Description and Usage

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Description and Usage

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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

 

 

x_proc_variance

 

 

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