4/12/95 Instructions for completing the RHCF report.
April 12, 1995
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.
If New York State changes it's requirements, then RHS will send updated
instructions to you.
Print out the census report for each of the 12 months of 1994 before running
the enclosed reports.
Sincerely,
Reliable Health Systems, Inc.
encl.
===========================================================================================
Scr: 1-2-2 Number of Days of Care
Total Medicaid Days - (Not)/Eligible Part B
Enter ARGEN from any menu and press ENTER.
Run the report as shown. Items that need adjusting are underlined
Verify (Y/N): N
All Billing Types Level of Care: Budget Ancillary
X Medicaid Medicare Pvt VA Other
=============== ================ ==================
MEDICAID MA MEDICARE MC PRIVATE PVT
ACCOUNTS RECEIVABLE REPORT GENERATOR
Recreate Billing, Cash Receipts, Outstanding Receivables (B/C/O): B
Range of Patients A To ZZ
Chronological or DB/CR Ledger (C/D): D Report Type (R/S/P/G):G
R-Regular S-Pat.Subtotal
Posting Dates 01/01/01 to 12/31/99 P-Pat.total G-Grand total
Date of Service 01/01/94 to 12/31/94
Logon Dates 01/01/01 to 12/31/99 Order Option 1
Billing Dates 0 to 12/31/99 1 - Patient, Date
Extract Amount -99999.99 to 99999.99 2 - Date, Patient
Ancillary Numbers to 9999999 3 - Bill Type, Patient
Room Catgry / Type (debit) - Z / - 9
Source (credit) to ZZ Billed/ Not Billed : YY
Pat.Part Bill types (credit) to 99 Billing Media (P/D/T/All) :
Pat.Participation only (Y/N) Record Type(Regular/X/V/A): YYYY
For open items, include overpayments: N Reg/Coins/Elig.B/NonElig/BH YNYYY
Report Header : Print Option: P
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
============================================================================================
scr: 1-2-3
Bed Reservations established and days (#8 - 8c)
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
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
----- ----------------- ---------------- ---------------- --------------
30888 AGARS,GEORGE HOSP.BH - 09 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 3 35
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 = 4 8a) Days = 42
8b) Medicaid Bedhold: Total = 3 8c) Days = 35
=========================================================================================
Scr: 1-2-4 LINE: 22-24
Number of Bed Reservations per patient
Step 1:
Print the 12/31/94 census first,to obtain total number of medicaid patients
RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : A
ACTIVE A/O : 12/31/93 - 12/31/93
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT _____ __________ ________ ____
----- ---------- -------- ----
1) 46 11 20
2) 47 11 20
ALL/ANY : ANY
----------------------------------------------------------------------------------
Report Generator
ID PATIENT NAME HOSP BH THER BH
----- ----------------- ---------------- ---------------- --------------
30888 AGARS,GEORGE HOSP.BH - 09
HOSP.BH - 24
31005 BETH,SARAH HOSP.BH - 02
31005 JAMES,SAM HOSP.BH - 05
----- ----------------- ---------------- ---------------- --------------
00003 4 40
PATIENTS ON MORE THAN ONE BH IN COL.01 1
--------------------------------------------------------------------------------------
The above report provides the answers to the following:
3d) Patients with 2+ Bedholds - 1
2d) Patients with 1 Bedhold - 2
(Number of Patients (0003) - patients with 2+ BH (1) = 2
1d) Total Medicaid patients(12/31/94) - patients on report(3)
============================================================================================
Scr: 1-2-4
Bed Reservations cancelled (#E1 - E2)
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : A
ACTIVE A/O : LEAVE BLANK
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT
----- ---------- -------- ----
1) 49 11 20
ALL/ANY : ANY
----------------------------------------------------------------------------
Report Generator
ID PATIENT NAME BH RELEASE ACTIVITY-DATE
----- ------------------------- ---------------- -------------
10007 BAKTAY,EMERY BH-RELEASE 5513 10/20/94
10011 BERG,ANNA EXPIRED-OUT 559 01/10/94
----- ------------------------- ---------------- -------------
00002 2 6072 2.00
DAYS ON BH PRIOR TO RELEASE FOR COL.01 28
The above report provides the answers to the following:
1E) Reservations with no return - 2
2E) Days with no patient return - 28
B2,3.2,.6,3,1
==================================================================================
Scr: 1-3-1
Admissions during reporting period
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
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 04/10/94 04/10/94
10213 BIRUM,STAN 01 HOME 05/01/94 05/01/94
10243 BREWSTER,F 01 HOPKIN 04/03/94 04/03/94
10244 BREWSTER,S 01 HOPKIN 01/24/94 01/24/94
[ 4 ]
10006 BACCHIERI,FAUSTINA 02 JOHN JAY 10/17/94 10/17/94
10009 BEASLEY,RUTH 02 JOHN JAY 10/30/94 10/30/94
10010 BENTLEY,MARY 02 JOHN JAY 11/28/94 11/28/94
[ 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
===============================================================================
Scr: 1-3-2
Discharges during reporting period
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
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 08/01/94
[ 1 ]
10011 BERG,ANNA 01 EXPIRED-OUT 559 01/10/94
10213 BIRNBAUM,AVI 01 NO BEDHOLD 93 08/01/94
[ 2 ]
10007 BAKTAY,EMERY 02 BH-RELEASE 5513 11/20/94
[ 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
===================================================================================
Scr: 1-3-3 : 6A
Readmissions
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : A
ACTIVE A/O : LEAVE BLANK
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT
----- ---------- -------- ----
1) 151
ALL/ANY : ALL
---
===============================================================================
Scr: 1-3-3 : 6B
Readmissions from final discharge
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : A
ACTIVE A/O : LEAVE BLANK
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT
----- ---------- -------- ----
1) 54
ALL/ANY : ANY
---
#151- Readmissions with Bed reservations still in effect
#54 - Readmissions where Bedholds expired
================================================================================
Scr: 1-3-3 : 6F
Deceased while on bedhold
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : A
ACTIVE A/O : LEAVE BLANK
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT _____ __________ ________ ____
1) 51
ALL/ANY : ANY
=========================================================================
Scr: 1-4-1
Ages of Patients
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : M
ACTIVE A/O : 12/31/93 - 12/31/93
PRINT OPTION : P
FIELD FROM TO SORT
----- ---- -- ----
1) 18 M
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
===========================================================================
Scr: 1-4-3 (2H)
Patients Previously Private
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/01
TO DATE : 12/31/94
ACTIVITY MASTER : M
ACTIVE A/O : 12/31/94 - 12/31/94
Latest Bill Code : 11
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT
----- ---------- -------- ----
1) 53 31
ALL/ANY : ANY
Line 2H = total private patients (line 12) - totals from this report
Totals for other bill types can be found on the December census
==========================================================================
Scr: 1-4-5 (20-25)
new admissions payors
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : M
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
===========================================================================================
Scr: 1-5-1
Length of Stay
From the Patient Information screen enter 10. (length of Stay)
Enter 01/01/94-12/31/94 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
HNote : Each Category is separated by Length of stay and facility
[ 1 FOR 01 + MONTHS ] = 1 patient for the 1+ Month category
[ 1 FOR 04 + MONTHS ] = 1 patient for the 4+ Month category
Hosp Types : 06 - Expired in facility
See (scr: 1-3-1) for other codes
=================================================================================
Scr: 1-5-5
Discharge by payor
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : A
ACTIVE A/O : LEAVE BLANK
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT
----- ---------- -------- ----
1) 86
2) 85 1 Skip at break: Y
3) 135 2
ALL/ANY : ALL
Report Generator
ID PATIENT NAME FINAL DISCH HOSP TYPE BILLTYPE DATE
----- ---------------- --------------- --------- -------- -------------
10251 NEWTON,NORMAN EXPIRED-HOME 07 0 MC 05/10/94
10154 SANTOS,BERTHA NO BEDHOLD 563 0 MECD 07/11/94
[ 2 ]
10004 ANDERSON,LILLIANO BEDHOLD 187 01 PVT 05/02/94
[ 1 ]
10007 BAKTAY,EMERY BH-RELEASE 5513 02 MECD 11/20/94
10249 MERCER,MARY NO BEDHOLD 172 02 MECD 09/20/94
10148 RITGERS,FLOREN BH-RELEASE 2861 02 MECD 07/23/94
10171 SOBEL,ELEANOR BH-RELEASE 684 02 MECD 06/06/94
10186 WARD,MARY EXPIRED-OUT 46 02 MECD 06/25/94
10254 WESTON,JOE NO BEDHOLD 185 02 MECD 10/03/94
10253 PALMER,AL NO BEDHOLD 147 02 PVT 08/26/94
[ 7 ]
10252 O'BRIAN,PAT NO BEDHOLD 132 03 MECD 10/04/94
[ 1 ]
----- ---------------- ---------------- ------- ------ --------
00011 11 11 11 11.00
DAYS ON BH PRIOR TO RELEASE FOR COL.01 133
7 residents were discharged to hospital (code 02)
1 was Private the remaining 6 were Medicaid
===========================================================================================
Scr: 1-6-1
Patient origin by county
PATIENT RANGE : A-ZZ
FROM DATE : 12/31/94
TO DATE : 12/31/94
ACTIVITY MASTER : M
ACTIVE A/O : 12/31/94-12/31/94
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT
----- ---------- -------- ----
1) 42 1 Skip at Break Y
2) 13 2
3) 10
ALL/ANY : ANY
Scr: 1-9-5
Census by race A/O Year end
PATIENT RANGE : A-ZZ
FROM DATE : 12/31/94
TO DATE : 12/31/94
ACTIVITY MASTER : M
ACTIVE A/O : 12/31/94-12/31/94
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT
----- ---------- -------- ----
1) 19 1 Skip at break Y
ALL/ANY : ANY
=======================================================================================
RHCF Scr: 1-9-6
Census by Race - New Admissions
PATIENT RANGE : A-ZZ
FROM DATE : 01/01/94
TO DATE : 12/31/94
ACTIVITY MASTER : M
ACTIVE A/O : Leave Blank
PRINT OPTION : P
FIELD FROM RANGE TO RANGE SORT
----- ---------- -------- ----
1) 53
2) 19 1 Skip at break Y
ALL/ANY : ALL