Difference: MPRReconGuide (2 vs. 3)

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Appx Medicaid Payment Reconciliation Guide

This document offers an explanation and instructions on how to use the Medicaid Payment Reconciliation application. We offer this document as a Wiki page to allow the Medicaid Billing community to add comments and to expand explanations where you feel it is appropriate. Please feel free to login and edit the pages if you find areas that you feel need more clarification.

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Transaction History List

This function lists a specified client’s payment history.

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Batch Payment History Of All Clients
 
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This reports is in a newer version of the application (4.2).

This report reads your entire history file and lists each client in alphabetical order with all their payments within each batch. The report shows the billing type, batch id, service date, total amount, county share, and payment code. In addition, any comments coded in the residency file will be printed as well as each comment found from the individual bills that were entered during reconciliation.

List Unpaid Transactions By Client

This reports is in a newer version of the application (4.2).

This report reads your entire history file and lists clients in alphabetical order that has never been paid (P00). The report shows the billing type, service date, total amount, county share, and payment denial code. In addition, any comments coded in the residency file will be printed as well as each comment found from the individual bills that were entered during reconciliation.

History Audit/Payments By Batch

This reports is in a newer version of the application (4.2).

This report reads your entire history file searching for records that do not have a posting record. When you post a batch the Postings file and Payment History file is updated with the reconciled information. For each Postings record there should be history and for each history record there should be a Postings record. If not, you may be getting false results reported when reviewing data created from the history file. Also listed on this report is the number of records per batch, the payment codes broken down to show number of records, and the payment totals and adjustments.

 

Menu-Special Functions Tab

Figure: Special Functions Tab
 
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