|
Name |
Type |
Discontinued? |
|
| 1 |
ABN_NOTE_ID |
VARCHAR |
No |
|
|
|
| The unique ID of the note (HNO) record that contains the Advance Beneficiary Notice (ABN) information. |
|
|
| 2 |
ABN_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
| The status of the ABN record. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Notice Triggered |
| Notice Printed |
| ABN Signed, Service Accepted (Option 1 - Bill Medicare) |
| ABN Annotated (Patient Refused to Sign) |
| ABN Void (Order Canceled or Changed, ABN No Longer Applies) |
| ABN Signed, Service Declined (Option 3) |
| ABN Refused--Noted on form, Signed by Two Witnesses |
| ABN Refused--Service Not Performed |
| ABN Signed, Service Accepted (Option 2 - Do not bill Medicare) |
| Auto Voided (Order canceled or removed) |
| Declined to Sign, Pending Follow-up |
| Diagnoses Reviewed |
| E-Signed, Document Status Not Updated |
| Released to Patient Portal |
| ABN Error--Recreated, Pending Signature |
|
|
| 3 |
USER_ID |
VARCHAR |
No |
|
|
|
| The user who updated the ABN record. |
|
|
| 4 |
USER_ID_NAME |
VARCHAR |
No |
|
|
|
| The name of the user record. This name may be hidden. |
|
|
| 5 |
CREATE_TM |
DATETIME (Local) |
No |
|
|
|
| The time the ABN record was created. |
|
|
| 6 |
INITIAL_USER_ID |
VARCHAR |
No |
|
|
|
| The user who created the ABN record. |
|
|
| 7 |
INITIAL_USER_ID_NAME |
VARCHAR |
No |
|
|
|
| The name of the user record. This name may be hidden. |
|
|
| 8 |
ABN_TEMPLT_C_NAME |
VARCHAR |
No |
|
|
|
| The ABN template used for the ABN form. |
| May contain organization-specific values: Yes |
| Category Entries: |
| English, Provider ABN |
| Lab ABNs |
| Spanish, Provider ABN |
| Non-Participating ABN |
| Dually Eligible Beneficiaries ABN |
| E-Signature Template |
|
|
| 9 |
ABN_PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
| 10 |
ABN_PR_EST |
VARCHAR |
No |
|
|
|
| The estimated price for all procedures listed on the ABN. |
|
|
| 11 |
ABN_COMM_BARRIER_C_NAME |
VARCHAR |
No |
|
|
|
| The communication barrier encountered with the patient involving the ABN. |
| May contain organization-specific values: Yes |
|
|
| 12 |
ABN_UPDATE_INS_DTTM |
DATETIME (Local) |
No |
|
|
|
| The instant when the ABN was updated. |
|
|
| 13 |
ABN_CMT |
VARCHAR |
No |
|
|
|
|
| 14 |
ABN_CHECK_FROM_DATE |
DATETIME |
No |
|
|
|
| Stores the starting date of service for which the ABN checks are performed. |
|
|
| 15 |
ABN_CHECK_TO_DATE |
DATETIME |
No |
|
|
|
| Stores the date till which the ABN checks are performed. |
|
|
| 16 |
ABN_PLAN_ID |
NUMERIC |
No |
|
|
|
| Stores the unique ID of the linked treatment or therapy plan. |
|
|
| 17 |
PAT_CSN |
NUMERIC |
No |
|
|
|
| Stores the contact serial number (CSN) for the telephone encounter used for follow up. |
|
|
| 18 |
REPLACED_ABN_ID |
VARCHAR |
No |
|
|
|
| If this ABN was regenerated from another ABN, this column contains the ID of the original |
|
|
| 19 |
REPLACE_REASON_C_NAME |
VARCHAR |
No |
|
|
|
| The reason that the ABN was regenerated. |
| May contain organization-specific values: No |
| Category Entries: |
| Price Increase |
| Price Decrease |
| Department Change (same revenue location) |
| Department Change (different revenue location) |
| Procedure or Diagnosis or Order Mismatch (Px or Dx or Ord is now resolved) |
| Order Released |
| Order Resolved |
| Procedure or Order Mismatch (Px or Dx or Ord is now resolved) |
| ABN Restore Utility |
|
|