Authorization Hours vs Actual Hours Used by Client

 

Description:

This report displays the number of authorized hours compared to the total number of verified hours recorded by the system. The report is grouped by client.

Use:

This report allows identify to compare the number of hours being utilized for each client versus the number of hours that client has authorizations for.

Fields and Columns:

Parameters

Use the following fields to limit the report output to:

Field

Description

Payer

the selected payer(s)

Program

the selected program(s)

Service

the selected service(s)

Client

the entered client

Client AR#

the entered client account receivables number

Report Grouping Tab

Reports are grouped by the following fields. Each change in these fields results in a page break.

Field

Description

Account

the provider agency

Report Output

Each column of the report displays:

Columns

Description

Name

the client's name

ID Type

the type of identifier displayed on the report for the client (M = Medicaid ID, P = Payer ID, C=Client ID, N=Newborn)

Medicaid/Payer ID

the client’s identifier based on the type specified

Payer

the authorization's payer

Program

the authorization's program

Service

the authorization's service

Start/End Date

the start and end dates of the authorization

Auth ID

the authorization’s reference ID number provided by the payer

Auth Type

the type of authorization (hourly, units, visit)

Limit Type

the type of limitation set for the authorization

Authorized Units

the number of authorized units

Used Units

the number of units that have been associated with verified units

The number of units displayed is based on EVV data only and does not represent adjustments or actual billing information.

Available Units

the number of units remaining for the authorization (based on verified EVV visits)

Sample Report

Authorization Hours vs Actual Hours Used by Client - Sample

Authorization Hours vs Actual Hours Used by Client - Sample

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