Files > FEE BASIS SITE PARAMETERS

name
FEE BASIS SITE PARAMETERS
number
161.4
location
^FBAA(161.4,
description
Contains the site specific data for Fee basis functionality. One and only one entry can exist in this file per installation. Per VHA Directive 10-93-142, this file definition should not be modified.
Fields
#NameLocationTypeDetailsIndexDescription
.001number11This field is used to prevent the addition of more than one entry into the site parameter file.
.01station of jurisdiction name(+)0;1FREE TEXTBThe name of this Clinic of Jurisdiction for which these site parameters are defined. There can be only 1 entry in this file.
1station address line 1(+)0;2FREE TEXTStreet address line 1 of this COJ. This data will be printed on the Authorization form 7079.
2station address line 20;3FREE TEXTStreet address line 2 of this COJ. This address line will also print on the Authorization form 7079.
3city(+)0;4FREE TEXTThe city in which the COJ receives it's mail.
4state(+)0;5POINTER5The state in which the COJ's mailing address resides.
5zip(+)0;6FREE TEXTZip code for the COJ.
5.5mail code1;11FREE TEXTThe Mail Code will appear in the upper right corner of Unauthorized Claim letters immediately after the medical center division.
6station telephone number(+)0;7FREE TEXTThe telephone number where Fee inquiries should be directed.
7approving official for 7079(+)0;8FREE TEXTThe name of the approving official authorizing fee services. This name will be printed on the authorization form 7079.
8title of approving official(+)0;9FREE TEXTThe title of the approving official which will also be printed on the authorization form 7079.
9medicaid dispensing fee(+)0;10NUMERICThe medicaid dispensing fee for this COJ. Dispensing fees vary from COJ to COJ. Medicaid approves dispensing fee's.
10next batch number(+)FBNUM;1NUMERICThe next batch number which will be assigned by the system. This cannot be edited or changed.
11next invoice number(+)FBNUM;2NUMERICThe next invoice number which will automatically be assigned by the system. This number cannot be edited or deleted.
12medical payment vendor display0;11FREE TEXTThis parameter is used to indicate whether the vendor's demographic data will be displayed and made editable during the entering of a medical payment.
13pharmacy paymnt vendor display0;12FREE TEXTIf there is a 'Y' in this field, the Vendor Demographics will be displayed during the Enter Pharmacy Invoice option.
14default auth. time range0;13NUMERICThe number of days that is the usual long term authorization. The data entered here will be added to the Authorization From date and that date will become the default 'To Date' for the authorization. For example, if the normal long term authorization is one year, 364 would be entered in this parameter.
15ask vendor during auth.1;1BOOLEANy:YES
A 'yes' results in asking for Vendor in Enter Authorization.
16station address line 31;2FREE TEXTLine 3 of the COJ's street address.
17max # payment line items(+)FBNUM;3NUMERICThe maximum number of payment line items that will be allowed in a batch. Any number between 1 and 85 is acceptable. This value is checked during the enter payment options and will warn the clerks when they are within 20 of the maximum. It will prevent the clerks from exceeding this number.
17.1max # ch payment lines(+)FBNUM;4NUMERICThe maximum number of payment line items that will be allowed in a contract hospital batch. This value is checked during the enter payment options and will warn the clerks when they are within 5 of the maximum. It will prevent the clerks from exceeding this number.
17.2max # cnh payment lines(+)FBNUM;5NUMERICThe maximum number of payment line items that will be allowed in a community nursing home batch. This value is checked during the enter payment options and will warn the clerks when they are within 5 of the maximum. It will prevent the clerks from exceeding this number.
19edit auth. during payment1;4FREE TEXTThis field is used to indicate that editing of the Authorization Remarks field and the 3 DX fields is allowable during the Enter Payment options. Normally used for six months immediately after installing Fee system. This is because the Remarks and DX data was not available for downloading from Central Fee system.
21*ask program specific auth.1;6BOOLEANY:YES
A yes answer to this site parameter will show only those authorizations that are program specific. An example would be the display for selection of only Community Nursing Home authorizations when entering CNH payments.
22approving official for 70781;7FREE TEXTThe default approving official for 7078s.
23title 7078 approving official1;8FREE TEXTThe title of the default approving official for 7078s.
25copies of 7078 to be printed(+)1;5NUMERICIndicates the default number of copies to be printed for each 7078 generated.
27psa default institution(+)1;3POINTER4The station number for the transmission of data to Austin is determined using this field.
287078 default auth service textS;0WORD-PROCESSINGIf data exists in this field it will be used as the default for the 'Authorized Services' field on the 7078 for CONTRACT HOSPITAL.
29date batch purge last runPURGE;1DATE-TIMEIndicates the date the last batch purge was run on the system.
30outpatient monthly limitation(+)1;9NUMERICThis field should contain the monthly Outpatient Medical dollar limitation set by the program office.
31transmission header(+)1;10FREE TEXTThe Transmission Header field is used as part of the header information for transmissions sent to Austin. Header names change alternately to FEE or FEN in FEE releases which contain changes to transmission data/Austin record layouts. Austin uses the Transmission Header to distinguish the record layout to be used.
32track incomplete unauth claim?UC;1BOOLEAN1:YES
0:NO
Indicate whether or not incomplete unauthorized claims should be tracked. Yes is to track incomplete claims, otherwise can only track complete claims.
32.5'initial entry' status for u/cUC;7SET OF CODES1:ACTIVATE
If this field is filled in, then minimum data is required for entering in an unauthorized claim. This is designed for sites who have streamlined their workload, where only one user enters in the unauthorized claims received, and another reviews the claim for completeness and makes the necessary requests, etc.
33unauthorized claim printerUC;2FREE TEXTField should contain the name of a printer device to which unauthorized claim letters will print, if filled in. Entry in this field is optional.
34unauthorized claim letterUC;3SET OF CODESA:AUTOMATIC PRINT
B:BATCH PRINT
Indicate how you wish your unauthorized claim letters to print. Enter a 'A' if the Unauthorized Claim Printer is dedicated and you always wish a letter to print when it has been changed to the apppropriate status. Enter a 'B' if the Unauthorized Claim Printer is not dedicated, or you wish to batch print letters of claims which have changed to the appropriate status. Do not enter anything if you will be manually generating your own form letter.
35number of copiesUC;4NUMERICThe number of copies of a letter to be printed. Maximum number of copies allowed is five.
35.5print u/c on letterhead?UC;8BOOLEAN1:Y
Answer 'Yes' if you will be printing Unauthorized Claims' letters on VHA letterhead.
35.6station name (editable)(+)UC;9FREE TEXTFirst line of return address. Data pulled from .01; but is editable.
35.7uc letter lines after ccUC;10NUMERICNumber of blank lines after the carbon copy address on a disposition letter. This value may be changed to adjust the spacing from the bottom of the page. If a number is not specified here then 0 is used as the default value.
36fpps transmit start2;1DATE-TIMEEnter the start date and time for the beginning of the FB FPPS TRANSMIT menu option. This value will be auto-populated by the menu option to help track when the last time a batch was started.
37fpps transmit end2;2DATE-TIMEEnter the finish date and time for the FB FPPS TRANSMIT menu option. This value will be auto-populated by the menu option to help track when the last time a batch finished.
38project arch reminder delayARCH;1NUMERICThe number of days to delay the Project ARCH Clinical Reminder from becoming due once the patient has either declined the services offered, or rejected the services offered due to travel distance to a non-VA contracted provider being further than the closest VA facility. The acceptable values are 1 day to 180 days with 1 day being the default if no value is entered. This field is only used by the Project ARCH National Clinical Reminder.
39unique claim identifier seq2;3FREE TEXTThe sequence number for the UNIQUE CLAIM IDENTIFER that is used to identify individual claims. The UNIQUE CLAIM IDENTIFIER field is present in the FEE BASIS PAYMENT (#162) file, field #81 and in the FEE BASIS INVOICE (#162.5) file, field #85.
40allow fb paid to ib2;4BOOLEAN0:NO
1:YES
This field allows the site to turn on the FB to IB Provider automation. The scheduled option, Fee Basis Payment to IB [FB PAID TO IB] also needs to be scheduled to run each night. The background process will check this parameter to determine if FB providers in Fee Invoice and Payment entries should be created and/or updated in the IB NON/OTHER VA BILLING PROVIDER (#355.93) file.
80last ipac numberIPAC;1NUMERICThis is the last number used to create the ID# field in the IPAC VENDOR AGREEMENT file (#161.95). This number is automatically incremented for each new IPAC vendor agreement that is created.

Not Referenced