oh, this can get tricky, following the above referenced pdf, thanks to fsgl’s link to the cms guide, you will need 2 hcfas if there’s a referring provider and a rendering provider!
there’s no easy way to handle this in openemr right now so my advice is to electronically bill it!
but if you can’t first generate the claim for the referring physician and then go back in and change the fee sheet to indicate a supervising phys and then generate that claim
to do this you’ll have to add this code:
if ($claim->supervisorNPI()) {
$tmp = $claim->supervisorLastName() . ', ’ . $claim->supervisorFirstName();
put_hcfa(34, 1, 3, “DQ”);
put_hcfa(34, 4, 25, $tmp);
put_hcfa(34,33,15, $claim->supervisorNPI());
}
Because there are only 3 boxes for 6 entries, how would the Billing Manager “know” whether to insert the info for referring or for supervising or to generate a CMS 1500 for referring and then for supervising?
If the CPT codes are the same for both referring and supervising on the same claim form, it would be a lot simpler to use one or the other. If the practice is not going to get paid more for using both, then there appears to be no reason to use both.
The only time that I think of using supervising is when attending physicians in a residency program are the supervisors and the residents are the renderers.
Jeff, why do you need both and why is it not possible to send 837’s? If we understand your situation better, we can come up with a better solution.
I need to make these insertions as well. I was hoping patch 6 would give an option in Misc billing for this. Can someone walk me through the process of making these changes? I am comfortable doing it but need a little guidance. Thanks
Go to Administration/Globals/Features, then to the bottom of the screen to choose the 02/12 version of the CMS 1500 form.
You can experiment in the 2099 Demo before printing up your real claims.
Bear in mind there is no way to have both DN and DQ on the same form. The CMS guide cited above instructs the submitter to send two paper claims, because there is physically no place for the second qualifer. If you don’t want to submit two forms for the same claim, try sending the claim electronically. I think that the 837P should be able to accommodate both.
fsgl. I have everything configured properly. I have updated to patch 7 now and still can’t get it to work. I need DN only. I am listed in the address book and as the referring provider in choices. Claim form is still not generating the DN in box 17. It only shows my name as it did prior. I have had it set on claim forms 02/12 in features for some time and just verified that it is in place as well. Any ideas? Thanks
can you give me a quick tutorial of how to edit that on the server. I plenty compenent to do it if you can get me to the right file. I’ll need commands. I’m new to Linux. Thanks!
EOB’s from the primary insurances are sent as part of the 837P file. Occasionally the EOB’s are not transmitted as a result of an error. In those unusual circumstances, we would just fax a copy of the missing EOB to the secondary. This saves us from having to resubmit to the secondary again.