My Billing - HCBSW ICC Tab

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Summary: Home and Community Based Services Waiver Individualized Care Coordinator.

1. Month- Select the month of services to be viewed.
2. Summary- Allows the user to view a chart of services in a summarized form (by patient).
3. Detail- Allows the user to view a chart of services in a detailed form (by individual service).
4. Program- Filter search results by Program.
5. Chart (Summary)- Displays a summarized list of service specific to the search parameters selected.
   

• Client Name- Displays the client name.
• Medical Record Number- Displays the Medical Record Number per client.
• DoS- Displays the dates of service per client.
• Procedure- Displays the procedure per client.
• Flex Funds Procedure- Displays the procedure per client.
• Status- Displays the status per client.
• Days- Displays the total number of days of services required per client.
• Patient F2F- Displays the number of services that were patient face-to-face per client.
• Family- Displays the number of services that were patient with family per client.
• Collateral- Displays the number of services that were patient with collaterals per client.
• HCBS Provider- Displays the number of services that were patient with an HCBS Provider per client.
• Total Visits- Displays the total number of service visits.

• Chart (Detail)- Displays a detailed list of services specific to the search parameters selected.
  
  • Locked Date- Displays the locked date per service.
  • DOS- Displays the date of service per service.
  • Client Name- Displays the client name per service.
  • Med Rec No- Displays the Medical Record Number per service.
  • ICD-10 Dx- Displays the ICD-10 Dx (diagnosis) for the patient per service.
  • Visit Type- Displays the visit type per service.
  • Length- Displays the length of time required per service.
  • Provider- Displays the provider per service.
  • Staff Sig (Non QHP)- Displays the staff signature per service.
  • Individual Present- If checked, the individual was present at the service.
  • Insurance- Displays the insurance used by the patient per service.
  • Form Name- Displays the form associated with service.
• Select All- Check box to select all viewable services rendered for processing.
• Unselect All- Check box to unselect all viewable services rendered.
• Test Batch- Create a test batch prior to submission.
• Previous Billable Months- Select the drop-down to view previous billable months.