NAMERCDMCR1 DEBT VALIDITY TASK RPT
DESCRIPTIONThis Accounts Receivable option is used to schedule the DMC Debt ValidityReport to run on a recurring basis with out user intervention. The reportis used to assist users in focusing on reviewing the legitimacy of firstparty bills for veterans who are SC 50% to 100% or in receipt of VAPension benefits. The report contains information on veterans who meet theabove criteria and have bills for episodes of care within the previous Xdays with a DMC Debt Valid field not flagged as 'YES' or 'NO' and forwhich the Current Status is Active, Open or Suspended. X will be the value entered in the "NUMBER OF DAYS FOR DMC REPORTS"(#8.02) field of the AR SITE PARAMETER (#342) file. If this value isn'tentered the report will default to bills from episodes of care for thepast 365 days. This parameter can be edited using the Enter/Edit DMCReport # Days for Episodes of Care [RCDMC EDIT DMC REPORT # OF DAY]option. Authorized billing staff can use 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 scheduled report can only be printed in the detailed format and itshould be sent to a device that is 132 characters 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 notReceiving a VA Pension the new software will also include thefunctionality to consider a veteran as Receiving a VA Pension if he/she isreceiving A&A or Housebound Benefits.
CREATORUSER,ONE
MENU TEXTDMC Debt Validity Report - Scheduled Task
PACKAGEACCOUNTS RECEIVABLE
ROUTINEQUERPT^RCDMCR1A
SCHEDULING RECOMMENDEDYES
TYPErun routine
UPPERCASE MENU TEXTDMC DEBT VALIDITY REPORT - SCH