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MEDISOFT_ V4.14a Medical Patient
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MEDI414A.exe
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MAHELP1.TXT
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1996-02-01
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Information on your practice, printer set up, changing your data path,
set up of the superbill format, security, and the other patient
information screen are entered in operation 1. The formats for your
patient statements, insurance forms and walk-out receipts are also
designed in operation 1. The submenu display window lists the
suboptions available as a reminder.
To use this operation, press 1 or use the arrow keys to highlight 1
and press the [Enter] key.
Notice that as you select operation 1 from the MediSoft Advanced
menu the "Select Option:" prompt changes positions from the left
side of the menu (main menu) to the right side of the screen
(submenu window). This is how you can tell if you are at the main menu
or a submenu.
Each of the operations shown on this screen allows you to enter or
change "general" type information for your practice in MediSoft
Advanced. This information is used to generate insurance forms,
patient bills and other reports in MediSoft Advanced.
Office Information: Press 1 to change office information for MediSoft
Advanced.
Set Up Printers: Press 2 to assign printers to MediSoft Advanced.
Change Data Path: Press 3 to change your data drive assignment.
.CO (1) Set Up Practice
Format Patient Statements: Press 4 to design or change patient
statement formats.
Format Insurance Forms: Press 5 to design or change insurance formats.
Format Walkout Receipt: Press 6 to design your walkout receipt format.
Superbill Information: Press 7 to design your superbill format.
Set Up Security: Press 8 to set up security access.
Set Up Other Patient Screen: Press 9 to set up custom patient data.
Then in Patient Information (operation 2-1), you can enter data to be
stored with each patient's record. Your custom fields are also
available to the insurance, statement and list formats.
Exit: To exit the set up operations highlight operation "X" and press
[Enter], or press the [ESC] or [X] key.
*DRIVES Change Data Path
O P T I O N I N F O R M A T I O N
Your data path assignment was set up when you first used MediSoft
Advanced. The data path assignment shown on this screen tells MediSoft
Advanced where to look on your computer's hard disk for its data.
If this data path is incorrect the system will not be able to find
information it needs to run. The data path assignment was set up when
MediSoft Advanced was installed and need only be changed if you
decide to move your MediSoft Advanced data files to another
subdirectory.
.PA
F I E L D I N F O R M A T I O N
>CHANGE
>PATH
If you want to change your data path assignment, press "Y" and enter
the new data path. Otherwise, press "N" to leave the data path
assignments unchanged. A valid data path contains the disk drive
letter and a subdirectory name, like this:
Data Path: C:\MEDISOFT\
It is important to note that data files contain the information you
have entered in your MediSoft Advanced program.
*CREATE Create Data Files
>CONT
The data path is not able to find data that matches the data file
extension and therefore the program is asking if you wish to create
data files with the specified data file extension.
If you have entered the wrong data path, then enter 'N' for no to
re-enter the data path. Answer "Y" for yes if you wish to create a new
set of data files.
*8 Setting Up Your Practice
O P T I O N I N F O R M A T I O N
This option allows you to enter general information about your
practice and other information needed by MediSoft Advanced.
Function keys available in this operation: You may access the following
features in this operation by pressing the appropriate function key:
Press [F1] for help; Press [F3] to save the information shown; Press
[ESC] to abandon any changes made or to return to the Set Up Office
submenu.
.PA
F I E L D I N F O R M A T I O N
>OFFNAME
Office Name: Enter up to 30 characters for the business title of your
practice (i.e. Valley Medical Clinic), or the name of the doctor, if
desired, in a solo practice.
.PA
>OFFSTREET
Office Street: Enter up to 30 characters for the street or mailing
address for the practice (i.e. 123 W. Main).
.PA
>OFFCITY
Office City: Enter the name of the city where your office resides.
.PA
>OFFSTATE
Office State: Enter the postal two letter state code. For example,
Arizona would be AZ, California is CA.
.PA
>OFFZIP
Office Zip Code: Enter the postal zip code for your office.
Note: If you have set up Zip Codes in Address Code Information, you
may utilize zip code look-up by leaving the City and State fields
blank. At the Zip Code field, enter a five digit zip code that matches
a Z type address code, then the city and state from that address code
will be inserted for this city and state.
.PA
>OFFPHONE
Office Phone: Enter up to 10 digits for the phone number with no
punctuation. MediSoft Advanced will insert the appropriate
punctuation for you.
.PA
>OFFTAXID
Office Tax ID#: Enter up to 15 characters for this ID number.
.PA
>EOPDATE
End of Period Date: Enter six digits in MMDDYY format (two digits
each for the month, day and year). When you first set up MediSoft
Advanced, this date is used as the ending date for the last billing
period (a cutoff date for your beginning balances). As you do end of
month processing, the system changes this date to the date you used
when the month-end process was done. This data appears on reports
for the date of patient balance forward amounts.
.PA
>OFFTYPE
Practice Type: Select the appropriate code for your office type. If
your specific specialty isn't listed, select 'M' for Medical. This
selection includes general settings that fit most practices.
When Anesthesia is selected, the transaction entry screen (option 3-1)
will allow UNITS and MINUTES to be entered.
When Chiropractic is selected, the EXTRA DIAGNOSIS DESCRIPTION field
in the patient's record is used to store the LEVEL OF SUBLUXATION.
.PA
>TITLEPAGE
Print Title Pages: Enter Y if you want each report to be prefaced
with a page that lists the name of the report, date prepared and
parameters selected. Otherwise, enter N to skip title pages when
printing reports. We suggest that the title pages be used on reports
because this information can serve to clarify the data shown on the
report, particularly when the report is reviewed at a later date.
.PA
>OFFDEFLOC
Default Location Code: Enter the place of service (location) code, if
you want to eliminate the requirement of entering a location in every
billing transaction.
.PA
>OFFDEFDX
Use Default Diagnosis: Enter Y if you want to use the default diagnosis
set up in patient information and eliminate the requirement of entering
the same diagnosis in every billing transaction. Otherwise, enter N to
leave the diagnosis default value blank.
.PA
>OFFCALC
Calculate Extended Amount: Enter Y if you want the amount entered in
Transaction Entry to calculate an extended amount, (multiply amount by
the number of units). If you do not want to calculate an extended
amount enter N.
Procedure codes with a Type of Service of "7" will NOT calculate an
extended amount, even if this is answered yes. In this case the units
are recorded as minutes in the EMC file.
.PA
>OFFOPEN
Line Item Document: Enter Y if you want to have the program generate
an unique document for each line item (charge) entered in 3-1
Transaction Entry. This feature will allow you to apply payments,
adjustments and comments by line item. (For more detail, press F1 Help
at the Document field in 3-1 Transaction Entry.)
Enter N if you want the entries entered in 3-1 Transaction Entry to be
assigned the same document for each batch.
.PA
>PATPAYCODE
Default Patient Payment and Write-off codes:
This patient payment/write-off code is used in Payment Application (in
MediSoft Advanced) as a default. This field can be left blank,
because the payment application module will automatically fill it in
the first time a payment is made.
.PA
>ZEROBILL
Zero Balance Billing: When Y (for yes) is answered to this question the
patient's balance will be checked before printing each insurance bill.
If the patient's balance is zero, he/she will be excluded during
insurance billing. This has the effect of making the billing process
execute quicker. This feature may not be desirable for practices who
collect the money up front from the patient before billing the
insurance carrier.
.PA
>OFFHELP
Display Help Messages: Every field in this program has a one or two
line of help associated with it. This help appears in a box on the
screen. This help has three settings. The 'Close' setting displays
the help box close to the entry field. The 'Far' setting displays the
help box at the bottom of the screen, except when the entry field is
covered by it. It then displays at the top of the screen. The third
setting turns off the help box.
.PA
>OFFWORDCAP
Use Word Capitalization: This program can automatically convert names
to upper and lower case if it senses that only one case is being used.
For example, if a name was entered as 'ABLE, JOHN', the program would
convert it to be 'Able, John'. This feature can be disabled by
entering N for no here.
.PA
>OFFSOUND
Use Confirmation Sound: When data is saved a confirmation beep will
sound. Enter Y for Yes to allow the program to generate a confirming
beep when the data is saved or N for No beep.
.PA
>OFFSAVER
Screen Saver Interval: MediSoft has a screen saver built into it to
help save computer monitor from burn-in. The time interval to wait
before the screen saver is activated is set here. Enter the number of
minutes from 0 to 59. A value of 0 will disable the screen saver.
.PA
>BILLNOTES
Create Billing Notes: MediSoft allows an automatic generation of notes
for statement and insurance billing. These notes include the billing
date, documents billed and what was billed (e.g. statements, Blue Cross
etc.). Enter Y for yes if you want to create these notes when billing
statements or insurance forms. This feature can be disabled by entering
N for no here.
*9 Printer Set Up
This operation allow multiple printers to be set up, each with its own
initialization and termination sequences. These fields do not need to
be set up in order to use the program.
>PRNDESC
Printer Description: Enter the description that you would like to
appear on the printer selection list.
.PA
>PRNDEVICE
Print Device Name: Enter a valid DOS device name or file name.
Appropriate device names are LPT1, LPT2 or LPT3. Your computer must
have the hardware installed to support your selection.
File names can also be used. For example, entering REPORT1.TXT will
print the report to a text file of that name.
.PA
>PRNINIT
Printer Initialization Sequence: The values to be entered here can be
used to set your printer in to a special mode, like compressed print
mode. The values should be entered in a decimal format, with a comma
separating each value. The values are unique to each brand of printer.
You need to consult your printer manual.
Example:
My printer manual says that compressed print is: EMC P (or 27 80).
I would enter 27,80 into this program.
.PA
>PRNTERM
Printer Termination Sequence: The values to be entered here can be
used to set your printer in to a special mode, like non-compressed
print mode. The values should be entered in a decimal format, with a
comma separating each value. The values are unique to each brand of
printer. You need to consult your printer manual.
Example:
My printer manual says that non-compressed print is: EMC M (or 27 77).
I would enter 27,77 into this program.
*11 Billing Codes
>BILLCODE
Billing Code: The billing code allows you to separate your patients
for cyclical billing, collection status, credit rating or any other
category you may wish to track. The billing code may be any letter
from A-Z or any number from 0-9. An entry is required in this field.
>BILLDESC
Description: The Billing Code Description labels the code to help
identify the meaning or grouping that this code has been given by you.
*12 Deposit Codes
>DEPCODE
Deposit Code: The deposit code allows you to separate your deposits
for providers, account numbers, provider account numbers or any other
category you may wish to track. The deposit code may be any letter
from A-Z or a number 0-9. This field is required.
>DEPDESC
Description: The Deposit Code Description labels the code to help
identify the meaning or grouping that this code has been given by you.
*SUPER Superbill Information
O P T I O N I N F O R M A T I O N
This operation is used in setting up the superbill form available for
printing in MediSoft Advanced. The superbill in MediSoft Advanced
is designed to be printed before the patient appointment and used as
an encounter form during the patient visit.
The part of the superbill that may be user-defined is the center part
of the report which may list procedure codes and/or diagnosis codes.
The remaining parts of the report may not be changed. A sample of the
superbill produced by MediSoft Advanced may be found in the sample
reports section of this manual.
.CO
The procedure and diagnosis codes appear in two columns of 39 (78
total) on the format screen and on the printed superbill. You may
enter two types of information to appear on the superbill: 1) enter a
procedure or diagnosis code number which exists in your procedure
files and the corresponding description will be filled in under the
description heading; 2) enter text to give column headings, underlines,
fill-in blanks for codes which are not often used, etc. When you use
codes which exist in your procedure files you also have the opportunity
to have the standard price for the codes print on the superbill.
.CO
Designing your superbill in MediSoft Advanced requires some
forethought; like deciding which codes to include on the superbill,
deciding if you want to group certain codes together and how those
groupings should appear. One of the best helps you can use is probably
in your front office already: your current paper superbill that is used
with your manual bookkeeping system or your pegboard accounting system.
.CO
As you are entering codes for your superbill you may use the following
function keys: Press [F1] for help; Press [F3] to save the superbill
format; Press [F6] to search for a code by name; press [F8] to insert
a line, Press [F10] to delete a line, press the up or down arrows to
move up and down through the two columns; Press [ESC] to abandon
changes to your superbill format and return to the Set Up Office
submenu.
Remember to keep in mind that the maximum number of codes or lines of
text which may be included for printing on a superbill is 78.
*NEWUSER Set-Up Security file
If users with security access have not been previously set-up for
MediSoft Advanced, then you are prompted for a response to "Security
File Does Not Exist, Do You Wish to Create It?". If you answer "N",
you are returned to operation's eight sub-menu selection window. To
set up users and their security access, you must press "Y".
*SECURITY Set-Up Security
As you set-up new users, the default security access is "Y" for all
tasks. When setting up security access for multiple staff members, it
is recommended that the first user be the supervisor, setting up
himself/herself as having access to Set-Up Security, and then he/she
continues to set up all other staff members without access to Set-Up
Security. This would give the supervisor sole power to determine what
access each staff member should have, while using MediSoft Advanced
Patient Accounting.
Note: If you should press Esc to Abandon the Set-Up Security screen,
prior to setting up an user with security access levels, security will
not be set-up.
.PA
>1
User Name: Enter up to ten characters or press [F6] to search for a
user name that has already been set up. The user's password will
display in the Password field for existing users. If you have more
than one user set up with the same User Name, then the user's name and
his/her password will display in the search window.
.PA
>2
Password: Enter up to ten characters. If you do not think you can
remember the password, please make note of it. This password becomes
part of the user's identity. Users may not enter MediSoft
Advanced without knowing his/her appropriate password. The supervisor
should be the only one whom is given access to Set Up Security. This
would limit access to change access levels or delete users.
.PA
>3
Each task listed has it's own security access. Press [Enter] to
keep the response that is displayed. If you do not wish this user to
have access to this task, enter "N", otherwise enter "Y". (Note: Make
sure you press [Enter] after you enter either "Y" or "N", to save
your entry.) Press F3 to save the user and his/her security access.
If this is a new user, pressing Esc will abandon the set-up, and this
user will not exist. For existing users, pressing Esc abandons only
the changes you have made to his/her security access record.
F10 to Delete users, will only display for existing users, and if the
login user isn't the same as the user you have displayed here.
.PA
>PROCEDURES
Procedures/Multilink: Security access for this task includes both
Procedure Code Information and Multilink Information from the Edit
Information Sub-Menu Selection. If you do not wish this user to
have access to this task, enter "N", otherwise enter "Y".
.PA
>REPORTS
Print Reports: Security access for this task includes all reports in
operation (4) Report Printing. If you do not wish this user to
have access to this task, enter "N", otherwise enter "Y".
.PA
>BILLING
Billing Formats: Security access for this task includes Format Patient
Statements, Format Insurance Forms, and Format Walkout Receipts. If
you do not wish this user to have access to this task, enter "N",
otherwise enter "Y".
.PA
>INSURANCE
Insurance Forms: Security access for this task includes Print Patient
Insurance Forms and Print Insurance Mailing Labels. If you do not wish
this user to have access to this task, enter "N", otherwise enter "Y".
.PA
>UTILITIES
Condense/Rebuild: Security access for this task includes (9-4)
Rebuild Data File Indexes, (9-5) Condense Data Files and Electronic
Media Claims' Purge or Rebuild. If you do not wish this user to
have access to this task, enter "N", otherwise enter "Y".
*CDATA Set Up Other Patient Screen
>
In MediSoft Advanced you can define and set up custom patient entry
fields and data. These fields are displayed in Patient Information
(operation 2-1) on the "Other" screen.
When first entering the "Set Up Other Patient Screen" option, the
screen appears blank, except for the "tab" headings that you normally
see when in Patient Information (operation 2-1). You can place your
custom field anywhere below the "tabs". To move around the screen
use the arrow keys.
.CO Set Up Other Patient Screen
There are two main components to setting up the screen. They are the
screen image (field prompts, headings) and the data fields (represented
by little squares on the screen). The screen image can be created by
positioning the cursor (using the arrow keys), then typing text. This
text can be placed anywhere and is not connected to data fields.
.CO Set Up Other Patient Screen
Adding Data Fields-
To add a data field, first position the cursor where you want the
field to begin, then press the F4 (field) key. The "Edit Field
Properties" window will appear. In this window is where you set the
characteristics of the field. There are six parts to setting up a
custom field. They are:
1. Field type 4. Field length
2. Field attributes 5. Format Code
3. Field description 6. Help text
.CO Adding Data Fields
The arrow keys, TAB and Shift-TAB keys are used to move between the
fields in this window.
.CO Adding Data Fields
>DTYPE
Field Type: The field type indicates how the data entered will be
validated. For example, if you select "Date" (use arrow keys), then
this field will only accept valid dates entered in the format MMDDYY.
The "Match" type field will allow you to set specific single character
values to validate the data against. For example, to set up a field
that only accepts the value A, B, C or D, you would, first select
"Match". Then press [Enter]. Next you enter the values ABCD.
Some of the field types will have a fixed field length associated with
them. These field lengths cannot be changed.
.CO Adding Data Fields
>FATTR
Attributes: When the "Tab Stop" box contains an X, then this field
will serve as a tab stop when doing data entry in operation 2-1. When
the "Required" box contains an X, then this field cannot be left blank
when doing data entry in operation 2-1.
To place an X in a box press the letter X key or the spacebar. To
remove an X press the letter X or the spacebar.
.CO Adding Data Fields
>FDESC
Description: Enter a description for the field. This description will
be used as default field prompt and in the list and insurance form
formatting operations to describe you custom fields. When you press
F3 to save the field information, the description will be placed to
the left of the data field to server as a field prompt. This
description is actually being placed into the screen's image. If
there is conflicting text already in the screen image, no change to
the screen image will be done.
.CO Adding Data Fields
>FLEN
Field Length: Enter the length of the data field.
NOTE: Some fields have a fixed field length and cannot be changed.
.CO Adding Data Fields
>FCODE
Format Code: The custom data fields you set up can be included on
insurance forms, statements and patient lists. The "Format Code" name
you set up here will be used when you design you forms to place the
fields. The format code must be unique, no other field may have the
same format code name. All custom format codes begin with the letter
U, you provide the rest of the format code name.
.CO Adding Data Fields
>FHELP
Help Text: Each field can have an associated help message tied to it.
This will appear in the "Training Help" box when doing data entry.
Placing the pipe symbol "|" before a word will cause it to be
highlighted.
.CO Set Up Other Patient Screen
Setting the Order of Data Entry-
By default, the order you add new fields is the order the data field
will be entered in Patient Information (operation 2-1). You can
change this by using the F5 (sequence) key. After pressing the F5 key
the data fields are displayed with a sequence number and they change
color (yellow). Move to the first field in your new sequence, press
[Enter]. This field now will display 1 and change color again. Next
move to the second field and repeat the process until all field are in
the order you would like them to be. Press F5 (done) to exit the
sequence setting mode.
.CO Set Up Other Patient Screen
Moving and Coping Screen Image-
To move text on the screen image, place the cursor under the text,
then press the F7 (move) key. The text to be moved will be
highlighted. Next use the arrow keys to place the text, then press
[Enter] to "paste" it.
Copying text works the same as moving, except that only a copy of the
text is moved, while the original text stays put.
.CO Copying and Moving
Moving and Copying Data Fields-
To move a data field, place the cursor under the boxes for the field,
then press the F7 (move) key. The data field to be moved will be
highlighted. If there is text (in the screen image to the left of the
data field, that text will also be highlighted and moved with the data
field. Next use the arrow keys to place the field, then press [Enter]
to "paste" it.
.CO Moving and Copying Data Fields
Copying data fields works the same as moving, except that only a copy
of the field is moved, while the original field stays in its place.
NOTE: To separate a data field from the text on the left, move the
text first, then the data field.
.CO Set Up Other Patient Screen
Deleting text and Data Fields-
To delete text, use the arrow keys to position the cursor under the
text you want to delete. Then press F10 (delete). The text will
disappear.
To delete a data field, use the arrow keys to position the cursor
under the field you want to delete. Then press F10 (delete). The
field will disappear.
NOTE: If deleting an existing data field that may contain data for
some patients, that data will be lost.
.CO Set Up Other Patient Screen
>CDSAVE
Saving Screen Set Up-
Press the F3 key to save your changes. Any time fields are added or
deleted for an existing patient file, your existing custom data file
will need to be adjusted. These changes are done when you save your
new custom patient data screen. Depending on the changes you made and
the size of the custom patient file, these changes may take a long time
to do.
If any "Format Codes" have changed, you will need to make the
necessary changes in your insurance/statement forms. If any 'fields'
were added or deleted, then the field numbers in the options 7's list
formats will need to be corrected.
*6 Provider Information
O P T I O N I N F O R M A T I O N
Addresses, tax ID and license number for each provider in your practice
are accessed using this screen.
Providers in your practice may be doctors, assistants, nurses,
therapists, etc. The practice analysis will show billing and receipt
activity for each provider used in transactions and entered here.
Insurance claim forms list the information entered here. Solo
practitioners may simply enter one provider. You must enter at least
one provider.
.CO
Function keys available in this operation: You may access the following
features in this operation by pressing the appropriate function key:
Press [F1] for help; Press [F3] to save information entered or changed;
Press [F6] to search for providers by name; Press [ESC] to abandon new
or changed information or return to menu.
Note: Providers may also be entered by pressing the [F8] key in the
patient entry or transaction entry operations when the cursor is
positioned at the Assigned Provider: question.
.PA
F I E L D I N F O R M A T I O N
>PHYNUM
Provider Number: Assign a unique number to each provider (valid
provider numbers are 1 through 99). If the number has already been
used, the information corresponding to the provider number is displayed
so you may review or change it. Otherwise, you can enter the
information for a new provider.
.PA
>PHYNAME
Provider Name: Enter up to 30 characters in the same format you would
type it on an insurance form (ie: Dr. Richard Riley, M.D.).
The address and phone information defaults to the practice address and
phone, which you may change or simply press [Enter] to use the address
for the practice as the address for the provider.
.PA
>PHYSTREET
Provider Street: Enter up to 30 characters for the street address.
.PA
>PHYCITY
Provider City: Enter the name of the city.
.PA
>PHYSTATE
Provider State: Enter the two letter postal state code. (i.e. AZ for
Arizona)
.PA
>PHYZIP
Provider Zip Code: Enter the zip code for the provider address.
Note: If you have set up Zip Codes in Address Code Information, you
may utilize zip code look-up by leaving the City and State fields
blank. At the Zip Code field, enter a five digit zip code that matches
a Z type address code, then the city and state from that address code
will be inserted for this city and state.
.PA
>PHYPHONE
Provider Phone: Enter up to 10 digits with no punctuation.
.PA
>PHYSIG
Signature on Ins: Enter Y to print information in the provider
signature area on insurance claims. Note: The insurance carrier setup
screen determines what will print in the provider signature area on
claim forms for that carrier ("Signature on File" or "Names"). The
answer to this question in provider setup determines if anything will
print in the provider signature area. Answer "Y" to print in signature
area, answer "N" to leave provider signature area blank. See the
following section on insurance carrier setup for additional
information.
.PA
>PHYMED
Medicare Participating Provider: Enter Y for yes if this provider is a
Medicare Participating provider.
.PA
>PHYFEDTAX
Federal Tax Indicator: This field indicates whether the value in the
next field (Social Security/Fed Tax Number:) is the provider's social
security number or a federal tax identification number. Do not enter
any punctuation for the social security number.
E - Employer Federal Tax ID
S - Provider's Social Security Number
.PA
>PHYSSN
Social Security/Fed Tax Number: Enter the provider's social security
number or employer federal tax ID number according to the way the
previous field (Federal Tax Indicator) was answered. Do not enter any
punctuation for the social security number.
.PA
>PHYLICNUM
License Number: Enter up to 15 characters for the provider's license
number.
.PA
>PHYGRPNUM
Group Number: Enter up to 10 characters for the provider's group
number (if any).
.PA
>PHYPIN
Medicare PIN, Medicaid PIN, Champus PIN, Blue Cross/Blue Shield PIN
and Commercial PIN: These five fields allow you to enter the provider
identification numbers for each of these insurance types.
These numbers will print only on insurance claims for the named
carriers. Medicare, Medicaid, Champus, Blue Cross/Blue Shield
and Commercial for every other carrier. See the following section on
insurance carrier setup for additional information.
.PA
>PHYUPIN
UPIN: Enter this provider's UPIN (Unique Physician Identification
Number). This number is usually used in conjunction with referrals.
.PA
>PHYSPEC
Provider Speciality: Enter the three characters as defined by your
insurance carrier, if required. This field may be needed for your
electronic claims submission.
.PA
>PHYHCIN
This field is an extra ten character field for your own personal use.
It represents what you designate it to be.
*4 Insurance Company Information
O P T I O N I N F O R M A T I O N
Information for the insurance carriers you want to bill with
MediSoft Advanced is entered and corrected in this operation.
.CO
Note: Insurance carriers may also be set up "on the fly" in the patient
information operation by pressing [F8] when the cursor is positioned at
the 'Insurance Company:' question.
Function keys available in this operation: You may access the following
features in this operation by pressing the appropriate function key:
Press [F1] for help; Press [F3] to save new or changed information;
Press [F6] to search for an insurance carrier by name; Press [ESC] to
abandon changed information or return to the menu.
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F I E L D I N F O R M A T I O N
>INSNUM
Insurance Number: Assign a unique number, up to four digits (9999
maximum), to each insurance carrier. If the number has already been
used, the corresponding information is listed so you may review or
change it. Otherwise, you can enter information for a new carrier.
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>INSNAME
Insurance Name: Enter up to 30 characters for the name of the
insurance carrier.
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>INSSTREET
Street: Enter up to 30 characters for the street address.
Address Line #2: Some address require an extra line for the address.
This field accommodates this.
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>INSCITY
City: Enter the name of the city.
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>INSSTATE
State: Enter the two letter postal state code. (i.e. AZ for Arizona)
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>INSZIP
Zip Code: Enter the zip code for the insurance carrier address.
Note: If you have set up Zip Codes in Address Code Information, you
may utilize zip code look-up by leaving the City and State fields
blank. At the Zip Code field, enter a five digit zip code that matches
a Z type address code, then the city and state from that address code
will be inserted for this city and state.
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>INSPHONE
Phone: Enter the insurance carrier's phone number. Enter up to 10
digits with no punctuation.
Fax Phone: Enter the FAX number of the insurance carrier. Enter up to
10 digits with no punctuation.
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>INSPID
Practice I.D. number: Enter up to 15 digits for the number assigned
by the insurance company for this practice.
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>CAREOF
C/O: This is the 'Care of' field. Enter up to 20 characters for an
"in care of" line (ie: ATTN: Claims Dept.).
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>INSPLAN
Insurance Plan Name: Enter up to 30 characters for the insurance plan
name.
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>INSTYPE
Insurance Type: Enter a letter to indicate the type of insurance this
carrier provides. This field controls how the insurance boxes at the
top of the HCFA 1500 print. It also controls how the carrier is
handled within the program.
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>INSPAYCODE
Default Payment Code: This payment code is used in Payment Application
(in MediSoft Advanced) as a default. This field can be left blank,
because the payment application module will automatically fill it in
the first time a insurance payment for this carrier is made.
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>INSWOCODE
Default Write-off Code: This payment code is used in Payment
Application (in MediSoft Advanced) as a default. This field can be
left blank, because the payment application module will automatically
fill it in the first time a insurance write-off for this carrier is
made.
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>INSNSET
Procedure Code Number Set: Enter the code number set corresponding to
the set of procedure code numbers this insurance carrier accepts.
Valid code number sets are 1, 2 or 3. These numbers correspond to the
fields used to enter procedure and diagnosis codes.
For example, if you assign code number set 2 to an insurance carrier
in this operation, the numbers entered in "Code Number 2" will print
for every procedure on claim forms for this carrier.
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The reason MediSoft Advanced allows three numbers for each procedure
is to have the capability to provide an alternate number for procedures
for insurance carriers which require it or if offices want to use an
"in-house" code for a procedure but still print the CPT number on
insurance claims. The system "cross references" procedure codes when
they are set up properly. See the section on procedure and diagnosis
code setup for more information.
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>SIGFILE
Signature on File: Your answer to this question determines what will
print in the patient and provider signature areas on insurance claim
forms. Enter "Y" to print Signature on File, enter "N" to print the
provider and patient names or leave this answer blank if you want to
leave the signature areas blank on insurance claims.
The answer to this question determines what may print in the signature
areas on insurance claims for this carrier; the answer to the
"Signature on Ins:" questions in provider and patient setup determine
if information prints in the signature areas.
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>INSPPIN
You must tell MediSoft Advanced whether to print PIN number on your
HCFA-1500 insurance claim forms.
Print PIN on Insurances: This question may be answered in three ways.
Enter "P" to print the provider's name and PIN in column H of box 24
(on the HCFA-1500 (1-84) form) or in column K of box 24 (on the
HCFA-1500 (12-90) form); enter "N" to print the PIN number only; leave
this question's answer blank to not print any information in box 24H
or 24K.
The PIN numbers for the different carriers, are setup in provider
information.
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>INSDELAY
Delay Secondary Billing: Enter "Y" to instruct MediSoft Advanced to
wait to send an insurance claim to this carrier until the primary
insurance has made a payment if this carrier is the secondary insurance
for a patient. Enter "N" to print this carrier's claim at the same
time that the primary insurance claim is printed if this is the
secondary carrier.
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>INSCLAIMS
Claim Print: This field determines how the insurance claims will be
printed. The selections are:
P - Print claims on paper insurance forms
E - Send claims electronically (EMC or direct)
B - Both paper and electronic claims
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>ETSCODE
EMC Record Code: Enter the two digit code specified by the EMC service
for this insurance carrier. This number is automatically assigned for
most insurance carriers by the Electronic Claim Submission operation.
The code need only be entered if you have more than one Medicare
carrier in your state or if you have another special insurance billing
application. The EMC service will inform you if this code is needed.
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>EMCPAYORID
EMC Payor ID: Enter the payor identification number for sending
electronic claims.
EMC Sub-ID: Enter the payor sub-identification number for sending
electronic claims.
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>INSHCIN
This field is an extra ten character field for your own personal use.
It represents what you designate it to be.
*5 Address Information
O P T I O N I N F O R M A T I O N
The addresses feature in MediSoft Advanced is used to store information
for patient employers, referral sources and service facilities (ie:
hospitals, nursing homes). In operation 2-1, Patient Information, you
are able to use the address numbers set up here.
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Note: Addresses may also be set up "on the fly" in the patient
information operation by pressing [F8] when the cursor is positioned at
the Employer: field, the Referral Source: field or the Facility: field.
Function keys available in this operation: You may access the following
features in this operation by pressing the appropriate function key:
Press [F1] for help; Press [F3] to save a new or changed address;
Press [F6] to search for an address file entry by name; Press [F10] to
delete address file entries; Press [ESC] to abandon changed information
or return to the Set Up Office submenu.
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F I E L D I N F O R M A T I O N
>ADDCODE
Address Number: Assign a unique alphanumeric identifier for each
address, up to five characters in length. (ie 125, AB22 or RICH).
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Some thought should be given to the numbering system you plan to use
for addresses. You may, for example, want to print a list of all
referral sources. Since there is no information in the system to
differentiate referral sources from patient employers or service
facilities it would be convenient to assign the first character of a
referral source the letter "R". Following this suggestion, an address
number could be R1234 or RALPH or RA123. When assigning address
numbers like this you could get a list of referral sources by printing
a list of addresses and specifying a range of addresses of R-RZZZZ.
This would print a list of all referral sources (addresses starting
with the letter "R").
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Pressing [F8]New at this field will tell the program to automatically
generate an address code for you based on the "Address Name" entered.
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>ADDTYPE
Address Type: This field provides a way to categorize the addresses.
The categories are:
A - Attorney E - Employer F - Facility
L - Laboratory P - Provider R - Referral
O - Other Z - Zip Code
The Address Type R is any Referral Source that you may wish to set up
that is not defined by one of the other address types. For referring
providers, it is suggested that you set them up as an address type P
Provider.
.CO Address Type
Note: The Address Type Z for Zip Code allows you to utilize a zip code
look-up feature. If you leave the City and State fields blank for
set-up information such as patient, providers, and addresses other than
zip code, etc., then the zip code look-up feature is activated. At the
Zip Code field, enter a five digit zip code that matches a Z type
address code, then the city and state from that address code will be
inserted for the City and State fields.
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>ADDNAME
Name: Enter up to 30 characters in the same format you would formally
address the individual or company. For example, Mr. John Smith,
Whitman Implement Company or Jay D. Warren, M.D. For Zip Codes, the
name may designate specific areas of the city or state. (e.g. North
Mesa, Southern Arizona, etc.) This field is required.
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>ADDSTREET
Street: Enter up to 30 characters for the street address.
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>ADDCITY
City: Enter the name of the city.
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>ADDSTATE
State: Enter the two letter postal state code. (i.e. AZ for Arizona)
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>ADDZIP
Zip Code: Enter the zip code for the address.
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>ADDPHONE
Phone: Enter up to 10 digits with no punctuation.
Fax Phone: Enter the FAX number for this address. Enter up to 10
digits with no punctuation.
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>ADDCAREOF
C/O: Enter up to 20 characters for an "in care of" line (ie: ATTN:
Personnel).
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>ADDID
ID: This field can be used to store and identification number for this
address. For example, if this was a facility or hospital, the ID would
be placed here.
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>ADDHCIN
This field is an extra ten character field for your own personal use.
It represents what you designate it to be.
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>DELETE
Deleting Addresses
To delete an address, press [F10] at the Address Number field. Enter
the address number you want to delete. The address will be displayed
and you will be asked to verify your choice to delete the address.
Press "Y" to delete the address, press "N" to leave the address in
your system. Press [ESC] to leave the delete mode.
*2 Procedure Information
O P T I O N I N F O R M A T I O N
Diagnosis and procedure codes are used constantly as you record
transactions and prepare insurance billings. These codes are entered
and maintained in this operation.
Function keys available in this operation: You may access the following
features in this operation by pressing the appropriate function key:
Press [F1] for help; Press [F3] to save a new or changed code; Press
[F6] to search for codes by name; Press [F10] to delete codes; Press
[ESC] to abandon changes to a code or to return to the menu.
Note: Procedure codes and diagnosis codes may be entered by pressing
[F8] when the cursor is positioned at the procedure or diagnosis field
in the transaction entry operations.
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F I E L D I N F O R M A T I O N
>PROCODE
Procedure Code: Assign a unique number, up to 10 characters, to each
procedure or diagnosis code. If the number has already been used, the
corresponding information is displayed so you may review or change it.
Otherwise, you can enter the information for a new code.
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The code entered here is the code by which the procedure or diagnosis
is accessed in the system during transaction entry and is "code number
set 1" for insurance claim printing. This means that you may use an
"in office" number for a procedure and still have a CPT code print on
an insurance claim form (for procedures only, not diagnoses) by putting
the actual CPT code in under "Code 2" or "Code 3" on the procedure code
entry screen. If you want to use this feature of MediSoft Advanced be
certain that you have assigned the proper code number set in the
insurance carrier setup operation.
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>PROTYPE
Procedure Type: Every code must be assigned a type classification.
These classifications tell MediSoft what type of code you are entering.
It is important that you assign the correct code type to each procedure
you enter in MediSoft because the report and billing operations rely
on the code type to produce correct reports and billing forms.
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Following are the available code types:
C - (charge) Services rendered for the patient. Only charge type
procedure codes are printed on an insurance claim form.
P - Payments submitted by the patient in the form of a check.
S - Payments submitted by the patient in the form of cash.
I - Payments submitted by the patient's insurance company.
O - Patient "copay" payment paid in the form of a check. This code is
to be used for the 5 or 10 dollar office visit copay for HMO or PPO
insurance plans.
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H - Patient "copay" payment paid in the form of cash. This code is to
be used for the 5 or 10 dollar office visit copay for HMO or PPO
insurance plans.
A - (Standard Adjustment) Adjustments to the patient's account, which
are applied to the patient responsible total. Used for correcting
differences in services charged and payments received and for
account writeoffs.
B - (Insurance Adjustment) Adjustments to the patient's account,
which are applied to the insurance share of the charges.
K - (Inside Lab) Lab work that is done within your clinic.
L - (Outside Lab) Lab work that is done outside of your clinic that you
will bill on your insurance form.
.CO Procedure Type
E - (Comment) This procedure type indicates that this item exists to
provides additional comments.
R - (Credit Card) Payments submitted by the patient in the form of a
credit card.
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>PRODESC
Description: Enter up to 30 characters which appears whenever you
indicate this code for transactions.
Some types of practices need to have additional lines in the procedure
box on insurance claim forms to further describe a service. To use
additional lines, set up a procedure code as a "comment" code (type E).
When you enter a transaction using this procedure code, information
entered in the diagnosis field of the transaction will be printed in
the procedure description area for that transaction on insurance
claims. This feature is implemented in this way to allow you to type
in additional description information or use a predefined additional
description diagnosis code. Entering additional description information
in this way will not affect diagnosis printing on insurance claims.
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>TOS
Type of Service: Enter the character or characters that indicates the
type of service (ie: 1=Medical Care, 2=Surgery, 3=Consultation, etc.).
Up to three characters may be entered in this field and they may be
alphabetic or numeric. Some insurance carriers require that a
different set of codes be used: check with your insurance carriers
for their requirements.
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>PROCHARGE
Standard Charge (A): Up to 26 different prices may be assigned to
each procedure in MediSoft Advanced. This is charge A, the other 25
charges (B-Z) appear at the bottom of the screen. You may override
any standard charge amount when entering transactions.
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>PROCOST
Standard Cost: Enter the estimated cost of this procedure. This cost
appears on the practice analysis report and may be used for profit
analysis. This number is not required.
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>PROACCT
Accounting Code: Enter up to four digits to indicate a classification
for your internal office accounting records for transactions containing
this procedure code. This code may be alphabetic to give a description
or it may be numeric to indicate a general ledger account number. The
practice analysis report will report on these codes. The accounting
code is normally used by your accountant to classify the dollars
associated with the code for your financial statements.
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>PROTIME
Time to Perform: Enter the amount of time required to perform this
procedure in minutes.
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>PROSCLASS
Service Classification: Enter a letter (range A to H) in this field
to designate a service classification for percentage of insurance
coverage for this procedure. This service classification will be used
later in billing to define the percent covered by a patient's insurance
carriers.
An example of different coverage for different procedures could be
inpatient hospital services, outpatient hospital services and office
services. This feature is provided to allow you to assign different
coverage percentages for service classifications in the patient
information operation.
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The A-H coverage percentages in the patient information operation will
correspond to the service classification assigned here to allow
MediSoft Advanced to calculate the estimated patient portion of charges
on the transaction entry screen and on the patient statement.
MediSoft Advanced can "cross reference" procedure code numbers
depending upon the numbering system required by some insurance
companies.
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>PROCODE2
Code Number 2:, Code Number 3: These two fields are for the translated
codes for this procedure as required by each insurance company. These
code numbers are printed for the procedure on insurance claims. The
code number that prints on insurance claims is determined by your
answer to the Procedure Code Number Set: question in the insurance
carrier setup operation.
Be certain to keep the code number sets separated correctly. That is,
always use code #1 for CPT, code #2 for CRVS, etc. You are not
required to use any of the code numbers for specific code number sets
and the code number set does not need to be defined (meaning that the
system does not need to know the numbering system you are using for
your procedures) for MediSoft Advanced.
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>PROPONLY
Patient Only Responsible: Answering yes (Y) to this field indicates
that this procedure will only be billed to the patient, not to any
insurance carriers. The patient is the only one responsible for paying
this fee.
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>PROIONLY
Print Only for Carriers: Use this field to indicate that this procedure
will only print on insurance forms for the specified carriers. Single
or multiple carriers can be specified. Enter the insurance carrier
number (as set up in this program). To specify multiple carriers,
enter the each insurance carrier number separated by a comma.
For Example:
Single Carrier - 10
Multiple Carriers - 10,50,99
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>PROIDONT
Don't Print for Carriers: Use this field to exclude this procedure from
printing on insurance forms for the specified carriers. Single or
multiple carriers can be specified. Enter the insurance carrier number
(as set up in this program). To specify multiple carriers, enter the
each insurance carrier number separated by a comma.
For Example:
Single Carrier - 10
Multiple Carriers - 10,50,99
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>PROMALLOW
Medicare Allowed Amount: The amount entered in this field will be used
in estimating the amount to write off for Medicare insurance claims
(when Medicare is the primary carrier). Payment application (3-2) will
attempt to place values in this field if left blank.
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>PROCHARGEBZ
Standard Charges B-Z: For the standard charges listed enter the price
you want to have associated with each letter. These charges are used
later in billing services to your patients. Each patient is assigned
one "set" of prices for procedures by designating a "Price Code" of A-Z
on the patient information screen in operation 2. For example, a
patient assigned price code "C" on their patient information screen
will be charged the "C" price for each procedure billed. The price
may be overridden at the time the charge is entered.
*7 Multilink Codes
>PROMCODE
A "multilink" code represents groups of related services that may be
performed for a patient. When a multilink code is entered in a
transaction, up to eight linked codes will be automatically entered on
the transaction screen.
The Multilink Code feature in MediSoft Advanced allows a series of
services to be accessed with one code. For example, let's assume that
most patients with a diagnosis of streptococcal pharyngitis will be
billed for an office visit, a rapid strep test and an injection of
Bicillin-LA. Instead of entering each item separately, a Multilink
code may be created which lists all of these services by entering just
one number instead of three.
.CO
Multilink Code: STREP
Description: Strep Procedures
Link Code 1: 90050 Office Visit
Link Code 2: LAB12 Strep Culture
Link Code 3: INJBIC Injection/Bicillin-LA
You may define one procedure code, STREP in the above example, and link
other existing codes to it. This way, you merely enter the multilink
code, STREP, to show all linked procedures. The linked codes must each
be set up as a normal procedure code with descriptions and charges.
Diagnosis codes may not be accessed with a multilink code.
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>PROMDESC
Description: Enter a description for this multilink code. This
description will serve as a reminder to you, to describe this group
of codes.
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>PROMLINK
Enter a valid (already set up) procedure code.
*3 Diagnosis Codes
>DIAGCODE
Diagnosis Code: Enter ICD9 or other diagnosis code.
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>DIAGDESC
Description Line #: Up to two lines of description can be entered for
each diagnosis.
*