Prompt | Response | Req | Len |
---|---|---|---|
Begin with Location | Type the code you want to start with or leave the text box blank to start with the first code in the table. | 6 | |
End with Location | Type the code you want to end with or leave the text box blank to end with the last code in the table. | 6 | |
Begin with Patient Class | Type the code you want to start with or leave the text box blank to start with the first code in the table. | 6 | |
End with Patient Class | Type the code you want to end with or leave the text box blank to end with the last code in the table. | 6 | |
Summary only | If you only want to print a summary, select this check box. If you do NOT select Summary Only, the report will include the individual adjustment code descriptions and amounts. | 1 | |
Month for Report | Type the month you want to generate the report for in the format of MM-YYYY. | 7 | |
Print with Codes | If you did NOT select the Summary Only check box, you can select if you want the table codes to print in addition to the code descriptions. If you select to include the table codes, the column for the deviation amounts will be eliminated in both the monthly and year-to-date adjustments to allow room for the codes. | 1 | |
Adjustment Codes or CPT | If you did NOT select the Summary Only check box, you can select if you want the report sorted and printed for the adjustment codes posted during the month or for the CPT codes that had adjustments allocated to them. | 1 | |
Print using Procedure Code List | If you did NOT select the Summary Only check box, you can select to print this report based on a previously defined Procedure Code List. | 20 |