4/21/03 Instructions for completing the 2002 RHCF report.









April 21, 2003

Dear Client,

As part of our continuing service, we are enclosing procedures to assist you in completing the N.Y. State RHCF-IV, annual cost report.

Except as noted otherwise, all reports are produced by program PMGEN.

Instructions are based on the latest version of Part I - Statistical Data.

Print out the census report for each of the 12 months of 2002 before running the enclosed reports.

Sincerely,

Reliable Health Systems, Inc.

encl.


 
 
 
 
 
 
 












Page 3, Part 1-3, Lines 10-11(Scr: 1-2-2)
Number of Days of Care
Total Medicaid Days - (Not)/Eligible Part B

              
Run program ARGEN2 [AR, 5, 10] from any menu and press ENTER.
Run the report as shown. Items that are in bold need are not initialized
and need to be entered.
              

     

Verify (Y/N): N
All Billing Types            Level of Care:         Budget    Ancillary


_ Medicaid                  Medicare                 Pvt     VA    Other   
===============             ================         ==================
X MEDICAID   MA             MEDICARE    MC           PRIVATE       PVT
_ NYS ADD ON


===========================================================================


              Report on Billing/ Cash Receipt/Outstanding (B/C/O): B
              Residents: A                    - ZZ    

    Processing Order: S            Report Type: G           Report Order By: 1
    (P)-By Posting Date       P- Pat.total R- Regular        1- Resident 2- Date
    (S)-By Service Date       S- Subtotal  G- Grand Ttl      3- Denial#  4- Bill

                 DATES                                      --- Ancillaries ---
  Posted :            12/31/2099  Billed/Not Billed: YY       No.  9999999
  Service: 01/01/2002 12/31/2002  User ID:  ZZZ            Bill types:  
  Logon  :            12/31/2099  Amounts: -99999.99 99999.99 Ancl.Class:  
  Billed :            12/31/2099  Source (credit) :  ZZ     Attend Dr.:  ZZZ
  Record Types    : YNYY YY       Rec.Type YYYY (Reg./X/V/A)  Diag.:   
  Reg/Coin/Elg/NonElg Bh/Thr      Denial No.:  99999     Receiv.From:   
  Room Category :  Z             Set to Bill  Z   Pending:  Z
           Type :  Z             Subtype(Mc:   9999
  Resident Participation                                  Include in Open Items
  Print Only Part.  :                                       Credits : 
  Bill Types(credit):  - 99                             Overpayment: 
  Report Header:                                         Print Option: S


      
The breakdown of days appear on the last line of the report:


              GRAND TOTALS                   281

              ELIG.B DAYS                    185
              NON ELIG.B DAYS(INCL BH)        96





Page 3, Part 1-3, Lines 18-21 (scr: 1-2-3)
Bed Reservations established and days


PATIENT RANGE    :  A-ZZ
FROM DATE        :  01/01/2002
TO DATE          :  12/31/2002
ACTIVITY MASTER  :  A
ACTIVE A/O       :  LEAVE BLANK
PRINT OPTION     :  P

                 FIELD      FROM RANGE    TO RANGE     SORT
                 -----      ----------    --------     ----
1)                46
2)                47
3)                46            11           20
4)                47            11           20


                                 ALL/ANY : ANY


--------------------------------------------------------------------------

                               Report Generator
 ID   PATIENT NAME     HOSP BH      THER BH       HOSP BH    THER BH
----- ------------ ------------- ------------ -------------- -------
30888 AGARS,GEORGE HOSP.BH -  09 THER.BH - 02 HOSP.BH -   09
                   HOSP.BH -  24              HOSP.BH -   24
30004 DOE,SAM      HOSP.BH -  07
31005 BETH,SARAH   HOSP.BH -  02              HOSP.BH -   02
----- ------------ ------------- ------------ -------------- -------
00003                    4    42     1      2       3     35    0

                      PATIENTS ON MORE THAN ONE BH IN COL.01       1
                      PATIENTS ON MORE THAN ONE BH IN COL.03       1


    The above report provides the answers to the following:
    


  8 ) Bed Reservations:  Total =  5   8a) Days = 44 (Hospital + Therapeutic)
  8b) Medicaid Bedhold:  Total =  35  8c) Days = 0 (Therapeutic)       


 
 




Page 5, Part 1-5, Lines 3-10 (Scr: 1-3-1)
Admissions during reporting period

 


PATIENT RANGE    :  A-ZZ
FROM DATE        :  01/01/2002
TO DATE          :  12/31/2002
ACTIVITY MASTER  :  A
ACTIVE A/O       :  LEAVE BLANK
PRINT OPTION     :  P

                 FIELD   FROM RANGE  TO RANGE  SORT
                 -----   ----------  --------  ----
1)                85                            1   skip at break - Y
                                                -   -----------------
2)                52

                            ALL/ANY : ALL
                                      ---





--------------------------------------------------------------------------


                           Report Generator

  ID   PATIENT NAME       HOSP TYPE ADMISSION            ACTIVITY-DATE
 ----- -----------------  --------- ------------------   -------------
 10234 BEICHLE,E.          01       HOPKIN    04/10/95     04/10/96
 10213 BIRUM,STAN          01       HOME      05/01/95     05/01/96
 10243 BREWSTER,F          01       HOPKIN    04/03/95     04/03/96
 10244 BREWSTER,S          01       HOPKIN    01/24/95     01/24/96
       [     4 ]
 10006 BACCHIERI,FAUSTINA  02       JOHN JAY  10/17/95     10/17/96
 10009 BEASLEY,RUTH        02       JOHN JAY  10/30/95     10/30/96
 10010 BENTLEY,MARY        02       JOHN JAY  11/28/95     11/28/96
       [     3 ]
 ----- ----------------   --------- ------------------   -----------
 00007                      7         7                      7.00


---------------------------------------------------------------------------


Note : Hosp. Types   (01) HOME     = 04
                     (02) HOSPITAL = 3
                     (03) SNF      = 0
                     (04) HRF      = 0
                     (05) OTHER    = 0
                     (00) FACILITY NOT ENTERED IN HOSPITAL TABLE         

 





Page 5, Part 1-5, Lines 14-21 (Scr: 1-3-2)
Discharges during reporting period



PATIENT RANGE    :  A-ZZ
FROM DATE        :  01/01/2002
TO DATE          :  12/31/2002
ACTIVITY MASTER  :  A
ACTIVE A/O       :  LEAVE BLANK
PRINT OPTION     :  P

                 FIELD  FROM RANGE  TO RANGE  SORT
                 -----  ----------  --------  ----
1)                85                           1   skip at break - Y
                                               -   -----------------
2)                86


                            ALL/ANY : ALL
                                      ---


---------------------------------------------------------------------------



                           Report Generator

  ID   PATIENT NAME         HOSP TYPE     FINAL DISCH       DATE
 ----- -------------------- --------- -------------------- --------
 10008 BALDI,MARIE           00           EXPIRED-HOME2641 08/01/96
       [     1 ]
 10011 BERG,ANNA             01           EXPIRED-OUT  559 01/10/96
 10213 DIRNDAUM,EVA          01           NO BEDHOLD    93 08/01/96
       [     2 ]
 10007 BAKTAY,EMERY          02           BH-RELEASE  5513 11/20/96
       [     1 ]
 ----- -------------------- --------- -------------------- --------
 00004                        4           4                   4.00

                     DAYS ON BH PRIOR TO RELEASE FOR COL.02      28





       Note : Hosp. Types   (01) HOME     = 2
                            (02) HOSPITAL = 1
                            (03) SNF      = 0
                            (04) HRF      = 0
                            (05) OTHER    = 0
                            (00) FACILITY NOT ENTERED IN HOSPITAL TABLE = 1     








Page 6, Part 1-6, Lines 1-11 (Scr: 1-4-1)
Ages of Patients


              PATIENT RANGE    :  A-ZZ
              FROM DATE        :  01/01/2002
              TO DATE          :  12/31/2002
              ACTIVITY MASTER  :  M
              ACTIVE A/O       :  12/31/2002 - 12/31/2002
              PRINT OPTION     :  P

                                FIELD     FROM          TO        SORT
                                -----     ----          --        ----
               1)                 18      M             MZ
               2)                 139     16            20
               3)                 139     21            54
               4)                 139     55            64
               5)                 139     65            69
               6)                 139     70            74
               7)                 139     75            79
               8)                 139     80            84
               9)                 139     85            89
              10)                 139     90

                                          ALL/ANY : ANY
                                      MUST INCLUDE FIELD:  1

--------------------------------------------------------------------------
           Rerun the same report for females changing the first range to :


                               FIELD      FROM          TO        SORT
                               -----      ----          --        ----
              1)               18         F             FZ              
--------------------------------------------------------------------------
           Note: If there are any resident in your facility in the age
                 range of 0 - 15 you will need to rerun this report
                 another 2 times as follows:

                                FIELD     FROM          TO        SORT
                                -----     ----          --        ----
               1)                 18      M             MZ
               2)                 139     0             15


                                FIELD     FROM          TO        SORT
                                -----     ----          --        ----
               1)                 18      F             FZ
               2)                 139     0             15







Page 7, Part 1-7, Line 19 (Scr: 1-4-3)
Patients Previously Private

Note: For lines 12 - 17 use the figures on the 12/31/2002 census report.



              PATIENT RANGE    :  A-ZZ
              FROM DATE        :  01/01/70
              TO DATE          :  12/31/2002
              ACTIVITY MASTER  :  M
              ACTIVE A/O       :  12/31/2002 - 12/31/2002
              Latest Bill Code :  11
              PRINT OPTION     :  P

                               FIELD      FROM RANGE    TO RANGE     SORT
                               -----      ----------    --------     ----
              1)                53            31

                                          ALL/ANY : ANY





   
    Note: If you have multiple Medicaid bill types other than type '11' you
	  should run this report as follows (and remove the '11' from
	  Latest Bill Code above):

              1)                53            31
              2)                120           1          1
 
                                          ALL/ANY : ALL























Page 8, Part 1-8, Lines 20-25 (Scr: 1-4-5)
New Admissions Payors





              PATIENT RANGE    :  A-ZZ
              FROM DATE        :  01/01/2002
              TO DATE          :  12/31/2002
              ACTIVITY MASTER  :  A
              ACTIVE A/O       :  LEAVE BLANK
              PRINT OPTION     :  P

                               FIELD      FROM RANGE    TO RANGE     SORT
                               -----      ----------    --------     ----
              1)                53            11           20
              2)                53  *         21           30
              3)                53            31           40
              4)                53            41

              *Facilities that have different codes for MC/Medicaid & MC/Pvt
               may add another line to separate them.

                                          ALL/ANY : ANY





































Page 9, Part 1-9, Lines 26-50 (Scr: 1-5-1)
Length of Stay



              From any screen type LENOFSTY or [GM, 2, 10] 
              for the Length of Stay report.

              Enter 01/01/2002-12/31/2002 for the range of dates.

              The following is a sample printout.

------------------------------------------------------------------------------


                                          LENGTH OF STAY

                ID   PATIENT NAME          HOSP.TYPE DAYS DISCHARGE INFO.
              ------ --------------------- --------- ---- ------------------
               31029 FOX,SALLY             06          31 EXPIRED-HOME
                     [     1 FOR 01 + MONTHS ]
               31030 GREENE,TIMOTHY        01         121 NO BEDHOLD
                     [     1 FOR 04 + MONTHS ]
              ------ --------------------- --------- ---- ------------------
                                                        2


-------------------------------------------------------------------------------


              Note : Each Category is separated by Length of stay and facility
                   [ 1 FOR 01 + MONTHS ] = 1 patient for the 1+ Month category
                                           for 'expired in facility'.

                   [ 1 FOR 04 + MONTHS ] = 1 patient for the 4+ Month category
                                           for 'To Home' discharge. 




                               Hosp Types : 06 - Expired in facility
                                           See page 5 for other codes. 























Page 10, Part 1-10, Lines 1-41 (Scr: 1-6-1)
Patient origin by county







          PATIENT RANGE    :  A-ZZ
          FROM DATE        :  12/31/2002
          TO DATE          :  12/31/2002
          ACTIVITY MASTER  :  M
          ACTIVE A/O       :  12/31/2002-12/31/2002
          PRINT OPTION     :  P

                           FIELD      FROM RANGE    TO RANGE  SORT
                           -----      ----------    --------  ----
          1)                42                                 1 Skip at Break Y
          2)                13                                 2
          3)                10
                                      ALL/ANY : ANY