Overview

Purpose

This report analyzes posted case procedures for an accounting period or specified dates of service.

Category

Management

Type

Detail

Mode

Date of Service / Accounted / Posted

Output Options

CSV or Excel

How to Get Here?

From Portal:
From Back Office:
  1. From the Reports tab, locate the Case Procedure Analysis Detail report.
  2. Click Edit for the report.
  3. Enter/select filter criteria on the Criteria page.
  4. Click Run Report.
  1. Open the Manage menu and select Reports.
  2. From the Reports page > Modern tab, select the Case Procedure Analysis Detail report from the list of reports.
  3. Click Run (or press [Alt] + [R]).
  4. Enter/select the filter criteria from the Parameters window.
  5. Click Run (or press [Alt] + [R]).

 

Sample Reports

(Click an image to enlarge)

Portal

Back Office



Field Definitions

Field

Description

PracticeThe practice for which the charge is being billed.
Account IDThe account number of the guarantor account. Displays as Account Prefix + Account ID.
Charge Batch IDThe unique number assigned to the charge batch.
Case ID The unique number assigned to the case.
Facility Case NumberThe case number issued by the facility, i.e., Medical Record Number.
External Case NumberAn identification number for the case issued by a facility or payer.
Patient The name of the patient.
Patient GenderThe gender of the patient.
Patient DOBThe date of birth of the patient.
Facility The name of the facility where services were rendered. 
Facility RoomThe room number used at the facility, if provided.
Case Reporting Type

The unique code assigned to the case for identifying the case for reporting purposes.

Provider GroupThe provider group assigned to the case for reporting purposes.
Rendering ProviderThe name of the provider(s) who got credit for the case.
This name, or names, can be affected by the Team Billing option selected for the relevant plan, e.g., Bill Physician Only, Bill Physician and CRNA on the same claim.
Rendering Provider TypeThe classification of the type of rendering provider associated with the procedure on the charge.
Rendering Provider NPIThe national provider identification number issued to the rendering provider.
Referring ProviderThe name of the physician who referred the patient.
Referring Provider TypeThe specialty of the referring provider, based on the referring provider's specialty ID.
Referring Provider NPIThe national provider identification number issued to the referring provider.
Primary PayerThe primary insurance payer on the case with financial responsibility for the outstanding debt.
Primary PlanThe primary insurance plan on the case to which charges were billed.
Pre-Auth NumberThe authorization number issued by the payer for authorization of the treatment or surgery. 
Referral NumberThe number issued by the primary or referring physician for a specific treatment or treatment series. Payment for services rendered may rely on whether a referral number is associated with a case.
Secondary PayerThe secondary payer on file for claims submission.
Date of Service - CaseThe default date of service used for the case.
Date of Service - ProcedureThe date of service for procedures.
Start TimeThe time the anesthesia procedure began.
Stop TimeThe time the anesthesia procedure ended.
Procedure MinutesThe total number of minutes for the associated procedure, anesthesia only.
Base UnitsThe number of base units for each procedure on the case.
Time UnitsThe number of time units for each procedure on the case.
Physical Status UnitsThe number of physical units for each procedure on the case
Total UnitsThe sum of base, time, and physical units billed.
Work RVUThe work relative value unit entered on the General procedure in the billing fee schedule to which the payer or plan is associated and to which the claim was billed.
Anesthesia MethodThe method in which the anesthesia was administered to the patient.
Physical Status LevelThe physical status of the patient, as indicated in charge entry.
Place of Service

The place where services are rendered.

Type of ServiceThe type of procedure: Anesthesia or General.
CPTThe general procedure code that was entered as the procedure billed on the case in charge entry.
CPT Short DescriptionA short description of the assigned CPT code.
ASAThe anesthesia procedure code that was entered as the procedure billed on the case in charge entry.
ASA Short DescriptionA short description of the assigned ASA code.
Modifier 1-4The primary (1st) througgh 4th modifiers entered on the procedure of the case.
Diagnosis 1-4The primary (1st) through 6th diagnosis entered on the case.
Procedure QuantityThe quantity of the procedure.
BilledThe amount billed for the procedure.
ExpectedThe amount expected for receipt from the payer for the service fee.
BalanceThe current balance of the procedure line.
Accounting DateThe date within the accounting period when the charge was posted. The accounting date is stored at the practice configuration in Connect Back Office.
Charge Received DateThe date recorded on the case for when the charge was received.
Submitted DateThe date the case was submitted.
Submitted ByThe name of the user that submitted the case.
Custom FieldsAny Charge Entry custom fields will display as columns at the end of the report.

Available Report Filters

Results can be returned for one or more of the filter criteria (e.g., multiple practices).

Option

Type

Required

Description

Date ModeDrop DownYes 

Determines how the results are grouped and ordered:

  • Date of Service

  • Posted Date

  • Accounting Date

If the report is run in Posted Date mode, it will not include cases that have not yet been submitted.

DateDrop DownYes

Filters charges displayed by the selected time period. Options include: Custom Date Range, Last # of Days, Today, Previous Day, Current Month, Previous Month, Current Year, and Previous Year.


If Custom Date Range is selected, the From and To fields are enabled to enter specific dates to run the query on.

If Last # of Days is selected, the Last # of Days field is enabled to enter a specific number of days to run the query on.

PracticesList SelectionNo

Filters by all practices, or one or more practices, for which charged were billed. By default, this filter is set to All.

Only active practices are returned in the search results.


ProvidersList SelectionNoFilters by all providers or by one or more providers. By default, this filter is set to All.
Provider GroupsList SelectionNoFilters by one or more pre-designated groups of specific providers. By default, this filter is set to All.
Referring ProvidersList SelectionNoFilters by all referring providers or by one or more referring providers. By default, this filter is set to All.
Facilities List SelectionNoFilters by all facilities, or by one or more facilities. By default, this filter is set to All.
PayersList SelectionNoFilters by payers set as primary on the case. By default, this filter is set to All.
PlansList SelectionNoFilters by plans set as primary on the case. By default, this filter is set to All.
Financial ClassList SelectionNoFilters by all financial classes or by one or more financial classes. By default, this filter is set to All.
Case Reporting TypesList SelectionNo

Filters by all case reporting types or by one or more case reporting types. By default, this filter is set to All.

Procedure CategoriesList SelectionNo

Filters by system and custom procedure categories.

  • System-defined procedure categories are identified as (System), e.g., Anesthesia (System).
  • User-defined procedure categories are identified as (Custom), e.g., Pain Management (Custom).

By default, this filter is set to All.

Type of ServiceList SelectionNo Filters by all types of service, or by one or more types of service. By default, this filter is set to All.
Place of ServiceList SelectionNoFilters by all places of service, or by one or more places of service. By default, this filter is set to All.
CPT From/ToText EntryNoFilters by all CPT Codes in the entered range.
ASA From/ToText EntryNoFilters by all ASA Codes in the entered range.
Include Reversed CasesCheckboxNo

Filters by cases, including reversed cases. The filter is unchecked by default and will not include reversed cases in search results unless checked.

Report FolderDrop DownYes

Designates where to place or save the output from the executed report.



 

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