| Begin with Performing Doctor |
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 Performing Doctor |
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 codes and amounts. |
|
1 |
| Month for Report |
Type the month you want to generate the report for in the format of MM-YYYY. |
|
7 |
| 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 |