Billing question

sankar1234 wrote on Tuesday, May 03, 2005:

I loaded CPT and ICD-9 codes to an encounter.  In the billing screen,  I generated X-12 form.  It reported “claim queued successfully”.  But I didn’t see files being generated in freeb.  Do I need to create additional dir?  DO I need to install any other packages?

I should see some files being generated, isn’t it? 

sunsetsystems wrote on Tuesday, May 03, 2005:

Assuming you have FreeB configured properly and the FreeB server running, do the following to generate electronic claims from the billing page:

(1) Select the encounters you want to bill and click Generate X12.

(2) Click Start Batch Processing.

(3) Click View Log to see the output of the batch process.  You can refresh the log window a few times until it seems to be done, then close it.

(4) Refresh the billing page display and select the processed encounters again, and click Generate Electronic Batch & Clear.  If you also have SQL-Ledger set up then this is the point at which the invoice will be automatically posted to SL.

(5) Save the resulting download for transmission to the clearing house.

Having said all that, you probably won’t get everything working without help.  This whole area needs some serious effort to make it much more user-friendly.

– Rod <rod at sunsetsystems dot com>

andres_paglayan wrote on Monday, July 25, 2005:

Hi,
Can someone please explain me which is the functionality of the lowest frame at the "home" page showing encoutners waiting for "authorize".
What is that authorization for?
Thank you,
Andres

sunsetsystems wrote on Monday, July 25, 2005:

Authorizations are needed when medical information is entered by someone who is not a practitioner (i.e. who does not have the "authorized" flag set in their user information).  This includes billing codes, encounter forms, and probably one or two other kinds of information.

– Rod <rod at sunsetsystems dot com>

andres_paglayan wrote on Monday, July 25, 2005:

that clarifies the issure,
Thank you very much,

okhra wrote on Friday, July 29, 2005:

Hi,
While testing the billing part, I get an error :
“Fault returned from XML RPC Server, fault code 800: Table ‘openemr.form_prior_auth’ doesn’t exist”

This is while generating HCFA. The said table, form_prior_auth does not exist ( not in the initialization *.sql). Where’s that table, and what should it look like ?

I am running OpenEMR v2.7.3-rc1

Thanks,
Okhra (I’ll introduce myself later)

sunsetsystems wrote on Friday, July 29, 2005:

Go to Administration/Forms Settings and register and "install DB" for the Prior Authorization Form.  That should fix it.

– Rod <rod at sunsetsystems dot com>

okhra wrote on Saturday, July 30, 2005:

Thanks, Rod. It’s right there, like the nose on my face. Now, the billing works great - prints HCFA1500 ( all fields nicely aligned), generates 837 file ( I haven’t tested it yet), and posts to sql-ledger. I am really impressed. I am still testing.

I am on a Ubuntu 5.04 - using synaptic is a breeze. It took me about 6 hours to install Ubuntu, Sql-ledger, openemr, freeb and I have no experience in PHP. Of course, lately I have done a lot of Java - J2EE with Struts.

I manage a pediatric practice ( wife’s ) part-time. The practice is celebrating its 25th anniversary, and is a RHC .

Thanks, <braman at world dot std dot com>

andres_paglayan wrote on Monday, August 01, 2005:

Hi,

did anyone get this error,
Can’t locate object method “new” via package “ConfigFile”
I got it when testing billing,

ConfigFile shows:

cpan> install ConfigFile
CPAN: Storable loaded ok
Going to read /root/.cpan/Metadata
  Database was generated on Mon, 01 Aug 2005 13:57:58 GMT
ConfigFile is up to date.

Any clue?

Thanks

andres_paglayan wrote on Monday, August 01, 2005:

Hi,

I need some little help with couple of billing issues,

When generating claims, the txt option in the globals.php configuration file is set for the billing default option,

Even though, when I mark the bill and click the genrate HCPA option, the result comes back it says the file is a pdf file.

the file is a blank one and the debug shows

0000 0001 unknown RPC type `br’
0002 at line 2 column 0
0003 0004

so the questions are:
1./ how to force and ascii HCFA?
2./ any idea about the br RPC type? (all perl modules are loaded, and ./formatbin/* runs ok on all definitions)

Thanks so much,

Andres

andres_paglayan wrote on Tuesday, August 02, 2005:

got the error fixed and posted, was due to blank lines at xmlrpc_class
still need to figure the txt out,
thx,

andres_paglayan wrote on Wednesday, August 03, 2005:

please pardon my billing ignorance
does any of the formatbin/*.pl options get an NFS (national standard format) file ?

sunsetsystems wrote on Wednesday, August 03, 2005:

That’s what Medical Manager uses, right?  I’m pretty sure OpenEMR has nothing for that format.

– Rod <rod at sunsetsystems dot com>

andres_paglayan wrote on Wednesday, August 03, 2005:

Not sure about MM
but is one of the options for sending data to Navimedix, ampmed.com,
the other option is a print image file, but it looks like it has to be generated from a txt file that will layout the information as if it where a HCFA,
so if I could get a txt hcfa is also fine,

okhra wrote on Saturday, August 06, 2005:

‘Generate X12’ generates ONE file for each encounter. So, at the end of the day, if we had 20 encounters, we will have to upload 20 edi files to the x12 partner.

Is my undertstanding right ?  Is it possible to batch all encounters being billed to the same place, to ONE file ?

Thanks,
braman at world dor std dot com