Missing Fields in HCFA 1550 print

sraj49 wrote on Monday, October 05, 2009:

When HCFA is generated for the patients through Billing I find the  and following fields are missing

1. Patient Sex
2. Patient relation ship to Insured i.e. Self, Spouse, Child, Others
3. Patient Martial status i.e. Single, Married, Employed,
4. DX is not listed in HCFA for both the patients
5. Place of Service

Please help. Why are these fields not being displayed?

Thanks

Raj

ideaman911 wrote on Tuesday, October 06, 2009:

Raj;

Are you using at least ver 3.0.1?  Best is the latest 3.1.0.  I am just after having printed two cases, a prime and a secondary, and verified each.  Please assure you are using the CMS 1500 form ver (08/05).  If your print is not aligning with the form, which is unfortunately the default, I would suggest you make revisions to the margin settings in the Billing_Report.php file which comes with Left:24 and Top:27 but I change the Top to 20 which seems to work for every printer I have used.  Similarly, in class.ezpdf.php from line 118 change the four 30 values to 5 to get the print to line up with the pink pre-print form.  That, too, has worked for every printer I am aware of.

If you have the patient DOB entered, and their sex selected in Demographics, they will display as the DOB in mm-dd-yyyy format, with an X in the box for the Sex in field 3.  Also entered in Demographics are the insurance data, which will include the relationship (a drop-down - if self is chosen, the previously input address and DOB data will be copied there, which is why we do that for a child as well, then change the relationsip, name, sex and DOB as needed to save keystrokes).  The relationship from there will print on the CMS 1500, but you must assure the proper insurance is selected in the Billing Report claim selection before you print.  That goes to field 6 as an X in the proper box.  Similarly, status goes as an X in a box in field 8, and was set with that insurer selection, all of whose data is set in the Demographics by selecting the Insurance box.  And remember you must save at bottom or you lose all changes without any prompt!

Place of service is the default facility selection, and will be shown in 24B, but it can be changed in Encounter using either the Visit Category dropdown if you follow the directions I have detailed in other forums for adding Calendar Categories to change POS, or by selecting a different Facility from that dropdown.

The Diagnosis will be whatever ICD you have selected in the Fee Sheet and then select to Justify for each CPT or HCPCS, in the order you select them for priority.  And of course do the Save.  If you neglect to do the Justify, no ICD will display in 24, another reason I suggested using my "Justify Lockout" as detailed in another forum.  Both those code sets and ideas were submitted for CVS, but have not been accepted for the distribution.

When you indicate "Both" patients, I am unsure what you mean, unless you are in newborn peds, whose ICD & CPT I do not know about.

Let me know if what I wrote does not resolve your problems - they sound like you have simply missed some data entry or select points along the way, because all the issues you mentioned printed fine in my testing.  Best of luck.

Joe Holzer    Idea Man
http://www.holzerent.com

ideaman911 wrote on Tuesday, October 06, 2009:

I neglected to mention that the Insured’s DOB & Sex will print in 11a, but that has also been verified by me.

Joe Holzer    Idea Man
http://www.holzerent.com

sraj49 wrote on Tuesday, October 06, 2009:

Thanks Joe. I use version 3.1 only. I did change  Billing_Report.php file. Wher do I find the file "class.ezpdf.php". I will change the same and try what yoiu had suggested. I appreciate your help

Raj

ideaman911 wrote on Tuesday, October 06, 2009:

Raj;

You can find the class.ezpdf.php file in …/library/classes/  and then look at line 118 anf after - you should find values for each margin of 30, and you should change them each to 5.  That will make the print line up with the 08/05 CMS 1500 forms.  Please confirm this as I am trying to get these changes rolled into the distribution, saving us all from having to make these mods.  But we need confirmation from others as well.  Thanks.

AJ - Are you still using these settings as well, or do you no longer print the CMS form?

Joe Holzer    Idea Man
http://www.holzerent.com

sraj49 wrote on Wednesday, October 07, 2009:

Good morning Joe. Everything works fine. Where do I print the 1500 from. In the billing I only see a Generate HCF button to click . There is no print button. I am using 3.1.0

Thanks

Raj

sraj49 wrote on Wednesday, October 07, 2009:

Good morning Joe. Please ignore my previous question. I was looking for a print command button on the billing page , next to Generate HCFA. But I did the command from the pdf itself… Everything looks great but still have a few alignment issues…Some data prints on line……I am looking in to this.

Raj

ideaman911 wrote on Wednesday, October 07, 2009:

Raj;

First and foremost I suggest you download a copy of the latest instructions set, as well as the one I wrote about using the Fee Sheet.

Once you have entered all the needed demographic and insurance data and an encounter, you create a claim in the fee sheet by selecting your service and your problem (ICD) codes, then Justify the service (usually a CPT or HCPCS) with the ICD in the Fee Sheet and save that.  Then select Billing and the service date range and click "Change View" to cause a list of all those claims in that range.  Select those you wish with a check in the box at upper right in each, then select either "X12" or print via "HCFA 1500", which will produce a pdf file.  If you have set your browser to display the pdf, it will show you a black on white of the data which will print on the form.  You put your blank (08/05) CMS 1500 forms properly oriented in your printer and click on the printer icon at upper left in the PDF Viewer, which will send all that to your printer.

I suggest you print on plain paper and process only one at a time until you  get all yoiur settings correct, but then you can select and print entire batches at a time.  Note that each individual encounter will require a separate form, but that multiple claims in that encounter, up to the limit of six per page, will print on that page, with the (up to 4) ICD codes in field 21, and their pointers (caused by the Justify from the Fee Sheet) shown in field 24E for each, and the NPI for each provider (which can also be selected if different from the default user in Fee Sheet) will show in 24J.  I trust that will point you in the correct direction.  If you will require added hand-holding, I must request that you become a customer and pay me.  Thanks.

Joe Holzer    Idea Man
http://www.holzerent.com