Registration Insurance Tab General Configuration

Activate Medicare Lifetime Reserve Fields

The Lifetime Reserve and Psych Lifetime Reserve fields and authorization options on the Insurance > Coverages tab can be activated by enabling Location Registry keys.

These fields allow lifetime reserve information, and the patient’s accompanying authorization or denial to use those reserve days, to be stored in RCM Cloud^®. This is informational, and the application does not enforce any limits.

The Location Registry key LTC_MEDICARE activates the Lifetime Reserve field on the Insurance Coverages tab. It also activates the Lifetime Reserve Authorization section on the Coverages tab. The Location Registry key PSYCH_MEDICARE activates the Psych Lifetime Reserve field on the Coverages tab and activates the Psych Lifetime Reserve Authorization section.

Add/Update Lifetime Reserve Fields

To add/update lifetime reserve information on the Insurance Coverages window in Insurance Verification, follow these steps:

1. Lifetime Reserve – Enter the number of days remaining in the patient’s lifetime reserve.
2. Psych Lifetime Reserve – Enter the number of days remaining in the patient’s psychiatric lifetime reserve.
3. Lifetime Reserve Authorization – Click an option to indicate whether the patient has authorized the use of lifetime reserve days.
4. Psych Lifetime Reserve Authorization – Click an option to indicate whether the patient has authorized the use of psych lifetime reserve days.

5. Click Save.

Configuration

For this configuration, use the key(s) in Location Registry Maintenance with the settings described in the table below.

Location Registry Key	Description
LTC_MEDICARE	Determines whether the Lifetime Reserve field is enabled on the Coverages tab. When enabled, the Lifetime Reserve Authorizationoptions are also active on the Coverages tab.
	Value Description 0 Fields are not active. 1 Fields are active.
PSYCH_MEDICARE	Determines whether the Psych Lifetime Reserve field is enabled on the Coverages tab. When enabled, the Psych Lifetime Reserve Authorization options are also active on the Coverages tab.
	Value Description 0 Fields and menu are not active. 1 Fields and menu are active.

Automatically Populate Policy Number

RCM Cloud^® can be set to automatically populate the Policy Number field in the Insurance tab with the patient or guarantor’s Social Security number by enabling the Global Registry key REG_AUTO_POPULATE_POLICY#. When active and adding an insurance plan for the visit, a message displays asking to default the patient or guarantor’s Social Security number to the Policy Numberfield. Click Yes, and the SSN populates the Policy Number field.

Configuration

For this configuration, use the key(s) in Global Registry Maintenance with the settings described in the table below.

Global Registry Key	Description
REG_AUTO_POPULATE_POLICY#	Determines whether RCM Cloud® can default the patient or guarantor’s Social Security number in the Policy Number field on the Insurancetab. When enabled, a message displays asking whether to default the SSN to the Policy Number field.
	Value 1 Description 0 Does not prompt user to default to SSN. 1 Prompts user to default to SSN.

Change Room/Bed Charges Section Labels

The labels for the three fields atop the Coverage Levels window can be changed to any label needed using Global Registry keys.

Configuration

For this configuration, use the key(s) in Global Registry Maintenance with the settings described in the table below.

Global Registry Key	Description
INSVERFY_SEMI_PRIV_LABEL	Determines the first field label that displays in the Room/Bed Chargessection of the Coverage Levels window. The default is Semi-Prvt Limit.
	Value 1 Description 0 Keeps default label of Semi Private Limit. 1 Replaces default label with text entered in Value 2. Value 2 Description User-defined label text Enter text to be displayed instead of the default label.
INSVERFY_PRIV_LABEL	Determines the second field label that displays in the Room/Bed Charges section of the Coverage Levels window. The default is Private Limit.
	Value 1 Description 0 Keeps default label of Private Limit. 1 Replaces default label with text entered in Value 2. Value 2 Description User-defined label text Enter text to be displayed instead of the default label.
INSVERFY_SPECIAL_LABEL	Determines the third field label that displays in the Room/Bed Chargessection of the Coverage Levels window. The default is Special Limit.
	Value 1 Description 0 Keeps default label of Special Limit. 1 Replaces default label with text entered in Value 2. Value 2 Description User-defined label text Enter text to be displayed instead of the default label.

Insurance Override

An insurance company’s name, address, and phone information can be changed by enabling the Override button in the Insurance tab. The modified information is specific to the visit and displays on forms. When the modifications are saved, no update is made to the insurance plan/insurance ID.

The Override button is enabled by override options for the plan in the Insurance Plan Maintenance window in Insurance Maintenance. Any or all of the override options may be selected.

Configuration

For this configuration, use Insurance Plan Maintenance for an insurance company in Insurance Maintenance with the settings described in the table below.

Application	Option	Description
Insurance Maintenance> Insurance Plan Maintenance	Override checkboxes	Determines which insurance company information can be overwritten in the Insurance tab and enables the Override button.
		Option Description Allow Name Override Check to allow a name override. Allow Address Override Check to allow an address (Street, ZIP/PC, City, and State fields) override. Allow Phone Override Check to allow a phone override.

MSP Code Option

The MSP Code dropdown can be available in the Insurance tab and be used to track Medicare Secondary Payer information by enabling the Global Registry key MSP_CD_OPTION. When the key is enabled, the MSP Code dropdown displays in the Insurance tabs in Registration, Billing, and Collections.

Configuration

For this configuration, use the key(s) in Global Registry Maintenance with the settings described in the table below.

Registry Key	Description
MSP_CD_OPTION	Determines whether the MSP Code dropdown is available in the Insurance tab.
	Value 1 Description 0 The MSP Code dropdown does not display. 1 The MSP Code dropdown displays.

Require MSP Information

The completion of the Medicare Secondary Payer (MSP) Questionnaire when registering a patient can be required for Medicare or insurance plans with the MSP Flag checked in Insurance Maintenanceby enabling the Global Registry key ADT_MSP_INFO_REQUIRED. This ensures that information is gathered in a timely manner and meets strict Medicare and Medicaid audit requirements by requiring the user to view and update the MSP tab prior to registering the patient.

When enabled, users must complete minimal MSP information (person supplying information and at least one checked question). If not completed, a warning message displays and does not allow the user to leave the Insurance window until they have viewed and updated the MSP Questionnaire, and the patient stays in pre-admit status until information is entered.

Configuration

For this configuration, use the key(s) in Global Registry Maintenance with the settings described in the table below.

Global Registry Key	Description
ADT_MSP_INFO_REQUIRED	Determines whether the MSP tab must be viewed and updated prior to registering a patient who has Medicare or an insurance plan with the MSP Flag checked in Insurance Maintenance.
	Value 1 Description 0 MSP information is not required. The patient is registered and placed on a worklist to gather the MSP information at a later time. 1 MSP information is required.