| DESCRIPTION | This Accounts Receivable option is to assist users in focusing onreviewing the legitimacy of first party bills for veterans who are SC 50%to 100% or in receipt of VA Pension benefits. The report containsinformation on veterans who meet the above criteria and have bills forepisodes of care within the previous 365 days (or older selected date)with a DMC Debt Valid field not flagged as 'YES' or 'NO' and for which theCurrent Status is Active, Open or Suspended. Authorized billing staff can run the report to ensure that all billsmeeting the above criteria are reviewed and if necessary the appropriateaction is taken as follows: Bill is appropriate - Update the Debt Validity Status field to 'YES' in order that the bill is referred to DMC via the automated process if all other DMC criteria is met Bill is inappropriate - Update the Debt Validity Status Field to 'NO' and staff will cancel the bill using existing functionality Inappropriate bill sent to DMC - Staff to initiate action to cancel DMC collection or refund payments using existing functionality The report allows for the user to select the date from which to include bills for episodes of care on the report and to select if they want thereport printed in a Detailed Format or in an Excel Delimited Format. It is recommended that the user Queues this report to a device that is 132characters wide. The report will include the following data elements: Data Elements From File # ------------------------------- --------------------------------- Veteran's Name #2 (Patient File) SSN (Last 4 digits) #2 Claim Number(CXXXXXXXX) #2 Claim Location(Station Number) #2 Eligibility/Effective Date #2 Bill Number #430 (Accounts Receivable) RX Fill/Re-Fill Date. File #52 pointed to by File #350 Outpatient Visit Date File #409.68 pointed to by file #350 Discharge Date File #405 pointed to by file #350 AR Status(Open/Active/Suspended) #430 DMC Referral Date #430 DMC Debt Valid (Null/PENDING) #430 Summary at bottom of report: Total Number of Bills Referred Total Number of unique veterans referred Total AR Dollars referred Total Number of Bills Total Number of unique veterans Total AR Dollars Note: When the veteran is not Service Connected 50% to 100% and is not Receiving a VA Pension the new software will also include the functionality to consider a veteran as Receiving a VA Pension if he/she isreceiving A&A or Housebound Benefits. |