We are trying to create a WYSIWYG HCFA 1500 form so that the provider can preview his form exactly as it would come out. We are using a method that will use PDF forms. I couldnt find any online that was free. There are a lot of software that will help you fill the form but not the form itself.
It is quite surprising that there isnt one out there, or I may just be very bad at the research. Or is there any licensing issue?
I was wondering if any of you guys had a fillable PDF form for Hcfa 1500 that you would share?
Adobe Life Cycle allows you to design forms either starting fresh or by scanning an existing form and converting it to Adobe Pdf format. I did try a few forms and it comes out good. I am not sure about the specific ink requirements Rod is mentioning but I know this works.
Rod,
This is just to view only: not to print. So it doesn’t matter what ink is used. Right now all we can do is generate hcfa forms and see the data alone. Also that excercise actually generates a claim. What we want to do is for the provider to click on the item before he generates and preview the claim and see if everything is as he wants it to be.
Raj,
I tried the scan: not working. The designing from scratch will take too much time.
So if someone already has one then it will make life easier for us. This is a good feature for all of us.
With little bit of more googling, I found these forms. They are both black HCFAs. You would need to extract the first page. Pick the one that might suite your needs.
If you are using the browser on Windows, here is a set up we use for preview / print HCFA on blank page :
0. Copy the HCFA1500 form to disk
1. Install Bullzip PDF printer
2. From browser select to print to the Bullzip printer
3. When prompted for a file name, click on the ‘Merge’ tab
4. Set the Background PDF file to point to Step 0
5. Click on General tab to set the resulting file name
6. Confirm that the ‘Open document after creation’ is checked
7. Press ‘Save’
8. Now you can view the complete form and if necessary print/email it.
9. If this is going to be a frequent scenario, configure the bullzip printer to always merge the background pdf.
I have created several web forms of PDF forms we use in the office. I then use the EZPDF class to create a PDF with a scanned image of the original PDF as a background image. The end result is a PDF with the form data.
I think I should explain a little more on the solution I seek. This is what I am trying.apart from the Hcfa 1500 app.
Providers have different documents that they need the patient to sign or fill in before they come to the office. These forms vary from provider to provider. So the idea is to have the doctors upload forms(templates) and have the patient fill these in through a patient portal. So the priorities are
1) To have the providers upload their own forms and not resort to programmers all the time.
2) Get the data from the form to save it to the appropriate pid.
We are also trying to include a signature pad feature with this.
We are upto par with everything except this data extraction. We are obviously missing something.
How are you? I had been out traveling and back in action now. Any progress / solutions? almost all practices require even at the entry point a patient to fill in all details and sign a form which is later entered in to the patient demographics. One thought is to provide a kiosk at the reception so that the patient can enter all details including insurance which will be directly posted to demographics. The patient access will be only to the initial entry form. This way the data entry is avoided and the patient is responsible for all the inputs. The patient signs the form.
Does anyone have a way of only printing the information filled in?
(as opposed to the information on the form itself)
In other words I am trying to fill in the information needed for patients, put one of the HCFA 1500 forms in the printer and have it print out the information I filled in, in the spaces appropriate to the forms.
The HCFA forms have to be purchased from the federal government so we only want the printer to print what we have filled in.
This thread is really old! Somebody asked for a feature that wouldn’t have been useful and has never been implemented.
The “Generate CMS 1500 PDF” button on the “Billing” Screen does exactly what you want.
It only prints the fields. You need to make sure your printer settings are correct (don’t scale) and may need to tweak the alignment slightly, using the CMS 1500 Margins input boxes on that screen. But the intention is to output to a pre-printed form.
Thanks and wow. I had no idea that this was such a large software package. Impressive. I was actually just looking for a single PDF 1500 form that I could fill, save and print. I am a clinician who only sees a few patients in private practice and I do my own billing. I do actually have a IT background and so I’m amazed at what the open source community has developed here. It is well beyond what I am looking for (just a PDF template to fill in and print!). Any suggestions would be much appreciated. Cheers