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:

FieldDescription
Payerthe selected payer(s)
Programthe selected program(s)
Servicethe selected service(s)
Clientthe 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.

FieldDescription
Accountthe provider agency

Report Output

Each column of the report displays:

ColumnsDescription
Namethe client's name
ID Typethe type of identifier displayed on the report for the client (M = Medicaid ID, P = Payer ID, C=Client ID, N=Newborn)
Medicaid/Payer IDthe client’s identifier based on the type specified
Payerthe authorization's payer
Programthe authorization's program
Servicethe authorization's service
Start/End Datethe start and end dates of the authorization
Auth IDthe authorization’s reference ID number provided by the payer
Auth Typethe type of authorization (hourly, units, visit)
Limit Typethe type of limitation set for the authorization
Authorized Unitsthe 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 Unitsthe number of units remaining for the authorization (based on verified EVV visits)

Sample Report

Authorization Hours vs Actual Hours Used by Client - Sample

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