Now that I have misc_billing_options working… I’m trying to understand how to set box 14 “onset of symptoms”? misc_billing_options only allows me to set this to “Onset of…” or “Last Mentrual Period” but I have no idea where these two are set in the first place?
Previous posts I have found (some started by me) relate to the “qualifier” but not Box 14 specifically.
While I’m asking, I’d also like to know how to set the Claim Type (Box 1) to Medicare or Medicaid…
Hummm… that did not seem to work. I selected an encounter, and in the misc_billing_options: Box 14’s default value of “Onset…” is set, and I put in a date in the Box 15 of the form. No date shows up on the PDF.
I notice that if I open up the misc_billing_options right after I enter the date, the date is not there… not saved. I used the right format… and I see the correct date saved in the database (with phpmyadmin)… but Box14 is empty on the form…
Ok… I will try this. I’m confused though because looking at the code in that file which deals with Box 14 is:
// Box 14. Date of Current Illness/Injury/Pregnancy
$tmp = $claim->onsetDate();
… and the Encounter’s ONSET date seems to be set on that screen used to create a new encounter… (which I can’t seem to edit once the encounter has been created) so I’m not sure why I can’t just edit that rather than hard-code a date in the misc_billing_options form?
The underlying problem is that the Misc form has not been changed to reflect the new CMS instructions. Yes, Rod wrote the codes for Box 14, but where are you going to enter the date in the Misc form except in Box 15?
You do have the option of altering openemr/interface/patient_file/encounter/load_form.php?formname=misc_billing_options to look like attachment 1. You will still need to make changes depicted in attachment 2.
I’d do it but I’m afraid I’d break something. I still think that Box 14 should be populated from the OnsetDate of the encounter which is asked for when you create a new encounter… I just can’t seem to edit that form… it only offer a “New Encounter”.
Can you tell me why you believe Box 14 should come from the misc_billing_options form rather than the Encounter’s Onset date? Just curious. It works… but seem like a bypass…
You are confusing the date of service of the New Encounter form with Date of Onset, Pregnancy, Initial Treatment.
If you refer to the CMS .pdf, it states explicitly that differentiation of different dates is no longer required; hence the elimination of the qualifiers.
The date of service is pertinent in Box 24 & in the box for date of signature. Otherwise the date of the New Encounter form (date of service) has no bearing on Box 14. Not clear what you mean by “It works…”
To allay your misgivings, I would suggest:
install a test copy.
print the hcfa 1500 .php as it exists.
make the changes & print new .php.
in case of mishap, compare 2 & 3, revert back to 2.
backup before doing 2 to 4 on production copy.
If anxiety continues to persist, send 837P instead of paper. In the event you’ve not noticed, Box 17 is messed up as well. No reason to send paper unless it’s a problematic resubmission.
