Instructions for Running your 2005 RHCF Report
Step 1. Before running the RHCF report review and correct ONLY the two highlighted fields in your Billing Type Table File. Do not modify any other fields.
From any CHARTS menu type CTF and specify 1 for Census, and 1 for Billing Types. The following screen appears after typing a bill type of 11.:
Change (001-B BILLING CODES TABLE Enter Main Key : 11 Secondary Key: MA Description : MEDICAID Form Number : ____ State: NY Facility: _ è RHCF No.: 01 Age #: _ Census #: _ Inherent Type: 1 Limit Days ( C): _ Prorate using ▬▬ days 1-Medicaid 3- Private Print Contr Allow Column (Y/N) : _ 2-Medicare 4- V.A. 5- Other Deduct Budget for Non Ma Type(B): _ MopII No: ▬▬ Coins.Prov: ▬▬ Days: ▬▬ CoPay Bill Number: __ Code: __ Rate Codes Elig: ▬▬▬▬ NonElig: ▬▬▬▬ Use mds rate: ▬ Rate Codes : __ __ __ __ __ Options: N N N Y N Second Rate Codes: __ __ __ __ __ 1: Disch.no Bedhold 2: Deceased in Home Contractual Codes: __ __ __ __ __ 3: Bed Hold Release 4: Bill Therp. as B 5: Deceased in Hosp Bedhold Rate Code: __ __ __ __ __ RHCF Level/ / : ç No. Bedhold days allowed : ___ ___ Provider Id : ▬▬▬▬▬▬▬▬ NY Reimburse. Bill/Rate Code : __ Bill Type / Group: ▬▬▬ ▬ Enter (F) To File (I) To Ignore: F Ins. /Specialty Code : ▬▬▬ ▬▬▬
Review each Billing Type Table File (function key F2) and modify the following two (2) fields:
Field 1) At RHCF No. type a two digit RHCF # from the table below:
For CHARTS Billing Type of . . .
|will appear on the RHCF report (PART 1-3) on line|
|Medicaid - Regular||01||1. MEDICAID DAYS PAID BY: HEALTH|
|Medicare with Co-ins Provider unspecified||02||2. MEDICARE (DAYS)|
|Medicare with Co-ins Provider of Private||02||2. MEDICARE (DAYS)|
|Private||03||4A. PRIVATE PAY PATIENT (DAYS)|
|Veterans Administration||04||5. VETERANS ADMINISTRATION|
|Other||05||4. OTHER PRIVATE INSURANCE DAYS|
|Medicare with Co-ins Provider of Medicaid||06||2. MEDICARE (DAYS)|
|Blue Cross||07||3. BLUE CROSS (DAYS)|
|Medicaid - HMO||08||1A. MEDICAID DAYS PAID BY: MANAGED CARE PROVIDER|
|Other||09||6. OTHER (DAYS) SPECIFY|
Field 2) The RHCF Level needs to be set ONLY if you have more than one level of care (e.g., vent or HIV). Each level of care should have a unique number. Use the following conventions to assign an RHCF Level in the first position of the RHCF Level field:
|Level of Care||RHCF Level|
Step 2. Run the RHCF report by doing the following:
The output can be used to complete the RHCF report. There may be some warning messages regarding data inconsistencies – if they exist they will be found at the beginning of the report. These messages show the Resident ID & the date of the inconsistency, which may need adjustment.
At the end of the output the user will find the Billing types included in the report, with the Census & RHCF categories for each Billing Type. Following that are total days for each of the five categories, using the Census & RHCF totals. This will allow the user to reconcile the Census totals to the RHCF totals.