Welcome to the APPX Medicaid Reconciliation WIKI web
Welcome to the APPX Software, Inc. TWiki site. This web site is dedicated to Medicaid Reconciliation in the State of Florida.
This web site is intended to be for the benefit of all Florida County and State workers. Users and administrators of the Appx Medicaid Reconciliation System are encouraged to contribute to the content of this site. If you see an error, please correct it. If you can't find what you need on this site, please take the time to return and contribute to the content of the site when you do find what you need. Hopefully, the community can collaborate to produce a comprehensive resource covering all aspects of the APPX Medicaid Reconciliation product.
Resources Available:
Appx Medicaid Payment Reconciliation
Overview
The Medicaid Payment Reconciliation System (MPR) from APPX Software, Inc is used to reconcile Medicaid Client payment information available to State of Florida Counties.
Each county in Florida is required to repay a portion of the Medicaid costs of eligible recipients that are living in a nursing home or receive hospital care. The State of Florida provides a listing (bill) for the clients the county may be liable for and the county’s share for each of those clients. The State also provides access to this data electronically via a downloadable file.
While the State verifies each client’s last known address, it remains the County’s responsibility to verify the eligibility of each client and to make sure the client is a resident of that county.
Manually reconciling the information the State sends each month can take hours to weeks depending on the volume of transactions. That’s where the MPR system can help. The billing information your county receives is also available through the Internet as a download file. By using that file the MPR system can help you save time and money.
The system helps reduce processing time by eliminating over-payments and increasing your efficiency, accuracy, and productivity. How? Processing time is saved by letting MPR do the work for you. It’s estimated that 90% of the transactions are for clients that reside in nursing homes. Each month you have to verify the address for each of these clients to ensure they are county residents.
With the MPR system you add a Residency once, set an eligibility flag, and let the MPR system verify the addresses. The 90% that are okay will go through each month without any intervention.
You maintain complete control. If a client moves or otherwise becomes ineligible, simply change their eligibility flag and no payments will go through without your approval.
With hundreds of clients to review each month, it is easy to miss errors. You may approve a payment for a client that is not from your county, or you may pay for the same service period more than once. Letting MPR validate each request for payment guarantees that you will not accidentally pay for a client you have not verified.
The MPR system will look for duplicate payments. As each month is processed, a history file is updated with all the payments, whether approved or denied. All new requests are matched against this history file to ensure you do not pay twice for the same service period.
To find out more about Appx, please go to our web site,
http://www.appx.com, or call us at (800) TRY-APPX, (879-2779).
Starting Appx and the Reconciliation System
Appx is a computer programming tool for developing business application software. The MPR system operates in the Appx runtime environment. Instructions on how to use and operate applications in the Appx runtime environment can be found
here. There are also tutorials available to help you understand using Appx applications
here. For information regarding technical support levels available from Appx, please go
here.
The MPR system is designed to work with an electronic copy of the bill which is available from the State. As such, the version of MPR you are using must always be able to process the current format of the download file.
To start Appx double click the Appx icon on your desktop
. This icon is typically named Medicaid Reconciliation, or MPR, or Appx. The Appx Desktop Client software starts and displays a window which will allow you to log in to Appx. You must be a valid user defined in Appx to log in to Appx. See
Chapter 2 of the
Appx System Administration Manual for details on adding
users to Appx. And finally in the application itself enter the new user’s Appx Id and full name using the Billing Worker Code Maintenance function located on the MPR Administration Menu.
Figure: Appx Client Login Screen
On the Remote tab you must enter your Desktop user id in the Login field, your desktop Password, the name of the Appx server, and the port. The Appx Client software remembers your user id, server name, and port, but you must enter your password every time you wish to log in to Appx. All of these fields are required. Click Connect after entering all the login information and Appx will start.
The Local tab is used to connect to a copy of Appx that may be installed on a local computer. The Options tab has settings for controlling the visual effects of the Appx Client display. Please call support at 1-800-879-2779 for more information regarding the Options and Local tabs. Under most circumstances you will always start from the Remote tab.
When Appx starts the Appx main menu is presented.
Figure: Appx Main Menu
From the Appx main menu you can start the MPR system, alter the Appx environment, or modify the MPR programs. There may be times you want to maintain or modify the system however someone from Appx will be helping you with that. To start the MPR system for reconciliation click on Run an Application and enter the three character “Database ID” for your county. Each county has a different Database ID. You can click on the binoculars and search the list to find the Database for the MPR system.
Figure: Select Database ID Screen
After entering or selecting the Database ID press enter or click Execute and the MPR system will start and the MPR Medicaid Payment Reconciliation Administration Menu will appear.