14.10 PPS Claims Created Details Report
Go to Reports > Billing > 14.10 PPS Claims Created Detail. You can also go to Billing > Reports > 14.10 RAP/EOE Sent For Selected Dates.
How To Run The Report
- From/Thru Dates= The starting date billed and ending date billed
- Program(s)/Payer(s) = Enter a program number(s)/payer number(s), or leave blank to search all
- Medicare Only = Search for only Medicare patients
- Non-Medicare Only = Search for only non-Medicare PPS patients; Select Both to search all
- RAP/NOA = Search for RAP/NOA(s) billed only
- EOE = Search for EOEs billed only; Select Both to search all
Print By Options: You can print by Claim Date or by Payer, Patient
How to Read the Report
- Clm Date/Serial/Typ= The date/transmission# of the batch created; claim type
- Chart#/Patient's Name/Pg/Pyr/Tm = The patient's name, chart#, program/payer, and team number
- FromDate/ThruDate = The from/thru date of the episode
- M0090 Dt/RFA = The M0090 Date entered in the OASIS; and the Reason for Assessment (01=SOC OASIS; 04=Recert OASIS)
- AB = The letter assigned to the episode (A=1st 30-day; B=2nd 30-day)
- HIPPS/$Amount = The HIPPS and $Amount generated from the OASIS
- HIC Number = The patient's insurance ID number
- St = The status of the claim (Pd=Paid; PL=Paid(Lupa); Blank=not paid )