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The Procedure Variance Report will list billed insurance claims where procedure information differs between Insurance and Medical Records. Insurance procedure information pulls from within the Ins Diag/Proc option or the Grouper when the Insurance radio button is selected. Medical Records procedure information pulls from within the Ins Diag/Proc option or the Grouper when the Procedure radio button is selected. If the ICD-9, HCPC or procedure date loaded on the account differ in these two areas the account will pull to the report. See Insurance Procedures for more information.
Procedure Variance Report
Listed below is an explanation of each column.
•Account Number: Pulls from the Registration and ADT screen
•Patient Name: Pulls from the Patient tab on the Registration and ADT screen
•Fin. Class (Financial Class): Pulls from Policy Information
•Set:This field represents the sequence number of a particular financial class on a patient account. If there are multiple claims with the same financial class on the account, the system will assign a set number of 001, 002, etc.
•Billed Date: Pulls the billed date of the claim
•Total Charges: Total amount of charges pulls from Account Detail
•Grouper ICD9/HCPC: Pulls the ICD-9 and HCPC codes listed when the Procedure radio button is selected from within the Ins Diag/Proc option or the Grouper
•Grouper Date: Pulls the procedure date listed when the Procedure radio button is selected from within the Ins Diag/Proc option or the Grouper
•Insurance ICD9/HCPC: Pulls the ICD-9 and HCPC codes listed when the Insurance radio button is selected from within the Ins Diag/Proc option or the Grouper
•Insurance Date: Pulls the procedure date listed when the Insurance radio button is selected from within the Ins Diag/Proc option or the Grouper