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Here is my CDS that we have attached to the Denial & Appeal screen in UR. It contains more queries than you will need because we are one of 3 states that have been subjected to the CMS RAC experiment of recouping Medicare dollars for the next 3 years. We also write our appeals letters in the CDS so you will see level one appeals letter and level 2 appeals letters. We have found this very helpful in keeping all documentation relative to a denial in one place for easy reference. I have the npr reports to go with this CDS if you would like. Ronald H Kilmer, RN, BS, CPUR Patient Services Manager Nathan Littauer Hospital Gloversville, New York 12078 518-773-5517 Fax 518-775-4005 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Daisy Reyna Sent: Friday, August 18, 2006 12:36 PM To: 'Renee Rinehart'; [email protected] Subject: RE: [MEDITECH-L] Magic UR CDS question All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Hi Renee, Would you be willing to share any responses you received on your questions regard the UR CDS. Also did you set up only the remit codes for denials only or all of them? Thanks in advance. Daisy Reyna Delta County Memorial Hospital Delta, CO 81416 970-874-2225 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Renee Rinehart Sent: Friday, June 16, 2006 2:24 PM To: [email protected] Subject: [MEDITECH-L] Magic UR CDS question All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Has anybody designed a CDS to attach to the Denials/Appl screen in the enhanced UR module? I'm just curious what information would need to be documented. I've defined the B/AR remit codes to flow to ABS. We are Magic 5.5. Thanks. Renee' Rinehart, HCIS Financial Coordinator Guadalupe Regional Medical Center Seguin, Texas 78155 830-401-7214 [EMAIL PROTECTED] _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
MNEMONIC DRAFT ACT DESCRIPTION TYPE
ROWS USED COLS USED MARK REQ FLDS FIRST FIELD PAGE SECTION EDIT
USERS EDIT GROUPS
UR.DEN & APPEAL Y DENIAL AND APPEAL TRACKER UR DENIAL/APPEAL
24 92 1 1 1
31 2 2
39 3 3
PCI Data Source:
<--------PROMPT-------->
<-RESPONSE->
FLD# QUERY ROW COL TEXT
ROW COL REQ ATTRIBUTES/DOCUMENTATION
1 UR.LOCATE 1 2 LOCATION:
SAME 12 <ATTRIBUTES>
[EMAIL PROTECTED]
2 UR.DOS 1 39 SERVICE DATE:
SAME 53 <ATTRIBUTES>
[EMAIL PROTECTED]
3 UR.DOB 1 73 DOB:
SAME 78 <ATTRIBUTES>
[EMAIL PROTECTED]
4 UR.INS# 2 3 INS ID#:
SAME 12 <ATTRIBUTES>
[EMAIL PROTECTED]
5 UR.DISCHDA 2 41 DISCH DATE:
SAME 53 <ATTRIBUTES>
[EMAIL PROTECTED]
6 UR.ARCHG 2 69 AR CHGS:
SAME 78 <ATTRIBUTES>
[EMAIL PROTECTED]
7 UR.AUTHNUM 3 5 AUTH#:
SAME 12
8 UR.ADMSOUR 3 39 ADMIT SOURCE:
SAME 53 <ATTRIBUTES>
[EMAIL PROTECTED]
9 UR.BILL 3 65 BILL AMOUNT:
SAME 78 <ATTRIBUTES>
[EMAIL PROTECTED]
10 UR.MD 4 1 PHYSICIAN:
SAME 12
11 UR.DEINSNO 4 24 DENIED FOR INVALID REASON:
SAME 51
12 UR.DEINSRE 4 55 REASON:
SAME 63
13 UR.RACINFO 6 1 RAC INFORMATION:
14 UR.RACLETT 7 1 DEMAND LETTER DATE:
SAME 21
15 UR.RACREC 8 2 DATE LETTER REC'D:
SAME 21
16 UR.RACRECD 9 11 ADJ DATE:
SAME 21
17 UR.RACREAD 10 8 RE-ADJ DATE:
SAME 21
18 UR.RACINPM 7 35 INITIAL PMT:
SAME 48
19 UR.RACPMTR 8 37 PMT REPAY:
SAME 48
20 UR.RACOVER 9 34 PAYMENT DIFF:
SAME 48
21 UR.RACINCO 7 60 INITIAL COPAY:
SAME 75
22 UR.RACCOAD 8 64 COPAY ADJ:
SAME 75
23 UR.RACCOP 9 63 COPAY DIFF:
SAME 75
24 UR.RACINCA 10 35 INITIAL C/A:
SAME 48
25 UR.RACCAAD 11 39 ADJ C/A:
SAME 48
26 UR.RACCADI 12 38 C/A DIFF:
SAME 48
27 UR.RACNCCH 11 61 NON-COV CHGS:
SAME 75
28 UR.RACMCRC 12 66 MCR C/A:
SAME 75
29 UR.DENNOTE 14 1 DENIAL NOTES:
SAME 15 <ATTRIBUTES>
IFE=%MIS.QUERY.zcus.is.M.edit(ANS,R,S)
30 UR.OUTCOME 24 1 OUTCOME:
SAME 10
31 UR.DENINS 2 1 INSURANCE:
SAME 12
32 UR.COORD 2 50 REVIEWER:
SAME 60
33 UR.DENADD1 3 1 ADDRESS1:
SAME 11
34 UR.DENADD2 3 45 ADDRESS2:
SAME 55
35 UR.DENCITY 4 1 CITY,STATE,ZIP:
SAME 17
36 UR.DENATT 5 1 ATTENTION:
SAME 12
37 UR.DENINST 5 75 (ADD DEAR & :)
38 UR.APPEAL1 7 2 FIRST APPEAL:
SAME 16
39 UR.DENINS2 2 1 INSURANCE:
SAME 12
40 UR.COORD2 2 50 REVIEWER:
SAME 60
41 UR.DENADD3 3 1 ADDRESS:
SAME 10
42 UR.DENADD4 3 44 ADDRESS2:
SAME 54
43 UR.DENCIT2 4 1 CITY,STATE,ZIP:
SAME 17
44 UR.DENATT2 5 1 ATTENTION:
SAME 12
45 UR.APPEAL2 7 1 SECOND APPEAL:
SAME 16
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