Utilization Review User Guide - CPSI Application Documentation

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34Utilization Review User GuideSelect Base Menu > Master Selection > Medical Records > Quality Improvement > UtilizationReview > Select Patient6.3 Look FeatureFigure 6.1 Patient Review/Functions ScreenBy selecting Look on the patient Review Functions screen, certain patient information may beretrieved without the need to obtain the actual patient chart. Because the Patient Look screencontains live data, information is available as soon as it is entered in the system. The Look screendisplays the following options for viewing information associated with the individual case:NOTE: The information referenced through Look is “read-only”. No maintenance is allowed.Select Base Menu > Master Selection > Medical Records > Quality Improvement > UtilizationReview > Select Pt >LookFigure 6.2 Patient Account Information Screen© 2009 Computer Programs and Systems, Inc.
Review Functions 35AR DetailThe patient's accounts receivable (AR) detail, or charging information may be displayed bychoosing AR detail from the patient look screen. The system will then prompt for a starting date.If searching for a specific charge, the date of that charge may be entered and charges will beginlisting as of that date.1. Enter date using MMDDYY or press in the blank date field to display all charges.· The listing will display all charges since the date of admission.· The AR Detail provides the AR date, Service date (if different from A/R date), the Transactiontype, Summary code, Charge or Item number, Quantity and Description, and amount ofcharge.· Any credits will also display.To scroll through each page of charges:· Select ‘N”ext Page at the bottom of the screenTo return to the beginning of the charges:· Select “S”tart overThe cursor will return to the date field.· Re-key the starting date or press The Account Balance will display at the end of all account activity. After viewing the patient's ARdetail, selecting Exit returns to the Patient look screen.Select Base Menu > Master Selection > Medical Records > Quality Improvement > UtilizationReview > Select Pt > Look > AR Detail© 2009 Computer Programs and Systems, Inc.
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Page 6 and 7: IIUtilization Review User GuideChap
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Page 11 and 12: System Log On / Off 5NOTE: Payroll
Page 13 and 14: Application Access 7Chapter 3Applic
Page 15 and 16: Application Access 94. The Utilizat
Page 17 and 18: Form Maintenance 11Chapter 4Form Ma
Page 19 and 20: Form Maintenance 13Select Base Menu
Page 21 and 22: Form Maintenance 15Begins the multi
Page 23 and 24: Form Maintenance 17Utilization Revi
Page 25 and 26: Form Maintenance 19· After editing
Page 27 and 28: Patient Selection 21Chapter 5Patien
Page 29 and 30: Patient Selection 235. To display S
Page 31 and 32: Patient Selection 25Select Base Men
Page 33 and 34: Patient Selection 275.7 Date Sequen
Page 39: Review Functions 33Chapter 6Review
Page 43 and 44: Review Functions 37corresponding wi
Page 45 and 46: Review Functions 39Select Base Menu
Page 47 and 48: Review Functions 41Patient Demograp
Page 51 and 52: Review Functions 45Figure 6.14 Pati
Page 53 and 54: Review Functions 47Figure 6.17 Pati
Page 57 and 58: Review Functions 516.7 No ReviewThi
Page 59 and 60: Review Functions 536.9 Denial Featu
Page 61 and 62: Review Functions 556.10 Electronic
Page 63 and 64: Ad Hoc Reporting 57Chapter 7Ad Hoc
Page 65 and 66: Ad Hoc Reporting 597.3 Exit to Ad H
Page 67 and 68: Ad Hoc Reporting 61Review List By R
Page 69 and 70: Ad Hoc Reporting 63Review List By F
Page 71 and 72: Print Reports 65Chapter 8Print Repo
Page 73 and 74: Print Reports 67Select Base Menu >
Page 75 and 76: Print Reports 698.4 Reviewed Patien
Page 77 and 78: Print Reports 71Blank UR Forms for
Page 79 and 80: Print Reports 73UR for All Patients
Page 81 and 82: Print Reports 75Denial Letter (Samp
Page 83 and 84: Print Reports 774. Select a sort op
Page 85 and 86: Print Reports 798.7 Case Management
Page 87 and 88: Print Reports 81Case Management Rep
Page 89 and 90: Print Reports 83Select Base Menu >
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Print Reports 85Select Base Menu >
Page 93 and 94:
Print Reports 87Certification Summa
Page 95 and 96:
Print Reports 89Certification Summa
Page 97 and 98:
Print Reports 918.9 Readmission Rep
Page 99:
Print Reports 93Readmission Report
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