{% import "_macros.html" as m %}
{% include '_header.html' %}

Medicaid Charge Report

{% for count in counts %} {% endfor %}
Client Name Account Medicaid Physician License NPI Notes LOS Inpatient Days / Episodes Code
{{ count.client }} {{ m.highlight_none(count.account_id) }} {{ m.highlight_none(count.medicaid_id) }} {{ m.highlight_none(count.physician_name) }} {{ m.highlight_none(count.physician_licence) }} {{ m.highlight_none(count.physician_npi) }} {% set notes = note_map[count.client] %} {% for n in notes %} {{ n.counter }}. {{ n.unit_lname }} - {{ n.notedate.strftime('%Y-%m-%d') }} ({{ n.acronym }}) {% endfor %} {{ count.medicaid_los }} {{ count.inpt_days }} Day(s) - {{ count.inpt_count }} Episode(s)
{% for item in counts %} {% for r in count.inpt_ranges %} {{ r[0] }} - {{ r[1] }}
{% endfor %} {% endfor %}
{{ count.bill_code }}

{% for core in cores %} {% endfor %}
Details
Client Name Note Date Core Service Unit Name Entered By
{{ core.client }} {{ core.notedate }} {{ core.goal }} {{ core.unit_lname }} {{ core.staff_name }}
{% include '_footer.html' %}