Quantcast
Channel: OfficeMate Knowledge Base
Viewing all 587 articles
Browse latest View live

Why don't all of the diagnosis codes from the fee slip appear on my CMS 1500 claim form?

$
0
0
Abstract:

The diagnosis codes recorded on a fee slip (up to 12 codes) will appear in box 21 on the CMS 1500 form.

In box 24E on the CMS 1500 form, the diagnosis pointer (A B C D or any combination of these letters) referencing the line number(s) from box 21 will appear. You should reference the primary diagnosis code first, then the secondary diagnosis code, and so on.

Because multiple ICD-10 codes can be associated with one procedure code, you may need to manually record additional diagnosis pointers in box 24E to ensure that the procedure codes in box 24D have all of the necessary diagnosis codes from box 21 associated to them. Currently, only one diagnosis pointer is automatically recorded on the CMS 1500 form for each procedure code on the fee slip. Eyefinity is working to automate this process and automatically add additional diagnosis pointers in a future release.

Recording all appropriate diagnosis pointers (up to four) in box 24E will ensure that your claims are complete.


Diagnosis Pointers (McKesson Users)

$
0
0
Abstract: If you are submitting insurance claims to McKesson from within OfficeMate, you cannot use multiple pointers in box 24E on the CMS 1500 form. Using multiple pointers will result in your entire insurance claim file being rejected on the front end at McKesson.

Error -5001 : 0x80070002 (OfficeMate/ExamWRITER 8.0.25)

$
0
0
Abstract:

If you receive error -5001 : 0x80070002 while installing OfficeMate/ExamWRITER 8.0.25, re-download the installation file completely. You must ensure that the entire installation file is downloaded fully. It is 15.3 MB. If the file does not fully download and you attempt to install it, you may receive the -5001 error message.

Populating the Taxonomy Code with the ZZ Qualifier on CMS 1500 Paper Forms

$
0
0
Abstract:

Note: The information in this article only applies to paper CMS 1500 insurance claims in OfficeMate 8.0 and below!

Medicaid requires that only NPI numbers (and no legacy numbers) are recorded on CMS 1500 forms. Medicaid is also requesting that the taxonomy code with a ZZ qualifier is recorded in place of legacy numbers on CMS 1500 forms.

To automatically populate box 17A and box 32B on the CMS 1500 form with the taxonomy code and ZZ qualifier, follow the instructions below in OfficeMate:

  1. In OfficeMate 8.0 or below, click Setup and select Business Names.
  2. Select Provider Taxonomy from the Qualifier (32b) drop-down menu.
  3. Type the taxonomy code in the Facility ID (32b) text box.
  4. Click the Referring Dr. tab.
  5. Select the referring doctor from the Select Referring Dr. drop-down menu.
  6. Select Provider Taxonomy from the Qualifier (17a) drop-down menu.
  7. Type the taxonomy code in the Other ID (17a) text box.
  8. If you have multiple places of service, click the Place of Service tab and follow the instructions below.
    1. Select a place of service from the Select Place of Service drop-down menu.
    2. Select Provider Taxonomy from the Qualifier (32b) drop-down menu.
    3. Type the taxonomy code in the Facility ID (32b) text box.
  9. Click OK.

OfficeMate cannot automatically populate box 33B and box 24J with the ZZ qualifier because they are connected to the insurance type. You can, however, automatically populate the taxonomy number and then manually record the ZZ qualifier. To accomplish this task, follow

Medicaid Rejection for Taxonomy Code in NCTracks Insurance Claims

$
0
0
Abstract:

If you are getting NCTracks insurance claim rejections from Medicaid because of an incorrect taxonomy code and you are a Gateway EDI client, contact Gateway EDI to edit the claim and push the claim through. If you are not a Gateway EDI client, drop the claim to paper, enter the claim directly on the NCTracks website, or consider switching to Gateway EDI.

Eyefinity is aware of this issue and is working to correct it in a future release for both Gateway EDI and non-Gateway EDI clients. Note that this issue still occurs in OfficeMate 12.0.

Error 340 (ExamWRITER)

$
0
0
Abstract:

If you receive error 340 (control array element '1' doesn't exist), then you need to update your existing custom templates to include newer options. Open your templates and reselect all of the options in the templates and save them. You will not receive error 340 when you use your updated templates.

Setting up OfficeMate for PQRS

$
0
0
Abstract:

To set up OfficeMate or OfficeMate Enterprise to participate in the Physician Quality Reporting System (PQRS), you must first designate the PQRS diagnosis codes and then designate the Level II procedure codes. To set up PQRS reporting, perform the following steps:

Designate the Qualifying Diagnosis Codes

  1. From the OfficeMate or Administration/Home Office main window, click Setup.
  2. Select Customization (OfficeMate v8 and below and OfficeMate Enterprise 1.0 users) or select Third Party Setup (OfficeMate Enterprise 2.0 and OfficeMate v9 and above users).
  3. Click the Diagnosis Codes tab.
  4. Select the diagnosis code from the list on the left.
  5. Select the PQRI (Voluntary) check box.
  6. Repeat steps 4 and 5 for each qualifying diagnosis code.
  7. Click OK when you are finished.

When printing a patient statement, why doesn’t the balance does not match the balance on the ledger screen?

$
0
0
Abstract:

The balance on the Patient Ledger may be different than the balance on the printed statement for any of the following reasons:

·On the Patent Ledger window, the DNP check box may be selected in any of the transactions. The DNP check box removes the selected line from the patient’s printed statement. To deselect the DNP check box, right-click the line item, select Line Additional Data, deselect the Do not print on patient statement check box, and click OK.

·On the Patient Ledger w


Invalid ICD-10 Codes

$
0
0
Abstract:

If you are using OfficeMate/ExamWRITER 8.0.25 or OfficeMate/ExamWRITER 12.0 or above, you have a database of ICD-10 codes available to use. The following codes in the database, however, are invalid or incorrect:

  • B02.09
  • G43.1
  • H0.93
  • H01.035
  • H05.553
  • H12.131
  • H16.00
  • H16.01
  • H16.02
  • H16.03
  • H1H8.469
  • H2.819
  • H31.02
  • H31.18
  • H31.40
  • H31.41
  • H31.42
  • H31.43
  • H35.0
  • H44.31
  • H44.32
  • H44.33
  • H52.333
  • H53.4
  • H58.819
  • J03.9
  • J32.09
  • S00.81
  • S05.23XA
  • S05.23XD
  • S05.23XS
  • T26.13XA
  • Z59.042
  • Z59.091
  • Z59.093
  • Z59.099
  • H26211

None of these ICD-10 codes will be auto-coded on ExamWRITER exams; however, you could potentially manually add them to ExamWRITER exams and OfficeMate fee slips. If these codes are included in insurance claims, the claims will be rejected. To avoid the probablility of this occuring, you can inactivate or delete these codes from your database (in verion 8.0.25: Setup>Customization>Diagnosis Codes; in version 12.0 and above: Setup>Third Party Setup>Diagnosis Codes). As a best practice, you should always make sure that, if you are manually coding exams or fee slips, you select valid and appropriate ICD-10 codes for patients.

User Account Control Error or Unable to Run .bat File to Fix Error 339

$
0
0
Abstract:

Follow the instructions below if, while using the OfficeMate Suite you receive the User Account Control error that states, "A program needs your permission to continue. If you started this program, continue." You will also need to complete the instructions below if you are receiving error 339 and you are unable to run ~OMRegAll.bat or ~Reg_9.0_OME_DLLs.bat, even as the administrator.

Windows Vista Users

  1. Click Continue

HL7 Interface Overview

$
0
0
Abstract:

The information below is applicable to OfficeMate Enterprise, ExamWRITER version 8.0 and above, and OfficeMate version 9.0 and above. The information in this article applies to you if you are using one of these versions and you purchased the HL7 interface to integrate with your existing COS or AcuityLogic practice management systems.

The HL7 interface receives patient demographic data from an external system and returns charge information on fee slips back to that system. This exchange of data can be via a shared folder structure and passing text files or via a TCP/IP socket.

The demographic

Change/Add Selections Not Saving in ExamWRITER 12.0

$
0
0
Abstract:

Issue: While recording an exam in ExamWRITER 12.0, you click the Change/Add button on a Current Information window and deselect previously selected options. When you process the updated information, you receive a message that states, “NO selections have been made. Quit without Selecting?” Your changes are not saved, impacting your exam documentation/flow and quick coding.

Resolution: Eyefinity is aware of this issue and is working to resolve it in version 12.0.3. In the meantime, follow the instructions below as a workaround to this issue:

  1. In the Current Information window, click Re-Select instead of Change/Add.
  2. Click UNSelect All instead of individually deselecting check boxes.
  3. Select only the appropriate check boxes.
  4. Click Process.

Using the ExamWRITER Templates Utility (Upgrades from v9 and Below Only!)

$
0
0
Abstract:

If you have upgraded to a newer version of ExamWRITER and would like to use some or all of the new templates available with the version, follow the instructions below to download and use the Update ExamWRITER Templates Utility. You only need to run this utility once on one computer running ExamWRITER for your changes to take effect.

Note: If you are a new ExamWRITER user, these templates are available to you already and you do not need to run this utility. This utility should only be used if you are upgrading from ExamWRITER v9 or below.

Reconnecting to Humphrey Matrix Equipment After Upgrading to ExamWRITER 12.0

$
0
0
Abstract:

Issue: After upgrading to ExamWRITER 12.0, you are unable to connect to the Humphrey Matrix equipment interface and select the "omlocal" option.

Resolution:

  1. Close OfficeMate/ExamWRITER.
  2. Navigate to the Windows directory and open Omate32.ini.
  3. Make sure that the UseOMLocal line equals YES (UseOMLocal=YES).
  4. Save the Omate32.ini file.
  5. Reopen OfficeMate/ExamWRITER and begin using the Humphrey Matrix equipment interface.

Required Setup Information for Filing ANSI Formatted Insurance Claims

$
0
0
Abstract:

To avoid errors when processing electronic claims using the ANSI format, ensure that the following information has been properly set up in OfficeMate/OfficeMate Administration:

  1. In the Business Names window, on the Business tab, ensure that a Contact is recorded.

  2. In the Business Names window (OfficeMate v8 or below), or in the Resources Setup window (OfficeMate v9 or above), on the Provider tab, ensure that the following information is recorded:
    -License Number
    -Tax ID Type
    -Tax ID Number
    -UPIN
    -Provider Type
    -TPA
    -DEA
    -EMC Submitter ID (if you are a GatewayEDI client, this ID is your site number)
    -Insurance Information (All insurance carriers assigned to the provider must have a Pin, Group, Submitter ID, and assignment information recorded. If there is no group number or submitter ID assigned to the provider, you can leave these fields blank. In OfficeMate 7.0 and above, if you do not record a submitter ID for the provider, the Pin will be automatically placed in box 24k on the CMS 1500 form.)

  3. In the Business Names window (OfficeMate v8 or below), or in the Resources Setup window (OfficeMate v9 or above), on the Referring Physician or Referring Dr. tab, ensure that the UPIN and EIN numbers are recorded.

  4. In the Business Names window (OfficeMate v8 or below), or in the Insurance Billing Initial Setup window (OfficeMate v9 or above), on the Insurance or Insurance Carrier tab, ensure that the following information is recorded:
    -Name
    -Address
    -City, State, Zip Code
    -Phone Number
    -Insurance Type
    - Blue Cross (1A)
    - Blue Shield (1B)
    - Champus (1H)
    - Commercial (G2)
    &n

Insurance carriers are requiring that we enter the ZIP+4 (nine-digit ZIP code) in the billing provider's address; how can I get OfficeMate to include the ZIP+4 on the CMS 1500?

$
0
0
Abstract:

Follow the instructions below in OfficeMate Administration v9 and above to ensure that your full nine-digit ZIP code is recorded for each of your locations. You must have the full nine-digit ZIP code recorded for each location to send ANSI 5010 claims.

  1. Click Setup and select Location Maintenance.
  2. Double-click a location.
  3. Ensure that a full nine-digit ZIP code (xxxxx-1234) is recorded in the Zip text box.
  4. Click Save/Exit.
  5. Repeat this process for each location, including the administrative location.

Downloading & Installing OfficeMate/ExamWRITER 12.0.3 (SP1)

$
0
0
Abstract:

OfficeMate/ExamWRITER 12.0.3 (SP1) is now available to download on MyInstallCenter! This service pack fixes issues identified in previous versions of OfficeMate/ExamWRITER, in addition to providing you with helpful new features, such as a new OfficeMate business insights dashboard powered by The EDGE.

Installing 12.0.3 (SP1)
If you are a new user, follow these instructions to install OfficeMate/ExamWRITER 12.0.3.

If you are an existing user, follow these instructions to upgrade to OfficeMate/ExamWRITER 12.0.3. Note that if you are already using version 12.0.2, then you only need to download and install the service pack (see page 15 in the instructions).

AR Coatings Mapped for VSP are Not Saved

$
0
0
Abstract:

Issue: While attempting to map AR coatings in the OfficeMate VSP Product Mapping window, the mappings are not saved. Mappings that are not saved properly can result in incorrect payments from labs and the need to redo the order.

Resolution: Contact Eyefinity Customer Care at 1.800.942.5353 and ask a Tier 2 or Tier 3 Representative to run a script on your system to resolve this issue.

OfficeMate Reports Do Not Match Business Insights Dashboard, Powered by The EDGE

$
0
0
Abstract:

The revenue and exam numbers in the business insights dashboard, powered by THE EDGE®, will be different than the numbers in your OfficeMate reports. Both are right, though. They are two different (yet similar) ways to look at your business.The EDGE presents net transactional results. The EDGE is not an accounting or ledger system that tracks billings/accounts receivables based on inflated prices that are written off, as this information is not the net true result. The EDGE reports the net true results that represent what the patient has paid and what has been "received" by third party payers. Hence, there are no write offs and all the numbers in The EDGE represent the final net results of each transaction. This gives you the ability to make the best business decisions based on actual results in real time. With The EDGE Global Settings, you are able to track and define the types of examinations and professional services that you provide in several ways, as not everyone follows the same routines of care. Upon completion of this very quick and easy-to-use system, The EDGE will then track revenue in comparison to refractions as defined by you.

OfficeMate Business Insights Dashboard, Powered by The EDGE, Definitions

$
0
0
Abstract:

If you are using OfficeMate 12.0.3 or above, you have access to the business insights dashboard, powered by The EDGE. Here are some definitions of terms used in the dashboard that will help you better understand the information displayed in it:

Revenue: The patient's responsibility plus insurance payments that have been received. For example, if you saw two patients and one had an exam with a $20 copay and the other purchased eyeglasses for which they were 100% responsible for paying, the revenue is the overage due to the practice beyond the patient's insurance benefit and the private pay patient's out-of-pocket payment. This information is extracted from the Patient and Co-Pay columns on OfficeMate fee slips. The EDGE does not use information in the Insurance column on OfficeMate fee slips because it doesn't include write offs; The EDGE only displays the net amount.

Patient Responsibility: The amount for which the patient is responsible, whether or not they have paid. In other words, a promissory note on the date of service. Even if a patient picks up his or her eyeglasses a few weeks after the sale and pays the balance, the sale defaults to the date of service for production analysis.

Optical Revenue: The patient's responsibility for frames, lenses (per pair), add-ons, and accessories on transactions (in OfficeMate, frames, ophthalmic lenses, lens treatments, accessories, other, sunglasses, and ready reader products).

Clinical Revenue: The patient's responsibility for exams, contact lenses, and insurance payments (checks and EFTs) that have been received/collected (in OfficeMate, services). If you upgrade to the full version of The EDGE, you can view where insurance money is line itemized to a product.

Revenue Per Exam: The total revenue divided by the number of exams (refractions).

Capt

Viewing all 587 articles
Browse latest View live


<script src="https://jsc.adskeeper.com/r/s/rssing.com.1596347.js" async> </script>