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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