WCMBP_Section_J_Attachment_18.4_-_Dec_2013_Monthly_RTP_Reports_by_Reasons_and_by_Program_AMD_5.xlsx

XLSX spreadsheet 72 KB Posted Jul 21, 2014

Attached to: Solicitation Notice for Workers' Compensation Medical Bill Processing (WCMBP)
Solicitation number: DOL141RP21903
Issued by: Department of Labor Office of the Assistant Secretary for Administration and Management

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WCMBP_Section_J_Attachment_18.4_-_Dec_2013_Monthly_Report

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Other files

File	Type	Posted
WCMBP_Section_F_-_Deliveries_and_Performance_AMD_6.doc	DOC document	Jul 28, 2014
Amendment_6_Questions_and_Responses.xlsx	XLSX spreadsheet	Jul 28, 2014
DOL141RP21903_Amendment_6_Change_Log.doc	DOC document	Jul 28, 2014
WCMBP_Section_H_-_Special_Contract_Requirements_AMD_5_rev1.docx	DOCX document	Jul 28, 2014
DOL141RP21903_Amendment_5_Change_Log.doc	DOC document	Jul 21, 2014
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WCMBP_Section_J_Attachment_19_-_Weekly_Call_Minute_Detail_Data_AMD_5.xls	XLS spreadsheet	Jul 21, 2014
WCMBP_Section_H_-_Special_Contract_Requirements_AMD_5.docx	DOCX document	Jul 21, 2014
WCMBP_Section_J_Attachment_18.3_-_2013_IVR_Summary_AMD_5.xlsx	XLSX spreadsheet	Jul 21, 2014
WCMBP_Section_M_-_Evaluation_Factors_for_Award_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_23_-_Government_Furnished_Information_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_5_-_Non-Disclosure_Agreement_Template_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_32__-Transition_Out_Plan_Template_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_9_-_Prior_Experience_Reference_List_Template_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_2_-_Proposal_File_Matrix_Template_AMD_5.xls	XLS spreadsheet	Jul 21, 2014
DOL141RP21903_Amendment_5_Round_2_Questions_AMD_5.xlsx	XLSX spreadsheet	Jul 21, 2014
WCMBP_Section_J_Attachment_4_-_Conformance_Matrix_AMD_5.xlsx	XLSX spreadsheet	Jul 21, 2014
WCMBP_Section_F_-_Deliveries_and_Performance_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_I_-_Contract_Clauses_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_3_-_Compliance_Matrix_AMD_5.xlsx	XLSX spreadsheet	Jul 21, 2014
WCMBP_Section_J_Attachment_6_-_Question_Submission_Template_AMD_5.xls	XLS spreadsheet	Jul 21, 2014
WCMBP_Section_J_Attachment_30_-_Treatment_Suites_Technical_Data_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_G_-_Contract_Administration_Data_AMD_5.docx	DOCX document	Jul 21, 2014
WCMBP_Section_J_Attachment_27_-_Glossary_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_12_-_Past_Perf_Contact_Sheet_Template_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_21_-_Wage_Determinations_AMD_5.doc	DOC document	Jul 21, 2014
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WCMBP_Section_C_-_Performance_Work_Statement_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_18.1_-_Projected_Operational_Volumes_AMD_5.xlsx	XLSX spreadsheet	Jul 21, 2014
WCMBP_Section_J_Attachment_16_-_Computer_Security_Handbook_4-0_AMD_5.pdf	PDF	Jul 21, 2014
WCMBP_Section_K_-_Certifications_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_E_-_Inspection_and_Acceptance_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_L_-_Instructions_Conditions_and_Notices_to_Offerors_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_10_-_Prior_Exp_Project_Desc_Template_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_17_-_DLMS_9_Chapters_400_and_1200_AMD_5.pdf	PDF	Jul 21, 2014
WCMBP_Section_J_Attachment_11_-_Past_Perf_Ref_List_Template_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_-_List_of_Attachments_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_18.7_-_2013_Monthly_RTP_Counts_by_Program_AMD_5.xlsx	XLSX spreadsheet	Jul 21, 2014
WCMBP_Section_J_Attachment_1_-_Price_Cost_Schedule_AMD_5.xlsx	XLSX spreadsheet	Jul 21, 2014
WCMBP_Section_J_Attachment_15_-_Small_Bus_Sub_Plan_Template_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_25_-_Requirements_Specs_Documents_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_28_-_Government_Furnished_Templates_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_14_-_Past_Perf_Sub_Consent_Ltr_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_30.1_-_Treatment_Suites_Builder_ER_Diagram_AMD_5.pdf	PDF	Jul 21, 2014
WCMBP_Section_J_Attachment_18.2_-_2013_DOL_Bills_Doc_Type_Counts_by_Program_AMD_5.xlsx	XLSX spreadsheet	Jul 21, 2014
WCMBP_Section_J_Attachment_13_-_Past_Performance_Questionaire_Template_AMD_5.pdf	PDF	Jul 21, 2014
WCMBP_Section_J_Attachment_18_-_Volume_Sensitive_Operational_Data_AMD_5.xls	XLS spreadsheet	Jul 21, 2014
WCMBP_Section_B_-_Supplies_or_Services__Prices-Costs_AMD_5.doc	DOC document	Jul 21, 2014
WCMBP_Section_J_Attachment_33__-Transition_In_Plan_Template_AMD_5.doc	DOC document	Jul 21, 2014

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RTP Reasons

	RTP Report December 2013	RTP Code	FECA	DCMWC	DEEOIC
	Claimant Pay Medical
	SSN missing/invalid or SSN/name mismatch.	1			1
	FECA: Claimant signature & date missing.	3	87
	FECA: Amount paid by claimant missing.	7	103
	FECA: Date of service/purchase missing.	8	27
	Other	24			4
	FECA: NDC missing.	25
	FECA: Drug quantity missing.	26
	Charges missing/invalid	32
	FECA: Claimant signature & date missing.	35
	Black Lung: Date of service/purchase missing.	51
	Black Lung: Receipts/proof of payment missing	53
	Claimant Pay Pharmacy
	FECA & Black Lung: SSN missing/invalid or SSN/name mismatch.	1
	FECA: Claimant signature & date missing.	3	5
	FECA: Amount paid by claimant missing.	7	2
	FECA: Date of service/purchase missing.	8
	No Receipts Attached	17
	FECA: NDC missing.	25	150
	FECA: Drug quantity missing.	26	104
	Charges missing/invalid	32
	Prescription number missing	33
	Date of dispense missing	34
	No signature on bill	35
	Black Lung: NDC Missing	49		1
	Black Lung: Amount paid by claimant missing	50
	Black Lung: Date of service/purchase missing.	51
	Black Lung: Claimant signature & date missing	52
	Black Lung: Receipts/proof of payment missing	53
	Black Lung: Prescription number missing	54
	Black Lung: Drug quantity missing	55		1
	Dental
	FECA: SSN missing/invalid or SSN/name mismatch.	1
	FECA: Procedure codes missing or invalid.	5
	FECA: Line item charges missing or invalid.	7
	FECA: Date of service missing/invalid/future.	8
	No Tax ID Number	9
	FECA: Provider Identification Number is missing/invalid	11	38
	FECA: Physician signature is missing.	12	7
	Charges missing/invalid	32
	No signature on bill	35
	Submitted tax ID does not match provider number	59	23
	HCFA
	SSN missing/invalid or SSN/name mismatch (Block 11)	1	2420	238	246
	Provider Number Missing: 33 of HCFA or 51 of UB	2
	Signature or approved wording missing (Block 12 or Block 13)	3	720	103	46
	Diagnosis codes are missing or all codes present are invalid (Block 21)	4	474	16	25
	Procedure codes missing/invalid (Block 24d)	5	2103	13	18
	Place of Service Missing	6	662	25	19
	Detail line charges are missing (Block 24f)	7	221	8	80
	Date of service is missing/invalid/future (Block 24a)	8	312	22	62
	No Tax ID Number	9
	Energy: Facility zip code is missing (Block 32)
FECA: Missing facility name/address (Block 32)	10	289		4
	No active provider number on file or provider number missing in box 33 of a HCFA or box 51 of a UB	11	15072	688	1788
	Physicians signature is missing (Block 31)	12	1376	34	211
	Charges missing/invalid	32
	No signature on bill	35
	Black Lung & Energy: Diagnosis code pointer is blank & more than 1 diagnosis code is present (Block 24e)	36		36	32
	Submitted tax ID does not match provider number	59	1671	34	128
	No active prov # on file	88
	OWCP957
	SSN missing/invalid or SSN/name mismatch	1	3	1	1
	FECA: Claimant signature missing.	3	239
	FECA: Travel expense missing.	7	1023
	FECA: Date of travel is missing.	8
	Submit on OWCP-957 (incorrect form)	23	22	1	1
	FECA: Travel from/to missing.	24	1
	Charges missing/invalid	32
	No signature on bill	35
	Black Lung: Date of travel is missing.	39	1167
	Black Lung: One way/round trip missing.	40		2
	Black Lung: Travel from/to missing.	41		2
	No provider	42
	Black Lung: Mileage missing.	43
	Black Lung: Claimant signature missing.	44			8
	Black Lung: Travel expense missing.	45		4
	Black Lung: Physician signature missing.	46		4
	Diagnosis code missing	47
	Black Lung: Date care rendered missing.	48		6
	Pharmacy
	SSN missing/invalid or SSN/name mismatch	1	27
	FECA: Detail line charges missing.	7	25
	FECA: Date of service missing/invalid/future.	8	72
	No Tax ID Number	9
	FECA: NCPDP missing/invalid.	11	129
	Authorized pharmacy representative signature missing.	12			7
	NDC missing	25	46		1
	Quantity missing	26	107		1
	Charges missing/invalid	32
	Black Lung & Energy: Prescription number missing	33		2	1
	Black Lung & Energy: Date of service missing/invalid/future.	34			1
	Energy: Patient signature missing.	35			32
	Black Lung & Energy: Detail line charges missing.	37			1
	Black Lung & Energy: NCPDP missing/invalid.	38			2
	NDC missing	49
	Amount paid by claimant	50
	Date of service/purchase missing	51
	Claimant signature & date missing	52
	Receipts/proof of payment missing	53
	Prescription number missing	54
	Drug quantity missing	55
	Black Lung: Patient signature missing.	56
	UB
	SSN missing/invalid or SSN/name mismatch (Block 60)	1	352	46	68
	Provider Number Missing: 33 of HCFA or 51 of UB	2
	FECA: Principal diagnosis code is missing/invalid (Block 67)	4	111
	FECA: Detail line charges missing (Block 47)	7	23	1
	No Tax ID Number	9
	No active provider number on file or provider number missing in box 33 of a HCFA or box 51 of a UB	11	2396	117	592
	Physicians signature is missing (Block 85)	12	6
	Type of bill missing (Block 4)	27	98	3	14
	Black Lung & Energy: Statement covers period is missing/invalid/future (Block 6)	28			4
	Revenue code is missing/invalid (Block 42)	29	69	6	5
	Energy: Principal diagnosis code is missing/invalid (Block 67)
Black Lung: Principal diagnosis code is missing/invalid(Block 67) or diagnoses are handwritten	30		7	5
	Black Lung & Energy: Admission date is missing/invalid/future (Block 17)	31			4
	Black Lung & Energy: Detail line charges missing (Block 47)	32		3	20
	No signature on bill	35
	FECA & Energy: Provider type 01 & Medicare # missing on UB type 111	57	207		44
	Incorrect Form	58	87
	No active prov # on file	88

Bill minus Pharmacy

	DCMWC
12/2013	Gross Bill Volume	Rej	RTP	Net Bill Volume	DEEOIC
12/2013	Gross Bill Volume	Rej	RTP	Net Bill Volume	FECA
12/2013	Gross Bill Volume	Rej	RTP	Net Bill Volume	All
12/2013	Gross Bill Volume	Rej	RTP	Net Bill Volume
	CM	673	9	0	664	CP	274	108	0	166	BH	56190	83	6452	49655	BH	56190	83	6452	49655
	CP	2	0	1	1	CR	514	19	5	490	CM				0	CM	673	9	0	664
	CR	4	0	0	4	HC	20067	56	2418	17593	CP	735	66	166	503	CP	1011	174	167	670
	HC	6223	4	990	5229	HP	281	3	0	278	CR	2146	74	213	1859	CR	2664	93	218	2353
	HP	846	4	0	842	OW	3250	27	10	3213	DN	253	70	90	93	DN	253	70	90	93
	OW	459	16	24	419	RX	67	0	36	31	HC	159348	216	16604	142528	HC	185638	276	20012	165350
	RX	6	0	2	4	UB	3	0	0	3	HP				0	HP	1127	7	0	1120
	U4	11	0	2	9	UN	1891	28	368	1495	HR	4258	11	0	4247	HR	4258	11	0	4247
	UN	688	12	98	578	UW	1522	12	362	1148	NU	2	1	0	1	NU	2	1	0	1
	UW	276	3	54	219	Bills	27869	253	3199	24417	OW	29049	286	2810	25953	OW	32758	329	2844	29585
	Bills	9188	48	1171	7969	RX	341	108	36	197	RE	249	7	0	242	RE	249	7	0	242
	RX	8	0	3	5	Bills w/o RX	27528	145	3163	24220	RX	4205	211	274	3720	RX	4278	211	312	3755
	Bills w/o RX	9180	48	1168	7964						U4	6	0	3	3	U4	17	0	5	12
											UB	20	0	12	8	UB	23	0	12	11
											UN	8696	26	1710	6960	UN	11275	66	2176	9033
											UR	624	1	0	623	UR	624	1	0	623
											UW	8994	22	1622	7350	UW	10792	37	2038	8717
											Bills	274775	1074	29956	243745	Bills	311832	1375	34326	276131
											RX	4940	277	440	4223	RX	5289	385	479	4425
											Bills w/o RX	269835	797	29516	239522	Bills w/o RX	306543	990	33847	271706

	DCMWC
12/2013	Gross Bill Volume	Rej	RTP	Net Bill Volume	DEEOIC
12/2013	Gross Bill Volume	Rej	RTP	Net Bill Volume	FECA
12/2013	Gross Bill Volume	Rej	RTP	Net Bill Volume
	CA-978 (CM)	673	9	0	664	CA-915 Pharmacy (CP)	274	108	0	166	CA-915 Pharmacy (CP)	735	66	166	503
	CA-915 Pharmacy (CP)	2	0	1	1	CA-915 Medical (CR)	514	19	5	490	CA-915 Medical (CR)	2146	74	213	1859
	CA-915 Medical (CR)	4	0	0	4	HCFA	20348	59	2418	17871	Dental (DN)	253	70	90	93
	HCFA	7069	8	990	6071	OWCP 957 (OW)	3250	27	10	3213	Carrier Reimbursement	4882	12	0	4870
	OWCP 957 (OW)	459	16	24	419	Pharmacy (RX)	67	0	36	31	HCFA	215538	299	23056	192183
	Pharmacy (RX)	6	0	2	4	UB	3416	40	730	2646	Nurse (NU)	2	1	0	1
	UB	975	15	154	806	Bills	27869	253	3199	24417	OWCP 957 (OW)	29049	286	2810	25953
	Bills	9188	48	1171	7969	RX	341	108	36	197	Rehab (RE)	249	7	0	242
	RX	8	0	3	5	Bills w/o RX	27528	145	3163	24220	Pharmacy (RX)	4205	211	274	3720
	Bills w/o RX	9180	48	1168	7964						UB	17716	48	3347	14321
											Bills	274775	1074	29956	243745
											RX	4940	277	440	4223
											Bills w/o RX	269835	797	29516	239522

FECA RTP Volume

FECA HCFA		FECA UB
Date	Total Bills Received

Lbryant: Lbryant:

Total number of bills received - does not include prompt pay. Total Bills RTP'd Lbryant: Lbryant:

Total number of bills that RTP'd for any reason % Bills RTP'd Lbryant: Lbryant:

% of total bills received that RTP'd for any reason RTP'd Prov # Combined Lbryant: Lbryant:

Total number of bills that RTP'd for missing provider # or prov # & more than 1 reason RTP'd Missing Prov # & Other Reason Lbryant: Lbryant:

Bills RTP'd for missing provider in addition to other RTP reasons RTP'd Missing Prov # Only Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 % Total Bill Received RTP Prov # Lbryant: Lbryant:

% of total bills received that RTP'd for missing provider number. % of RTP Prov # Lbryant: Lbryant:

% of total bills RTP'd for any reason that RTP'd for missing provider number. Date Total Bills Received Total Bills RTP'd % Bills RTP'd RTP'd Prov # Combined RTP'd Missing Prov # & Other Reason RTP'd Missing Prov # Only Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 Lbryant: Lbryant:

Total number of bills received - does not include prompt pay.

Lbryant: Lbryant:

Total number of bills that RTP'd for any reason Lbryant: Lbryant:

% of total bills received that RTP'd for any reason Lbryant: Lbryant:

Total number of bills that RTP'd for missing provider # or prov # & more than 1 reason Lbryant: Lbryant:

Bills RTP'd for missing provider in addition to other RTP reasons Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 Lbryant: Lbryant:

% of total bills received that RTP'd for missing provider number.

Lbryant: Lbryant:

% of total bills RTP'd for any reason that RTP'd for missing provider number.								% Total Bill Received RTP Prov #	% of RTP Prov #	RTP Medicare #	% Total Bill Received RTP Medicare #	% of RTP Medicare #
	12/02/13	31390	3078	9.81%	2254	222	2032	7.18%	73.23%	12/02/13	2708	513	18.94%	365	17	348	13.48%	71.15%	32	1.18%	6.24%
	12/03/13	4379	545	12.45%	364	39	325	8.31%	66.79%	12/03/13	401	62	15.46%	49	4	45	12.22%	79.03%	5	1.25%	8.06%
	12/04/13	2709	372	13.73%	270	26	244	9.97%	72.58%	12/04/13	256	46	17.97%	31	3	28	12.11%	67.39%		0.00%	0.00%
	12/05/13	6317	631	9.99%	442	23	419	7.00%	70.05%	12/05/13	505	130	25.74%	105	7	98	20.79%	80.77%	4	0.79%	3.08%
	12/06/13	7246	861	11.88%	592	46	546	8.17%	68.76%	12/06/13	522	104	19.92%	76	3	73	14.56%	73.08%	3	0.57%	2.88%
	12/09/13	19248	2116	10.99%	1535	156	1379	7.97%	72.54%	12/09/13	1397	285	20.40%	217	9	208	15.53%	76.14%	23	1.65%	8.07%
	12/10/13	11922	1663	13.95%	1497	312	1185	12.56%	90.02%	12/10/13	1083	189	17.45%	159	15	144	14.68%	84.13%	6	0.55%	3.17%
	12/11/13	3714	364	9.80%	284	33	251	7.65%	78.02%	12/11/13	293	47	16.04%	27	2	25	9.22%	57.45%	6	2.05%	12.77%
	12/12/13	6707	689	10.27%	503	65	438	7.50%	73.00%	12/12/13	484	81	16.74%	68	4	64	14.05%	83.95%	5	1.03%	6.17%
	12/13/13	9349	848	9.07%	588	54	534	6.29%	69.34%	12/13/13	845	218	25.80%	179	3	176	21.18%	82.11%	9	1.07%	4.13%
	12/16/13	20332	2167	10.66%	1462	110	1352	7.19%	67.47%	12/16/13	1775	260	14.65%	180	6	174	10.14%	69.23%	14	0.79%	5.38%
	12/17/13	8627	870	10.08%	676	83	593	7.84%	77.70%	12/17/13	872	162	18.58%	127	5	122	14.56%	78.40%	13	1.49%	8.02%
	12/18/13	7666	820	10.70%	594	55	539	7.75%	72.44%	12/18/13	624	133	21.31%	92	5	87	14.74%	69.17%	8	1.28%	6.02%
	12/19/13	3043	330	10.84%	231	20	211	7.59%	70.00%	12/19/13	312	52	16.67%	36	3	33	11.54%	69.23%	3	0.96%	5.77%
	12/20/13	6964	748	10.74%	555	55	500	7.97%	74.20%	12/20/13	631	116	18.38%	89	2	87	14.10%	76.72%	9	1.43%	7.76%
	12/23/13	18678	2185	11.70%	1651	168	1483	8.84%	75.56%	12/23/13	1423	271	19.04%	196	1	195	13.77%	72.32%	18	1.26%	6.64%
	12/24/13	8957	997	11.13%	677	58	619	7.56%	67.90%	12/24/13	804	137	17.04%	111	5	106	13.81%	81.02%	10	1.24%	7.30%
	12/25/13			ERROR:#DIV/0!	0			ERROR:#DIV/0!	ERROR:#DIV/0!	12/25/13			ERROR:#DIV/0!	0			ERROR:#DIV/0!	ERROR:#DIV/0!		ERROR:#DIV/0!	ERROR:#DIV/0!
	12/26/13	8353	926	11.09%	602	63	539	7.21%	65.01%	12/26/13	582	108	18.56%	71	4	67	12.20%	65.74%	7	1.20%	6.48%
	12/27/13	6034	786	13.03%	663	50	613	10.99%	84.35%	12/27/13	557	114	20.47%	89	6	83	15.98%	78.07%	6	1.08%	5.26%
	12/30/13	12952	1354	10.45%	946	80	866	7.30%	69.87%	12/30/13	1058	231	21.83%	194	10	184	18.34%	83.98%	17	1.61%	7.36%
	12/31/13	7991	706	8.83%	449	45	404	5.62%	63.60%	12/31/13	584	88	15.07%	55	3	52	9.42%	62.50%	9	1.54%	10.23%
	Aug-10	239024	30989	12.96%	22277	2012	20265	9.32%	71.89%	Aug-10	22192	4557	20.53%	3470	397	3073	15.64%	76.15%	376	1.69%	8.25%
	Sep-10	220958	27731	12.55%	19723	1757	17966	8.93%	71.12%	Sep-10	20135	3980	19.77%	2895	129	2766	14.38%	72.74%	312	1.55%	7.84%
	Oct-10	212578	23056	10.85%	16835	1763	15072	7.92%	73.02%	Oct-10	17716	3347	18.89%	2516	117	2399	14.20%	75.17%	207	1.17%	6.18%

FECA RTP Report Missing Provider Number * Missing Medicare Number Page &P of &N

DEEOIC RTP Volume

Energy HCFA					Energy UB
Date	Total Bills Received	Total Bills RTP'd	% Total Bills RTP'd	RTP'd Prov # Combined

Lbryant: Lbryant:

Total number of bills that RTP'd for missing provider # or prov # & more than 1 reason RTP'd Missing Prov # & Other Reason RTP'd Missing Prov # Only Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 % Total Bills Received RTP Provider # % of RTP'd Provider # Date Total Bills Received Total Bills RTP'd % Total Bills RTP'd RTP'd Prov # Combined Lbryant: Lbryant:

Total number of bills that RTP'd for missing provider # or prov # & more than 1 reason RTP'd Missing Prov # & Other Reason RTP'd Missing Prov # Only Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 Lbryant: Lbryant:

Total number of bills that RTP'd for missing provider # or prov # & more than 1 reason Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 Lbryant: Lbryant:

Total number of bills that RTP'd for missing provider # or prov # & more than 1 reason			% Total Bill Received RTP Provider #	% of RTP Prov #	RTP Medicare #	% Total Bills Received RTP Medicare #	% of RTP- Medicare #
	12/02/13	2379	388	16.31%	304	37	267	12.78%	78.35%	12/02/13	379	112	29.55%	106	3	103	27.97%	94.64%	4	1.06%	3.57%
	12/03/13	812	67	8.25%	44	3	41	5.42%	65.67%	12/03/13	174	18	10.34%	16	3	13	9.20%	88.89%	4	2.30%	22.22%
	12/04/13	120	14	11.67%	12		12	10.00%	85.71%	12/04/13	43	3	6.98%	1		1	2.33%	33.33%		0.00%	0.00%
	12/05/13	544	85	15.63%	74	4	70	13.60%	87.06%	12/05/13	133	36	27.07%	24	1	23	18.05%	66.67%	2	1.50%	5.56%
	12/06/13	589	62	10.53%	48	8	40	8.15%	77.42%	12/06/13	81	13	16.05%	12		12	14.81%	92.31%	1	1.23%	7.69%
	12/09/13	1450	186	12.83%	141	13	128	9.72%	75.81%	12/09/13	360	81	22.50%	70	6	64	19.44%	86.42%	4	1.11%	4.94%
	12/10/13	1108	139	12.55%	127	6	121	11.46%	91.37%	12/10/13	211	43	20.38%	42	3	39	19.91%	97.67%	1	0.47%	2.33%
	12/11/13	632	52	8.23%	37	5	32	5.85%	71.15%	12/11/13	53	13	24.53%	12		12	22.64%	92.31%		0.00%	0.00%
	12/12/13	534	26	4.87%	17		17	3.18%	65.38%	12/12/13	20	3	15.00%	3		3	15.00%	100.00%		0.00%	0.00%
	12/13/13	953	79	8.29%	73	9	64	7.66%	92.41%	12/13/13	192	36	18.75%	29		29	15.10%	80.56%	2	1.04%	5.56%
	12/16/13	2000	406	20.30%	362	36	326	18.10%	89.16%	12/16/13	404	87	21.53%	68	1	67	16.83%	78.16%	6	1.49%	6.90%
	12/17/13	1574	65	4.13%	40	1	39	2.54%	61.54%	12/17/13	101	23	22.77%	16		16	15.84%	69.57%	3	2.97%	13.04%
	12/18/13	517	94	18.18%	88	3	85	17.02%	93.62%	12/18/13	74	31	41.89%	27	1	26	36.49%	87.10%	4	5.41%	12.90%
	12/19/13	399	45	11.28%	36	1	35	9.02%	80.00%	12/19/13	96	14	14.58%	14	1	13	14.58%	100.00%	1	1.04%	7.14%
	12/20/13	611	61	9.98%	58	7	51	9.49%	95.08%	12/20/13	144	17	11.81%	7	1	6	4.86%	41.18%	1	0.69%	5.88%
	12/23/13	1244	204	16.40%	156	8	148	12.54%	76.47%	12/23/13	231	65	28.14%	58	3	55	25.11%	89.23%	2	0.87%	3.08%
	12/24/13	787	69	8.77%	60	7	53	7.62%	86.96%	12/24/13	186	28	15.05%	26	1	25	13.98%	92.86%	2	1.08%	7.14%
	12/25/13			ERROR:#DIV/0!	0			ERROR:#DIV/0!	ERROR:#DIV/0!	12/25/13			ERROR:#DIV/0!	0			ERROR:#DIV/0!	ERROR:#DIV/0!		ERROR:#DIV/0!	ERROR:#DIV/0!
	12/26/13	1563	59	3.77%	46	4	42	2.94%	77.97%	12/26/13	123	19	15.45%	17	1	16	13.82%	89.47%		0.00%	0.00%
	12/27/13	655	97	14.81%	85	10	75	12.98%	87.63%	12/27/13	186	35	18.82%	29	2	27	15.59%	82.86%	2	1.08%	5.71%
	12/30/13	1113	134	12.04%	118	13	105	10.60%	88.06%	12/30/13	153	36	23.53%	28	2	26	18.30%	77.78%	4	2.61%	11.11%
	12/31/13	483	86	17.81%	39	2	37	8.07%	45.35%	12/31/13	69	17	24.64%	17	1	16	24.64%	100.00%	1	1.45%	5.88%
	Aug-10	17081	2489	14.57%	2153	173	1980	12.60%	86.50%	Aug-10	2598	451	17.36%	369	14	355	14.20%	81.82%	41	1.58%	9.09%
	Sep-10	15725	2225	14.15%	1813	118	1695	11.53%	81.48%	Sep-10	2371	531	22.40%	451	13	438	19.02%	84.93%	27	1.14%	5.08%
	Oct-10	20067	2418	12.05%	1965	177	1788	9.79%	81.27%	Oct-10	3413	730	21.39%	622	30	592	18.22%	85.21%	44	1.29%	6.03%

Energy RTP Report Missing Provider Number * Missing Medicare Number Page &P of &N

DCMWC RTP Volume

Black Lung HCFA					Black Lung UB
Date	Total Bills Received	Total Bills RTP'd	% Total Bills RTP'd	RTP'd Prov # Combined

Lbryant: Lbryant:

Total number of bills that RTP'd for missing provider # or prov # & more than 1 reason RTP'd Missing Prov # & Other Reason RTP'd Missing Prov # Only Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 % Total Bills RTP Provider # & other reason % of RTP'd Provider # Date Total Bills Received Total Bills RTP'd % Total Bills RTP'd RTP'd Prov # Combined Lbryant: Lbryant:

Total number of bills that RTP'd for missing prov # & more than 1 reason RTP'd Missing Prov # & Other Reason RTP'd Missing Prov # Only Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 Lbryant: Lbryant:

Total number of bills that RTP'd for missing provider # or prov # & more than 1 reason Lbryant: Lbryant:

Bills RTP'd only for missing provider number in block 33 Lbryant: Lbryant:

Total number of bills that RTP'd for missing prov # & more than 1 reason			% Total Bill Received RTP-No Provider #	% of RTP - Provider #
	12/02/13	913	109	11.94%	103	15	88	11.28%	94.50%	12/02/13	117	17	14.53%	20	6	14	17.09%	117.65%
	12/03/13	87	19	21.84%	15		15	17.24%	78.95%	12/03/13	48	2	4.17%	1		1	2.08%	50.00%
	12/04/13	88	6	6.82%	4	1	3	4.55%	66.67%	12/04/13	14	2	14.29%	1		1	7.14%	50.00%
	12/05/13	204	31	15.20%	23	1	22	11.27%	74.19%	12/05/13	50	6	12.00%	5		5	10.00%	83.33%
	12/06/13	246	55	22.36%	34	5	29	13.82%	61.82%	12/06/13	60	6	10.00%	3	1	2	5.00%	50.00%
	12/09/13	600	77	12.83%	61	8	53	10.17%	79.22%	12/09/13	70	11	15.71%	10	2	8	14.29%	90.91%
	12/10/13	240	55	22.92%	46	2	44	19.17%	83.64%	12/10/13	35	3	8.57%	3	1	2	8.57%	100.00%
	12/11/13	251	47	18.73%	18	3	15	7.17%	38.30%	12/11/13	22	8	36.36%	13	6	7	59.09%	162.50%
	12/12/13	25		0.00%	0			0.00%	ERROR:#DIV/0!	12/12/13	10		0.00%	0			0.00%	ERROR:#DIV/0!
	12/13/13	419	58	13.84%	48	6	42	11.46%	82.76%	12/13/13	75	12	16.00%	14	2	12	18.67%	116.67%
	12/16/13	567	81	14.29%	89	19	70	15.70%	109.88%	12/16/13	65	17	26.15%	16	3	13	24.62%	94.12%
	12/17/13	153	8	5.23%	5		5	3.27%	62.50%	12/17/13	46	5	10.87%	4	1	3	8.70%	80.00%
	12/18/13	264	57	21.59%	48	10	38	18.18%	84.21%	12/18/13	19	6	31.58%	6		6	31.58%	100.00%
	12/19/13	113	23	20.35%	29	6	23	25.66%	126.09%	12/19/13	29	3	10.34%	2		2	6.90%	66.67%
	12/20/13	67	11	16.42%	7		7	10.45%	63.64%	12/20/13	14	2	14.29%	2		2	14.29%	100.00%
	12/23/13	747	166	22.22%	153	43	110	20.48%	92.17%	12/23/13	108	25	23.15%	31	8	23	28.70%	124.00%
	12/24/13	338	43	12.72%	31	9	22	9.17%	72.09%	12/24/13	72	5	6.94%	5		5	6.94%	100.00%
	12/25/13			ERROR:#DIV/0!	0			ERROR:#DIV/0!	ERROR:#DIV/0!	12/25/13			ERROR:#DIV/0!	0			ERROR:#DIV/0!	ERROR:#DIV/0!
	12/26/13	282	41	14.54%	34	2	32	12.06%	82.93%	12/26/13	37	6	16.22%	4	1	3	10.81%	66.67%
	12/27/13	232	44	18.97%	29	1	28	12.50%	65.91%	12/27/13	31	10	32.26%	4		4	12.90%	40.00%
	12/30/13	197	22	11.17%	26	10	16	13.20%	118.18%	12/30/13	16	4	25.00%	6	2	4	37.50%	150.00%
	12/31/13	190	37	19.47%	27	1	26	14.21%	72.97%	12/31/13	26	2	7.69%	0			0.00%	0.00%
	Aug-10	10068	10068	100.00%	1578	250	1328	15.67%	15.67%	Aug-10	1589	265	16.68%	187	25	162	11.77%	70.57%
	Sep-10	22878	5215	22.79%	4860	573	4287	21.24%	93.19%	Sep-10	4696	894	19.04%	499	61	438	10.63%	55.82%
	Oct-10	6223	990	15.91%	830	142	688	13.34%	83.84%	Oct-10	964	152	15.77%	150	33	117	15.56%	98.68%

Black Lung RTP Report Missing Provider Number Page &P of &N

File details come from the government source that posted it. Updated Nov 14, 2017.