Jump to Section:
TREATMENT PROGRAMS have several possible functions within MEDIK.
- Define a type of program which may also define a level of care. Such as In Patient (IP), Residential Treatment Center (RTC), Partial Hospital Program (PHP), Intensive Outpatient Program (IOP), RSMPI, Clinic OP, WRAP, etc. More specific definition could be used such as Adult IP, Adol PHP, RTC Male, RTC Female, etc.
- Define a place in the universe, such as ABC City, XYZ City, etc.
- Treatment Program numbers are commonly used in the General Ledger number so accounting has a way to define revenue, payments, adjustments by the TREATMENT PROGRAM. An example may be GL# xxx.xxx.111 (111=IP Adult)
- Define the Bill Type on a UB-04 form (UB-04 box 4).
How a company is going to define TREATMENT PROGRAMS will need to be determined before the SETUP can take place.
Once decisions have been made, the user will navigate to OPTIONS>SERVICES>TREATMENT PROGRAM as seen to the right.
Search
To search for an existing TREATMENT PROGRAM, users enter the name of the program, enter in the TREATMENT PROGRAM number, or leave the look up field blank and select OK/F1 to view all the TREATMENT PROGRAMS IN MEDIK. The user may choose to SORT the list alphabetically or numerically by choosing the sort options.
If the TREATMENT PROGRAM(S) have not been set up, the user will receive a prompt of No Programs do you want to ADD a Treatment Program? The user would answer YES.
The list of existing Treatment Programs may look something like the list to the right. From this screen users are able to:
- Update/F5 an existing Treatment Program
- Add/F6 a new Treatment Program
- Print/F7 the displayed list
- Exit/F9 the screen
- Include Treatment Programs that have been deemed INACTIVE
Add a Treatment Program
To ADD a new TREATMENT PROGRAM, select Add/F6 from the TREATMENT PROGRAM look up screen (above).
| PROGRAM# | The next sequential number will default into the PROGRAM# field. This number may be overridden by the user. Because this number may be utilized in a company’s general ledger number, some thought may need to be given to the appropriate number to use. If a company has several FACILITIES or CLINICS in one data base, these numbers can’t be reused for a different purpose, but can, and should, be consistent within a company. |
| HAND POST | No longer used |
| PSYCH and DETOX | If a TREATMENT PROGRAM is specific for PSYCH or DETOX (chemical dependency), check the appropriate box. If the Program is both, check both. There is a feature in MEDIK which will alert the user if a patient is in a PSYCH or DETOX program, but the diagnosis on the patients admit doesn’t match the program. |
| EXCLUDE FROM SCHEDULE | Works with the admission lookup in the scheduler, and with the schedule charge posting program. If the admission is in a program that has this flag set, they cannot be scheduled for an appointment, or have a scheduler charge. |
| INACTIVE | Check this box if a TREATMENT PROGRAM becomes inactive. If checked, this program will no longer show on the look-up when searching for a TREATMENT PROGRAM from the ADMIT SCREEN. |
| DESCRIPTION | It is up to the company as to what description to use. Most common would either be a place on the map to identify the locations, such as Chicago, Memphis, or Chicago OP, Chicago RSPMI, etc. Or a description to identify the types of services, such as IP Adult, CD Adult, PHP Adult, IOP Adult, etc. It would be common to use the description as part of the General Ledger (GL) description if the Treatment Program is part of the GL number. |
| GROUP | The GROUP field is set up with special coding in the MASTER SYSETM codes. Group is used to combine programs for budgetary purposes. |
| LEVEL OF CARE | Only used for reports. For instance, in the ADMISSIONS & DISCHARGE Report, there is a Level of Care filter which will produce a report of patients in the selected Level of Care. |
| HOSP F/C LVL | May be used as part of the General Ledger. For instance, In Patients might be a level 1 and RTC a level 3. |
| CLINIC F/C LVL | May be used as part of the General Ledger. For instance, 6 may be for Clinic OP, and 8 may be for Clinic RSPMI. |
| BILL TYPE | The bill type that prints on the UB form. i.e. 11 for In Patient, 13 for Out Patient. This distinction is used for filters on reports. So, if a facility/clinic only prints on HCFA or invoice forms, this set up is still important. NOTE: Any field with an asterisk (*) has a defined list of options to choose from. To activate this list, the cursor needs to be in the field. The user would use the function keys on the keyboard and select the F3 key to look up. This will be the case throughout all the MEDIK screens. |
| CATEGORY | May be used by our staff for billing profiles as needed. |
| FACILITY and CLINIC SERVICE# | No longer used |
| EXCLUDE SERVICE CATIGORIES | Used in clinic charge posting, but not hospital charge posting. If a user attempts to post a service that belongs to a category that is excluded for the TREATMENT PROGRAM on the patient’s admit, the user will receive a message of: "Service cannot be posted to treatment program" |
| FACILITY | Tied to the Hospital or Clinic default screen. This allows specific FACILITIES to be tied to specific TREATMENT PROGRAMS. |
| WRITEOFF G/L # | Can be pulled into the mapping/creation of a patient’s general ledger number |
| FACILITY CD | Used for filtering some reports by a grouping of TREATMENT PROGRAMS |
Address
Users may have a situation where the Hospital or Clinic Default file information is not what is needed for every TREATMENT PROGRAM when billing payors. If this is the case, the address screen could be completed with the needed information. Our team would use this information when setting up Billing Profiles.
NAME, ADDRESS, ZIP, CITY, ST and PHONE would be added to the screen on the right specific to the TREATMENT PROGRAM. This information could print in Box 1, or 2 of the UB-04 form, or Box 32 or 33 of the HCFA form.
EIN, NPI, PRIMARY FTC (Facility Taxonomy Code), GRADE, TEAM, and PROVIDER # can also be pulled into billing profiles for all or specific payors.
Once this information is added, or updated, the user would select SAVE/F1. If the user is only looking at the information, but didn’t change anything, the user would select CANCEL/F9.
After one of the options has been selected, the user is back in the first TREATMENT PROGRAM set up screen. To leave this screen the user has the same SAVE/F1 or CANCEL/F9 options.