Critical Access User Guide - CPSI Application Documentation

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35Critical Access User GuideOutpatient claims with the comment “APC Claim” as the reason for not billing the claim, should beverified and have a M/R Verify Date entered on the Medical Records Insurance ModifierMaintenance screen.Claims With Missing Information (by Physician)UListed below is an explanation of each column.· Insurance: This field states the primary status of the claim. PRI is listed for the primary claimand SEC for all other claims.· Number (Account Number): Pulls from Patient Functions. An asterisk (*) will appear next tosub accounts. Below the sub account will be the account from which it was created.· Name: Pulls from the Patient tab on the Registration and ADT screen.· Med- Rec# (Medical Record Number): Pulls from the Patient tab on the Registration and ADTscreen.· Disc Date (Discharge Date): Pulls from the Stay tab on the Registration and ADT screen.· Amount To Be Billed: The expected pay amount pulls from the detail charges screen.· Current: An “X” pulls to this column if the Discharge date is less than 30 days old.· 30: An “X” pulls to this column if the Discharge date is over 30 but less than 60 days old.· 60: An “X” pulls to this column if the Discharge date is over 60 but less than 90 days old.· 90: An “X” pulls to this column if the Discharge date is over 90 days old.· # Days Disc (Number of Discharge): The number of days since discharge.· Chart Location: The location of the patient’s medical record chart pulls from Medical Records.· # Days Loca (Number of Days Location): The number of days that the Health Information© 2008 Computer Programs and Systems, Inc.
Print Reports 36chart has been in its current location.· Insurance: The insurance code pulls from the Insurance Claims by Patient screen.· Srv Cd (service code): Pulls from Patient tab on the Registration and ADT screen.· Med-Rec COM (Medical Records Complete): A "Y" indicates that Medical Records coding iscomplete and the Finish Date has been added to the grouper screen. An "N" indicates thatcoding is not complete.© 2008 Computer Programs and Systems, Inc.
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Critical Access User Guide - CPSI Application Documentation

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