ContractManagementandAnalysis
©PARAHealthcareFinancialServices–December2016 Page16
ContractSummaryTab–Reporting(continued)
Thisreportdisplaysthefollowingdata:
HeadID–IDnumberfromtheHeaderFilereceivedfromtheFacility
TransID–UniqueIDcalculatedonthetransactionlevelforeachclaim
VisitID–UniqueIDcalculatedonthedateofserviceforeachclaim
TransDate–thedateofserviceforthelineitem
DepartmentCode‐LinkstotheCDM,costcenter
ProcedureCode–LinkstotheCDM,chargecode
ProcedureDescription–ItemdescriptionfromtheCDM
AccountNumber–Thepatientaccountnumber
Insurance–Theinsuranceplancode
PTP–PatientTypeDetail
PatientType–Inpatient,Outpatient,Emergency,AmbulatorySurgical,Non‐Patient
RevenueCode–Therevenuecodeforthelineitemontheclaim
AdmitDate–AsrepresentedinthePatientHeaderFile
DischargeDate–AsrepresentedinthePatientHeaderFile
LOS–Lengthofstay
TotalCharges–totalchargeforitem,basedontransactiondata
Payments–Totalpaymentsreceived
Adjustments–Totaladjustmentsonaccount
Revenue–Totalchargesforitem,usingpricexquantity
OldPrice–PricefromCDMusedtocreateiteration
NewPrice–Newpricefromiteration
DRG–DiagnosisrelatedgroupasrepresentedinthePatientHeaderFile
RevenueCode–Therevenuecodeassignedtothelineitem
CPT®Code–TheCPT®codeforthelineitemontheclaim
Quantity–Theusageofanitem
ReimbursementMethod–howitemisreimbursedincontractterms
ReimbursementType–Fixed(FeeSchedule)orPercentageofCharge(Variable)
ReimbursementAmount–Finalreimbursementamountforitembasedoncontractterms
ReimbursementPercentage–Finalpercentcalculatedforitemforvariableterms
ReimbursementMatch–anymatchestothereimbursementratesfoundinthecontract
ReimbursementNotes–anynotescreatedduringsettlement