View the Minnesota Medicaid ASC Expected Reimbursement Detail
Use the following procedure to view the Minnesota Medicaid Expected Reimbursement Detail.
Note: If the Expected Reimbursement Detail is incomplete, click a Service Type link.
Procedure
- Access the Expected Reimbursement Detail page for a Minnesota Medicaid ASC account. For more information, refer to View the Expected Reimbursement Details .
- Review the expected reimbursements.
- Optionally, you can perform the following actions:
- Click Reimbursement to display the View Contract Profile page. For more information, refer to View a Contract Profile.
- Click the Service Type name to display the service types on the View Contract Profile page. For more information, refer to View a Contract Profile.
- Click View in the Calculation Details column. The Calculation Details page opens. For more information, refer to View Expected Reimbursement Calculation Details.
Field Descriptions – Minnesota Medicaid ASC Accounts
The following table describes the fields on the Expected Reimbursement Detail page for Minnesota Medicaid ASC claims.
|
Field |
Description |
|
Reimbursement Type |
Reimbursement type, either expected reimbursement or RA, if applicable (the latest RA is shown if there are multiple RAs). |
|
Service Date |
Date the service was rendered. |
|
Revenue Code |
Revenue code. |
|
Billed HCPC/CPT Code |
Associated CPT or HCPC codes billed to the account |
|
Billed Units |
Number of units billed. |
|
Covered Charges |
Amount of charges covered by Medicaid. |
|
ASC Rate |
Rate from the CMS ASC fee schedule “payment rate” column. |
|
Total APC Payment |
.Payment by APC for the line item. |
|
Expected Payment |
The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data. |
|
Error Code |
Reason for rejection or return, if applicable |