Difference: WebHome (38 vs. 39)

Revision 392010-09-10 - JeffPrentice

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The exclamation point in the bubble (info bubble,

) to the right of the functions on this and other menus is a direct link to the associated topic in the Medicaid Reconciliation Guide. A word of warning, each time you click a help bubble a new browser session may open. That can be a good thing and it can be a bad thing. Please be aware that it is happening.

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The Medicaid Reconciliation Guide is not intended to be printed nor is it a substitute for Appx phone support. If you are on annual support with Appx and are having problems please call 1-800-879-2779 for assistance.

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Each function on this menu is described in detail below.

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The above illustrates the results of a search for 01/01/2008 (test data). Bills that are available for download are listed. The File Name, Description, the Document Type, Actual Date Available, and the Date this file was previously Downloaded, if applicable, is shown. Use this list to select the file you wish to download and click the “download” button in the lower right corner.

Do not download more than one file at a time.

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Do not download more than one file at a time.

Downloading creates a single file. Selecting multiple files for downloading creates a single file that will contain data from different months, not a good thing for reconciliation. You can download one file, save it locally then, while on this web page, download another and save it, presumably to another file name. Each monthly billing file represents a “batch” to the MPR system.

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There are four functions for reconciling the exception file, Review All Exceptions, Nursing Home Only, Hospital Only, and HMO Only. Note the exception list category is displayed in the window title bar, example below. The list shows basic information for each client and the reason(s) this record is on the exception list.

Figure: Exception List

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There are seven billing exception records shown on the exception list at a time, see above screen shot. The active record is outlined in blue with red text. If the record is not active the text is black. If this is a re-bill record, the word REBILL will be printed next to the Invoice No field and the text will be blue instead of black when inactive, and magenta instead of red when selected.

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There are seven billing exception records shown on the exception list at a time, see above screen shot. The active record is outlined in blue with red text. If the record is not active the text is black. For a re-bill records, the word REBILL will be printed the Medicaid ID field and the text will be blue instead of black when inactive, and magenta instead of red when selected.

The exception list will always start on the first record for the billing type selected from the menu. Normally you want to process this list top to bottom. When you exit, MPR remembers where you are. When you return, click Go To Saved Location and the list will jump to the record you were on.

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