Problem with 1500 form Box 17

system · March 11, 2014, 9:18pm

nursejeff wrote on Tuesday, March 11, 2014:

Whenever we use the Payer Type: Medicare Part B, and print a Form 1500; Box 17 Referring Physician and box 17B NPI, does not show up.

This payer type is the only one that we have found that these 2 necessary boxes do not complete.

Any ideas?

Jeff Guillory Jr
NP Health Clinic

system · March 11, 2014, 9:40pm

fsgl wrote on Tuesday, March 11, 2014:

Referring Physician & NPI should be in the Address Book
Demographics/Choices, enter Referring Physician for each patient

system · March 12, 2014, 12:13am

nursejeff wrote on Wednesday, March 12, 2014:

Thank you for your response, fsgl.

Yeah, its filled out correctly, and it works on other payers, just not Medicare Part B.

My Billing Specialist, has just written the referring physician and NPI in when we rarely have printed claims in the past, but this one must be printed.

Other thoughts?

Jeff

system · March 12, 2014, 1:31am

cmswest wrote on Wednesday, March 12, 2014:

this code needs to be tweaked:

github.com

openemr/openemr/blob/master/library/gen_hcfa_1500.inc.php#L363-L387


// Box 11d. Is There Another Health Benefit Plan


  if (!$new_medicare_logic) {
      put_hcfa(26, $claim->payerCount() > 1 ? 52 : 57, 1, 'X');
  }


// Box 12. Patient's or Authorized Person's Signature
  put_hcfa(29, 7, 17, 'Signature on File');
// Note: Date does not apply unless the person physically signs the form.


// Box 13. Insured's or Authorized Person's Signature
  put_hcfa(29, 55, 17, 'Signature on File');


// Box 14. Date of Current Illness/Injury/Pregnancy
  $tmp = $claim->miscOnsetDate();
  put_hcfa(32, 2, 2, substr($tmp, 4, 2));
  put_hcfa(32, 5, 2, substr($tmp, 6, 2));
  put_hcfa(32, 8, 4, substr($tmp, 0, 4));


  if (hcfa_1500_version_02_12() && !empty($tmp)) {

This file has been truncated. show original

i think just take this out
&&
(empty($GLOBALS[‘MedicareReferrerIsRenderer’]) || $claim->claimType() != ‘MB’))

system · March 12, 2014, 7:03am

fsgl wrote on Wednesday, March 12, 2014:

Hi Stephen,

It may not be a good idea to remove that Global option.

I do my own Visual Fields and in the past, A-scans; but Medicare insists upon using myself and my NPI in Box 17 and 17a. It’s rather dumb, but we don’t get paid if we don’t comply.

I have been aware of the “Medicare referrer is renderer” setting, but never got around to using it. If it works the way I think, we would not have to go through the trouble of editing Choice/Referring Physician for each patient. This setting would work nicely in our office because claims for Visual Fields are the only times (at present) 17 and 17a need to be filled in.