TMPPM 2010 > Volume 1, General Information > Section 6: Claims Filing > Remittance and Status (R&S) Report > R&S Report Section Explanation > Financial Transactions

   
 

6.11.4.3.1 Accounts Receivable

This label identifies money subtracted from the provider's current payment owed to TMHP. Specific claim data are not given on the R&S Report unless the accounts receivable control number is provided which should be referenced when corresponding with TMHP. Accounts receivable appear on the R&S Report in the following format:

Control Number. A number to reference when corresponding with TMHP.

Recoupment Rate. The percentage of the provider's payment that is withheld each week unless the provider elects to have a specific amount withheld each week.

Maximum Periodic Recoupment Amount. The amount to be withheld each week. This area is blank if the provider elects to have a percentage withheld each week.

Original Date. The date the financial transaction was processed originally.

Original Amount. The total amount owed TMHP.

Prior Date. The date the last transaction on the accounts receivable occurred.

Prior Balance. The amount owed from a previous R&S Report.

Applied Amount. The amount subtracted from the current R&S Report.

FYE. The fiscal year end (FYE) for cost reports.

EOB. The EOB code that corresponds to the reason code for the accounts receivable.

Patient Name. The name of the patient on the claim, if the accounts receivable are claim-specific.

Claim Number. The ICN of the original claim, if the accounts receivable are claim-specific.

Backup Withholding Penalty Information. A penalty assessed by the Internal Revenue Service (IRS) for noncompliance due to a B-Notice. Although the current payment amount is lowered by the amount of the backup withholding, the provider's 1099 earnings are not lowered.

Control Number. TMHP control number to reference when corresponding with TMHP.

Original Date. The date the backup withholding was set up originally.

Withheld Amount. Amount withheld (31 percent) of the provider's checkwrite.


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