| NAME | RCDMCR3 RD ELIG CHANGE TASK |
| DESCRIPTION | This Accounts Receivable option is used to schedule the Rated DisabilityEligibility Change Report to run on a recurring basis with out userintervention. It is used to assist users in focusing on reviewing thelegitimacy of first party bills where the veteran is neither SC 50% to100% nor in receipt of VA Pension benefits (Veterans not included on the"DMC Debt Validity Report"). The report will contain information onveterans who have bills for episodes of care within the previous X1 daysand who have a new Rated Disability during the last X2 days. X1 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. X2 will be the value entered in the "# OF DAYS FOR RD ELIG CHG RPT"(#8.01) field of the AR SITE PARAMETER (#342) file. If this value isn'tentered or is zero, the report will default to RD data for the last 31days. This parameter can be edited using the Enter/Edit RD Number of DaysReport Parameter [RCDMC EDIT RD # OF DAYS PARAME] 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 - There shall be no action taken. Bill is inappropriate - AR staff shall cancel the bill using existing functionality. Inappropriate bill sent to DMC - AR staff shall cancel/refund using existing functionality. The scheduled report can only be printed in the detailed format and it should 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 Change Date #390 (ENROLLMENT RATED DISABILITY UPLOAD AUDIT FILE) New Rated Disability Name #390 Extremity Affected #390 Original Effective Date #390 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 Summary at bottom of report: Total Number of Bills Total Number of Rated Disabilities Total Number of unique veterans |
| CREATOR | USER,ONE |
| MENU TEXT | Rated Disability Elig Change Rpt - Scheduled Task |
| PACKAGE | ACCOUNTS RECEIVABLE |
| ROUTINE | QUERPT^RCDMCR3A |
| SCHEDULING RECOMMENDED | YES |
| TYPE | run routine |
| UPPERCASE MENU TEXT | RATED DISABILITY ELIG CHANGE R |