6.07.1: Billing By Providers - Hourly Reporting
---- insert FFS billing screen ---
The above screen appears after Services/Bills is selected from the menu bar then Fee For Services, By Provider and Add/Change/Delete are selected from the drop down lists.
This screen may be used for billing services for individuals served by a single provider. On the screen, the field Hours will change to Events depending on the program code entered (I/G - for Bogard programs only), (RATE LVL - for program 87D 'In-Home Respite DD'), or (RES LOC - for program 89D 'Residential Respite DD').
If applicable, report the amount due for Mileage and Overnight for programs 87D and 87M (In-Home Respite). Bills for services are to be entered only after the services have been delivered. The system will not allow entry of pre-dated billings.
Billing by Provider Screen: Hourly Reporting
The prerequisites required before a bill can be reported for services received by an individual: For ALL programs: (1) the individual must exist in the client case file and (2) the provider information screen(s) must be completed for each provider serving the individual. For residential programs, the Client Financial Information must be completed. For Bogard Specialized Services programs, the individual must also be entered into the OBRA PC Reporting System.
This screen is for programs which are billed on an hourly basis. The next two screens show what the same screen will look like for programs billed on an event basis or a per diem basis. The screen's appearance will change between hourly, event, and per diem depending on the Program Code entered.
Before entering billing information, the operator must enter the information required in the Service Prov ID field, the Program field, and the Service Date field, the Payee Prov ID field (only required for specific therapy codes), and I/G 'individual or group', RATE LVL 'rate level', or RES LOC 'resident location', or ENTRY NBR 'entry number' if applicable. If the roster option is desired, the field for Roster must also be filled in. When Program entered is program code 31S,31U, 36G, 36U, 38U, 39G, or 39U the Unit field will appear on the screen to allow for entry. The Unit field is optional and should be entered to ensure that the billing hours you are reporting are added to the correct corresponding grant funded unit/program code for the Service Variance Report calculations.
To enter billing information, tab to the day of service and enter total hours and minutes for that day. Following the days on the screen is the OPT field where to 10 characters of optional data may be entered. For programs 87D and 87M (In-Home Respite) enter the Mileage and Overnight monthly amounts (both the dollars and cents) for the reported period. Then click on PROCESS.
If the transaction has an error(s), a message explaining the reason for the error condition will be displayed. Make the necessary correction(s) then click on PROCESS again.
If Roster Reporting is used and there are no services for the displayed Individual ID, click on SKIP INDV to advance to the next individual on the Roster.
If Duplicate Billing Information is selected, billing data from previous entry will be displayed for the subsequent entry. Enter/change any pertinent fields and click PROCESS.
