I know this will sound dumb, but I can’t figure out how to create a bill. I’ve entered a patient (me), but can’t figure out how to create a bill. i’ve read the User Manual and it says I should go to Superbill, which I did. I entered a few CPT4 and ICD9 codes but I don’t see how to associate them with the patient, date of service, place of service, rendering physician, referrer, units, how to associate specific services with specific diagnoses, or anything else needed to create a valid bill. I’m sure I’m doing something wrong but can’t figure it out.
No self-abuse allowed ;-) First some preliminaries so I understand the issue. Are you using the 3.0.1 version? Having created the CPT and ICD codes, have you an encounter? With THAT encounter (the OpenEMR billing is by encounter - it prints a new CMS 1500 for each) open, on the right side you should see a drop-down menu labeled 'category" and beneath that “Fee Sheet”. In that you select the CPT and the ICD codes from the superbill, then you MUST “Justify” each CPT with at least one ICD for it to bill properly. From experience, I urge you to make the first CPT chosen the most important ICD, especially if you are prescribing. For example, an E&M code for a diabetic with insulin should not have the debridement CPT first, and should not have the toe care ICD as the primary justify code. And remember to SAVE all.
Then, when you select "Billing" and for the period of that encounter, you should see all that listed. Check the box at the upper right for that encounter and select the HCFA 1500 bill, and you will see a PDF white on black which will properly format for the 8/05 CMS 1500 form. If the characters print outside the field areas, you may need to adjust the offsets as shown, or the margins which must be fixed in …/library/classes/class.ezpdf.php around line 118 which must be changed to something like 5. Otherwise the print looks too small for print area.
BTW - there are no dumb questions, only dumb answers
