHNICIAN			
FUNDED NUTRITION RESEARCH			
UNFUNDED NUTRITION RESEARCH			
SPECIALIZED MEDICAL PROGRAMS:			
PRIMARY DELIVERY SYSTEM:			
ASSIGNED CLINICAL FTEE			
 *** SITE NOT FOUND IN ^XMB GLOBAL ***			
TYPE OF SERVICE SUMMARY			
Average Daily Meals Served			
By Type of Service			
% of Workload			
Bedside Tray			
Cafeteria			
Dining Room Tray			
Another user is editing the entry.			
Hospital 			
Nursing Home 			
Domicillary 			
Total Inpatient Days 			
OUTPATIENTS TREATED			
Hospital Clinic 			
Satellite Location 			
Total Outpatients Treated 			
SERVED MEALS SUMMARY			
1st Qtr     2nd Qtr     3rd Qtr     4th Qtr         Yearly			
Total Served Meals			
Average Daily Meals			
INPATIENT DAYS OF CARE			
NUTRITION STATUS SUMMARY			
Total Encounters			
CLINICAL ENCOUNTER CATEGORY SUMMARY			
1st Qtr			
2nd Qtr			
3rd Qtr			
4th Qtr			
Clinical Categories			
Tot   Units   %     Tot   Units   %     Tot   Units   %     Tot   Units   %     Tot   Units   %			
Select SUNDAY Date: 			
  .. Date Not Within Qtr			
..Date Not Within Qtr			
Total Diets			
Change Numbers of Modified Diets and Total Diets for that week? Y// 			
  Answer YES or NO			
Sun  Mon  Tues  Wed  Thur  Fri  Sat			
Enter string of characters for desired days of week: e.g., MWF			
Select the Day of Week you wish to change the data on: 			
Please enter the desired days of the week.			
Sun Mon Tues Wed Thur Fri Sat			
Change # of Modified Diets for 			
  Enter an amount greater than 0 but less than 999999999			
Change # of Total Diets for 			
  Error - Illegal Character or Repeated Day.			
MODIFIED DIET SUMMARY			
YTD Avg			
Week Average Modified Diet			
Enter Date Nutritive Analysis was taken: 			
  [Date Is Not Within the Fiscal Year!] 			
Date Taken: 			
Calories^%CHO^%PRO^%FAT^Mg CHOL^Mg Na			
Nutritive Analysis 7 Days Average Regular Menu			
Change the number of Specialty Staffing? 			
Specialty Staffing			
Staff Certified Diabetes Educators (CDE): 			
Staff Certified in Nutrition Support: 			
Staff Registered Clinical Dietetic Technicians: 			
Staff With Clinical Privileges (Not Scope of Practice): 			
SUPPORT STAFF			
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