English French Notes Complete/Exclude Non-Acute Reason: Warning: Admission Criteria does NOT appear to be met but Reason for Non Acute Admission Missing. Warning: Admission Criteria appears to be met but has Reason for Non Acute Admission. Warning: Acute Care Criteria does NOT appear to be met but Reason for Non Acute Days Missing. Warning: Acute Care Criteria appears to be met but has Reason for Non Acute Days. There are other reviews for this admission with a next review date specified. Generally, only the last review for an admission should have a next review date. Please check the reviews for this case and delete all unnecessary 'next review dates'. Next Review Dates have all been deleted, except for this review Unbilled Amounts Menu Options^1N^ Average Bill Amounts This will automatically be tasked to run and needs no device. A mail Message will be sent when the process completes. Use the option View Unbilled Amounts to see cumulative totals. IB - Generate Avg. Bill Amounts for a Month BILLS- EPISD- BILLS-I BILLS-P EPISD-I EPISD-P UNBILLED AMOUNTS JOB FOR The background job responsible for calculating and updating MONTHLY and YEARLY Average Bill Amounts and Bill numbers for inpatient episodes has successfully completed. Monthly totals calculated for Yearly totals calculated for Re-Generate Unbilled Amounts Report Do you want to store Unbilled Amounts figures Enter 'YES' if you wish to store the Unbilled Amounts summary figures in your system for a specific month/year in the past. Once stored, these figures will be available for inquiry through the View Unbilled Amounts option [IBT VIEW UNBILLED AMOUNTS]. These summary figures are normally calculated and stored automatically by the system at the beginning of each month for the previous month. If you enter 'NO', the Unbilled Amounts summary figures will NOT be stored in your system, and the report may be run for any date range. Choose report type(s) to print: INPATIENT UNBILLED OUTPATIENT UNBILLED PRESCRIPTION UNBILLED Unbilled Amounts NOTE: Just a reminder that by entering the above month/year this report will re-calculate and update the Unbilled Amounts data on file in your system. Print detail report with the Unbilled Amounts summary Answer YES if you want a detailed listing of the patients and events that are unbilled. Answer NO if you just want the summary, or '^' to quit this option. This report takes a while to run, so you should queue it to run after normal business hours. IB - Unbilled Amounts Report IB REPORTS NOTE: After this report is run, the Unbilled Amounts totals for will be updated. Re-compile through MONTH/YEAR: Enter a past month/year (ex. Oct 2000). NOTE: The earliest month/year that can be entered is it is NOT possible to enter the current or a future month/year. CPTMS-I CPTMS-P IBTUB-OPT IBTUB-INPT EPISM-I EPISM-P EPISM-A IBTUB-RX IBTUB- Unbilled Amounts Report / DATA RECOMPILED/STORED FOR / '*' AFTER THE PATIENT NAME = USUALLY BILLED MEANS TEST COPAYMENT / 'H' AFTER THE ADMISSION DATE = PATIENT CURRENTLY HOSPITALIZED / '$' AFTER THE ORIGINAL FILL DATE = ORIGINAL FILL DATE HAS BEEN BILLED / 'CF' COLUMN = NUMBER OF CLAIMS ON FILE FOR THE EPISODE / 'I/P' COLUMN = 'I' - INSTUTIONAL CLAIM MISSING, 'P' - PROFESSIONAL CLAIM MISSING Last Prim. Claims Fill 4SSN Elig. Track.ID# Admission CF Insurance Carrier(s) Care Dt. CF Insurance Carrier(s) CPT I. Rate P. Rate Date CF Insurance Carrier(s) Drug Name Physician Fill Dt. ...Task stoped at user request No information available for the period specified. EPISM- CPTMS- If you enter a start date here, the report will look for events ON or AFTER this date. Press if you want to skip this prompt and have the report look thru ALL events or enter '^' to exit. NOTE: The earliest date that can be entered is which is the date of the first event on file, and it is NOT possible to enter a future date. If you enter a end date here, the report will look for events from to this date. Press to have the report look at all events from to today, NOTE: This date MUST NOT be earlier than later than today. I $P(Y0,U,8)=3,Y0>IBDT S:'IBNDT IBNDT=+Y0 D:IBNDT=+Y0 CKENC^IBTUBOU(Y,Y0,.IBQUIT) S:$S('$G(IBQUIT):1,1:Y0>IBNDT) SDSTOP=1 UNBILLED AMOUNTS SUMMARY REPORT SUMMARY UNBILLED AMOUNTS FOR PERIOD: FROM DETAILED REPORT PRINTED TO ' UNBILLED AMOUNTS FIGURES STORED FOR *** TEST DATA, TEST DATA *** Inpatient Care: Number of Unbilled Inpatient Admissions : Number of Inpt. Institutional Cases : Average Inpt. Institutional Bill Amount : Number of Inpt. Professional Cases : Average Inpt. Professional Bill Amount : Total Unbilled Inpatient Care : Outpatient Care: Number of Unbilled Outpatient Cases : Number of Unbilled CPT Codes : Total Unbilled Outpatient Care : Prescriptions: Number of Unbilled Prescriptions : Total Unbilled Prescriptions : Total Unbilled Amount (all care) : Note: Average bill Amount is based on Bills Authorized during the 12 months preceding the month of this report. Note: Number of cases is insured cases in Claims Tracking that are not billed (or bill not authorized) but appear to be billable. View unbilled amounts IB - Unbilled View Unbilled Amounts Inpatient Care: Number of Unbilled Inpatient Cases: Average Inpt. Institutional Bill Amount: Average Inpt. Professional Bill Amount: Total Unbilled Inpatient Care: Outpatient Care: Number of Unbilled Outpatient Cases: Number of Unbilled CPT Codes: Total Unbilled Outpatient Care: Prescriptions: Number of Unbilled Prescriptions: Total Unbilled Prescriptions: No Unbilled Amount information found. Number of Unbilled Inpt. Cases: Average Inpt. Bill Amount: Total Inpatient Unbilled: Number of Unbilled Opt. Cases: Average Opt. Bill Amount: Total Outpatient Unbilled: ...task stopped at user request SCHEDULED ADMISSION WORK COMP. Previous Spec. Bills: No Authorized or Denied Days on file for this Visit! For Insurance Company Care Authorized for entire Admission on Care Denied for entire Admission on Care Denied Deny Entire Admission already answered 'YES'. Entired Admission already denied on Entire Admission has already be authorized on Authorize Entire Admission already answered 'YES'. Care Authorized From Date must be before the Care Authorized To Date ( Date entered is already covered by another entry. Care Authorized To Date must not be before the Care Authorized From Date ( Care Denied From Date must be before the Care Denied To Date ( Date must not be before the Care Denied From Date ( Date can't be before admission or visit date ( Date can not be after Discharge Date ( Whole Admission has already been Authorized, can not add partial dates! Whole Admission has already been Denied, can not add partial dates! No Claims Tracking entry has been provided! The prompt type was not specified! Cannot determine the Package file entry for IB! Cannot determine the Visit file entry! Cannot determine the Clinic location of the visit! HOLD - REVIEW Reference Number: Primary Elig. Code: Clock Begin Date: Clock End Date: Number Inpatient Days: 90 Day Inpatient Amounts 1st 90 Day Amount: 2nd 90 Day Amount: 3rd 90 Day Amount: 4th 90 Day Amount: Date Entry Added: Date Last Updated: Update Reason: PRINT ORDER # OF COLUMNS LINE FORMAT ASSOCIATED CLINICS SUB-HEADER Wage Non-Wage Percentage Locality Modifier RP354'I IBA(354, 1:COPAY INCOME EXEMPTION; 1:EXEMPT;0:NON-EXEMPT; RP354.2'I EXEMPTION REASON IBE(354.2, HOW ADDED 1:SYSTEM;2:MANUAL; USER ADDING ENTRY DATE/TIME ADDED ELECTRONIC SIGNATURE PRIOR YEAR THRESHOLDS COPAY INCOME EXEMPTION STATUS COPAY EXEMPTION STATUS DATE COPAY EXEMPTION REASON FEDERAL TAX NUMBER BLUE CROSS/SHIELD PROVIDER # MEDICARE PROVIDER NUMBER MAS SERVICE POINTER DEFAULT DIVISION NAME OF CLAIM FORM SIGNER TITLE OF CLAIM FORM SIGNER BILLING SUPERVISOR NAME MULTIPLE FORM TYPES CAN INITIATOR AUTHORIZE? CAN CLERK ENTER NON-PTF CODES? ASK HINQ IN MCCR USE OP CPT SCREEN? *DEFAULT AMB SURG REV CODE DGCR(399.2, TRANSFER PROCEDURES TO SCHED? PER DIEM START DATE *DEFAULT RX REFILL REV CODE SUPPRESS MT INS BULLETIN DEFAULT RX REFILL DX DEFAULT RX REFILL CPT PRINT '001' FOR TOTAL CHARGES? HOLD MT BILLS W/INS REMARKS TO APPEAR ON EACH FORM UB-92 ADDRESS COLUMN CANCELLATION REMARK FOR FISCAL HCFA 1500 ADDRESS COLUMN BILL CANCELLATION MAILGROUP XMB(3.8, BILL DISAPPROVED MAILGROUP COPAY BACKGROUND ERROR GROUP MEANS TEST BILLING MAIL GROUP DEFAULT FORM TYPE IBE(353, AGENT CASHIER MAIL SYMBOL FACILITY NAME FOR BILLING BILLING SITE IS OTHER FACILITY AGENT CASHIER STREET ADDRESS AGENT CASHIER CITY AGENT CASHIER STATE AGENT CASHIER ZIP CODE AGENT CASHIER PHONE NUMBER CATEGORY C BILLING MAIL GROUP PATIENT SHORT MAILING ADDRESS SC AT TIME OF CARE TEMPORARY ADDRESS ACTIVE? TEMPORARY ADDRESS START DATE TEMPORARY ADDRESS END DATE TEMPORARY STREET [LINE 1] TEMPORARY STREET [LINE 2] TEMPORARY STREET [LINE 3] TEMPORARY CITY TEMPORARY STATE TEMPORARY ZIP+4 TEMPORARY PHONE NUMBER ALIAS SSN 1:EMPLOYED FULL TIME;2:EMPLOYED PART TIME;3:NOT EMPLOYED;4:SELF EMPLOYED;5:RETIRED;6:ACTIVE MILITARY DUTY;9:UNKNOWN; EMPLOYER STREET [LINE 1] EMPLOYER STREET [LINE 2] EMPLOYER STREET [LINE 3] EMPLOYER CITY EMPLOYER STATE EMPLOYER ZIP+4 EMPLOYER PHONE NUMBER SPOUSE'S EMP STREET [LINE 1] SPOUSE'S EMP STREET [LINE 2] SPOUSE'S EMP STREET [LINE 3] SPOUSE'S EMP ZIP+4 DGCR(399.3, RP353' Must be a printable national form type PRIMARY INSURANCE POLICY SECONDARY INSURANCE POLICY TERTIARY INSURANCE POLICY RESPONSIBLE INSTITUTION CURRENT BILL PAYER SEQUENCE P:PRIMARY INSURANCE;S:SECONDARY INSURANCE;T:TERTIARY INSURANCE;A:PATIENT; #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################