Report:  Billing Monthly Summary NC Export (Deprecated)

 

(Topic Last Updated On:  05/05/2010)

 

This report displays a summary of all Monthly (MediCal) Billing records generated on the MediCal Billing screen, but in a specific format being used by facilities in North Carolina.  Basic Consumer and Provider information is presented, along with each episode of billable treatment services provided, including Service Billing Codes and the Service Rate or Amount Billed.

 

 

Report Column Explanations

 

Consumer Name

When turned on, this column can display the name of each patient (consumer) billed for treatment services.

Consumer ID

This column displays the 'Insurance ID' of each patient billed for treatment services.

Provider Number

This column displays the Home Clinic's 'Billing Provider Code', as entered in Accounting Preferences - General Setup #2.

Service Authorization Number

This column displays the 'Authorization #' entered for each patient on the Billing Authorizations screen for the date range covering the provided service.

Date of Service

This column displays the date on which each treatment service was provided to each patient.

# of Units

This column displays the number of billable units being billed for each service provided.

Service Billing Code

This column displays the 'Service Billing Code' defined in the database for each billable service provided.

Service Rate or Amount Billed

This column displays the dollar amount billed for each billable service provided.

 

Report Field Explanations

 

Provider Name

This field displays the 'Clinic Name' of the Home Clinic in which billable services are being provided to patients.

Date of Claim

This field displays the date on which this report is generated.

Month of Service

This field displays the 'Service Month' and 'Service Year' criteria selections made when this report is generated, which is the month being billed for.

Invoice Total

This field displays the total dollar amount of the 'Service Rate or Amount Billed' column, indicating the total dollar amount being billed for the month.

Number of Units

This field displays the total number of billable units of service are being billed for, which is the sum of the '# of Units' column.

 

Criteria Explanations

 

Service Year

This parameter corresponds to the 'Year of Service' field on the MediCal Billing screen, and determines for what year to display generated billing records.

Service Month

This parameter corresponds to the 'Month of Service' field on the MediCal Billing screen, and determines for what month to display generated billing records.

Svc. Function Code

This parameter allows users to limit the report's data to display only billing records generated and saved for the 'Service Function Code' selected here.