- V15.0 - 04/04/2002
- Problem corrected that prevented using printer ports LPT4-LPT9.
- V15.1 - 04/08/2002
- Added new certification field to the EMT file.
- Added new service level 3-ALSNO to invoice (ALS vehicle used,
no ALS level service furnished), to better support new Medicare
base rate codes (Q3019 and Q3020).
| |
| Code |
Description |
Extended Description |
HCPCS |
Type |
Default |
Service Level |
Service Type |
| BASEAEN |
ALS EMER VEH NO SERVICE |
ALS EMERGENCY VEHICLE USED, NO
ALS SERVICE FURNISHED |
Q3019
|
B
|
Y
|
3
|
E
|
| BASEANN |
ALS NON-EMER VEH NO SERVICE |
ALS NON-EMERGENCY VEHICLE USED,
NO ALS SERVICE FURNISHED |
Q3020
|
B
|
Y
|
3
|
N
|
|
- V15.2 - 04/10/2002
- Problem with Aged A/R report by paycode corrected.
- V15.3 - 04/11/2002
- Billing for fire runs now supported. A new billing type field
added to page 3 of COMPANY file. Use the invoice's FROM location
to indicate location of fire.
- Envelope type for invoices/statements improved.
- V15.4 - 04/12/2002
- List of 10 invoices improved to show monthly payers as "7M"
and monthly payers that have missed their monthly payment or paid
an amount below the minimum as "7X".
- V15.5 - 04/16/2002
- Medicare extraction messages improved.
- V15.6 - 04/18/2002
- Improvements made to update program that allows reading very old
backups.
- V15.7 - 04/29/2002
- New writeoff types added to program, changes made to posting payments,
new help added, operations report, end of month closing, statements,
and transaction summary:
- I - Bankruptcy
- J - Deceased, No Estate
- K - Untimely Filing
- L - Small Balance
- V15.8 - 04/30/2002
· GA Medicaid 09 form problem overprinting HCPCS code on preprinted
forms corrected.
- V15.9 - 05/07/2002
- If event logging is enabled in the COMPANY file, two new events
are now appended to the Invoice memo:
- Invoice printed
- Statement printed
- Block 10D of HCFA1500 form now correctly prints Medicaid number
on FL Medicaid claims.
- V15.10 - 05/15/2002
- Option 7 (Receive claim status from Medicare) in the Medicare
Telecom menu is now functional for Tennessee. This option allows
you to connect to TN Medicare for the purpose of downloading the
audit trail information for those times when you have no claims
to transmit.
- A new vendor code was added to the COMPANY file to allow the program
to better support vendor specific features and requests. Logisticare
will be assigned the code LOGIST.
- A new COMPANY flag was added to enable/disable the entry of a
lockbox date when posting payments.
- A new lockbox date field has been added to the payment file.
- The posting payments program was modified to allow entering the
new lockbox date field if enabled in the COMPANY file.
- A new category of reports was added to the Print menu called "Posting
Reports". The current "Transaction Log" report was
moved to this submenu along with the new reports listed below.
- Three new reports were added to the system to help track payments
posted by lockbox date or posting date:
- G/L Trending Report
- Daily Cash Posting Report
- Daily Payment Posting Summary Report
- Three new export programs were added to allow saving the new report
information to comma delimited ASCII text files compatible with
Excel.
- Export G/L Trending Report Data
- Export Daily Cash Posting Report Data
- Export Daily Payment Posting Summary Report Data
- EMSClaims V1.19 - 05/15/2002
- Support improved for TN Medicare to allow retreiving response
files when no claims need to be transmitted.
- V15.11 - 05/17/2002
- New V15.10 reports improved.
- V15.12 - 05/22/2002
- New flag added to COMPANY file (page 4) to enable/disable printing
1 year adjusted collection rate on the operations report.
- List of 10 EMT's now displays EMT certification field.
- Support for up to 64 companies added.
- Yes/no question now asked before printing invoice report.
- Extracting Medicare claims now has option to print log.
- V15.13 - 05/24/2002
- Aged A/R report improved.
- V15.14 - 05/29/2002
- Column heaing changes made to posting reports.
- Added vendor code to page 1 of COMPANY file.
- V15.15 - 05/30/2002
- G/L Trending report sorting order improved.
List of payments by invoice financial report improved to allow
filtering by paycode.
- EMSClaims V1.20 - 05/30/2002
- In setup if viewer field is erased, the correct default viewer
CDEDIT.EXE is automatically inserted.
- V15.16 - 05/31/2002
- Statements and transaction summaries no longer includes marked
accounting adjusted charges if enabled in the COMPANY file.
- V15.17 - 06/03/2002
- Aged report by user defined code improved to support 9,999,999.99
in the >90 category.
- V15.18 - 06/05/2002
- Pressing F5 when entering the FROM code in the invoice will reverse
the FROM and TO codes and descriptions.
- V15.19 - 06/10/2002
- Pressing F5 when entering the FROM code in the invoice will now
also reverse the first Medicare modifier.
- Moving old invoices to collections has new rules to specify the
user defined code and the collection agency code.
- V15.20 - 06/11/2002
- New message 42 used to print on all statements if Medicare is
primary and private pay is secondary. Edit the MESSAGE file and
enter the desired message on page 9.
- The list payments by paycode financial report now supports the
user defined code as a filter.
- V15.21 - 06/11/2002
- New field added to page 1 of COMPANY file that allows specifing
the default due date in number of days from the date of invoice
creation. To disable this feature, set to 0.
- New field added to page 1 of COMPANY file that allows specifing
the frequency of printing statements in days. To disable this feature,
set to 0. Using this feature you can now print statements every
day if desired. This spreads the workload over the entire month
and also tightens the billing cycle.
- V15.22 - 06/13/2002
- Bug corrected when printing statements and the COMPANY flag to
only include latest payment detail selected.
- V15.23 - 06/14/2002
- AL Medicaid electronic claims improved when transmitting 2nd trip
on same date.
- V15.24 - 06/14/2002
- Executing one command jobs now properly restore cursor state.
- V15.25 - 06/17/2002
- The Operations Report's adjusted collection rate now considers
the writeoff type H (insurance) a contractual writeoff.
- V15.26 - 06/18/2002
- Aged report by user defined code format change made.
Microsoft documentation states that the AUTOEXEC.NT file can ONLY
be used to execute 16-bit DOS binary commands. Win32 binary commands
will not work if referenced in the AUTOEXEC.NT file. The NET command
is a Win32 binary command; therefore, it cannot be used in the AUTOEXEC.NT
file. A new technique for mapping networked printers has been instituted.
If you are having trouble mapping network printers call for more
information and help.
- V15.27 - 06/20/2002
- Aged report by user defined code format change made.
- V15.28 - 06/20/2002
- EMT file added to save/restore one data file in backup menu.
- V15.29 - 06/24/2002
- Aged report by user defined code formating bug corrected.
- V15.30 - 06/27/2002
- Invoice file now sorted by patient code + date of service.
- V15.31 - 06/27/2002
- New flag added to INSURANCE screen to allow selecting whether
to print the secondary diagnosis description on the HCFA1500 form
in block 21b.
- V15.32 - 07/09/2002
- Menu wording changes made.
- V15.33 - 07/11/2002
- Maximum company number bug fixed.
- V15.34 - 07/16/2002
- EMT name format improved.
- Program structure changes.
- V15.35 - 07/23/2002
- Print invoice paging improved.
- V15.36 - 07/24/2002
- Posting payments now defaults payment type correctly if status
is collection.
- V15.37 - 07/25/2002
- Invoice messages modified if current payor is not private pay.
- New menu entry in printing invoices (print contracts only).
- V15.38 - 08/01/2002
- New field added to USER file to specify drive letter of the computer's
CD Rom drive. This setting is used when updates are sent on CD Rom
media. Select 2-System Files and C-User to edit the new setting.
Drive D is the CD Rom on many computers.
- V15.39 - 08/05/2002
- New field added to INSURANCE file to allow only printing the service
date and charges on block 24 of the HCFA1500 form.
- Medicare electronic claims changed to transmit place of service
code 99 if QL modifier used.
- HCFA1500 ICD-9 printout improved.
- V15.40 - 08/09/2002
- HCFA1500 changed to print place of service code 99 if QL modifier
used.
- V15.41 - 08/09/2002
- New option added to printing statements that allows including
invoices with specified user defined code on statements reguardless
of the status of the invoice.
- V15.42 - 08/15/2002
- Export current payor data has been redefined to export primary
payor data.
- V15.43 - 08/22/2002
- HCFA1500 now prints "9" for "Type of Service"
in block 24C for TN Medicaid.
- V15.44 - 08/26/2002
- New refund report added to posting payments screen. Point to a
negative payment and hit "R" to print a refund report.
- V15.45 - 08/26/2002
- Medicare paycode 1 reason for transport help message improved
to say "B - Bed confined before and after trip".
- V15.46 - 08/28/2002
- List payments by paycode/vehicle bug corrected.
- V15.47 - 08/30/2002
- Place of service code now 41 (ground ambulance) or 42 (air ambulance)
for both HCFA1500 and electronic claims.
- V15.48 - 09/14/2002
- A new export data program extracts A/R information by insurance
code in a comma delimited text file suitable for import into an
Excel spreadsheet. All aging is based on the current payor's insurance
code and the invoice's date of service or the current payor's date
filed.
EXPORT6A.DAT - age computed using invoice's date of service
EXPORT6B.DAT - age computed using current payor's date filed
EXPORT6A.DAT and EXPORT6B.DAT Data Format
Field Format Comment
CODE_INS C-8 Current payor's insurance code
NAME_INS C-30 Name of insurance company
0-30 days N-10.2 Amount 0-30 days old
31-60 days N-10.2 Amount 31-60 days old
61-90 days N-10.2 Amount 61-90 days old
91-120 days N-10.2 Amount 91-120 days old
121-150 days N-10.2 Amount 121-150 days old
151-210 days N-10.2 Amount 151-210 days old
211-270 days N-10.2 Amount 211-270 days old
271-365+ days N-10.2 Amount 271-365+ days old
- V15.49 - 09/17/2002
- The financial report, list charges by paycode, has been improved
to allow specifing a user defined code filter.
- Problem with statements printing finanace charges marked as financial
adjustments corrected.
- If the finance charge percentage in the COMPANY file is non-zero,
new patient records now default to having "Y" in the "Finance
Charge" field.
- V15.50 - 10/09/2002
- New option 7 added to printing monthly statements under "Select
Invoice Category" allows printing statements for Active, Private
Pay invoices only.
- V15.51 - 10/14/2002
- AL Infosolutions parameters now supports separate client ID and
agency ID fields in TELECOM file.
- V15.52 - 10/22/2002
- EMT name problem corrected.
- Save patient info field now defaults to "Y" when added
new patient.
- V15.53 - 10/24/2002
- New field added to INSURANCE file to enable printing primary and
secondary diagnosis information on HCFA1500 form in block 24, lines
5 and 6.
- If the number of days between monthly statements is non-zero,
printing an invoice now sets the date statement printed also.
- V15.54 - 10/29/2002
- New Export8 option added.
- V15.55 - 10/31/2002
- New Export8 option added.
- Palmetto GBA (Railroad Medicare) requires Block 24K of the HCFA
1500 form to contain your provider number. Edit the insurance record
for this carrier and add the required information to Block 24K.
- V15.56 - 11/11/2002
- Added EMSClaims support for FTP transmission in AL, GA, and MS.
- EMSClaims V1.23 - 11/11/2002
- Recompiled with Async Pro 4.06 update, Delphi 7, and Indy FTP
component.
- Improved AL, GA, and MS FTP code.
- Improved RAS support for AL, GA, and MS.
- New HTML documentation added.
- V15.57 - 11/13/2002
- Changes to M1TYPE added to support ANSI 837 electronic claims.
- Change FTP electronic claim parameter names.
- AL InfoSolutions invalid password error code added.
- V15.58 - 11/21/2002
- Invoice modifier #3 is only printed on HCFA 1500 form for FL Medicare
now.
- V15.59 - 11/23/2002
- A new Y/N flag was added to page 4 of the COMPANY file that optionally
allows entering the vehicle code separately from the invoice code.
The new question reads: "Vehicle code is contained in the invoice
code (first 3 characters): Y/N". If set to "Y" the
new vehicle field is automatically set to the first 3 characters
of the invoice code. If set to "N", a new data entry field
labeled VEHICLE must be entered in the invoice.
- This optional feature allows the invoice code to be a full
9 characters independent of the vehicle code.
- The invoice number is still treated in 2 parts (3 chars +
6 chars), and the first 3 chars cannot be blank.
- The DIAGOSIS file can now be displayed sorted by ICD code by pressing
the F3 function key. The F-Find function will search for the desired
ICD code when F3 is enabled. To display and search by diagnosis
code, press the F2 function key.
- V15.60 - 11/25/2002
- A new Y/N flag was added to page 4 of the COMPANY file that optionally
allows validating user defined codes during data entry. A new system
file called CODE1 was added. The new question reads: "Limit
user defined codes to list in the CODE1 file: Y/N". Use CTRL+PGDN
to select from the CODE1 list when editing the user defined code
field in the invoice screen.
- The invoice's service level code allows the program to suggest
the correct charges when posting charges. Two new service level
codes were added:
- G - Gurney
- W - Wheelchair
- Sorting DIAGNOSIS file by ICD (pressing F3) now clears the F10
filter and maintains the position in the file.
- V15.61 - 11/26/2002
- DOS error 4 caused by V15.60 update corrected.
- New flag added in V15.60 now defaults to "N".
- V15.62 - 11/27/2002
- New fax and email fields added to COMPANY file for ANSI-837 transmissions.
- Validate bug (V15.59) fixed.
- EMSClaims V1.24 - 12/03/2002
- Fixed problem with PKZIP not being found (MS Medicare).
- V15.63 - 12/06/2002
- HCFA 1491 form now prints insurance company address in top left
box.
- New Miscellaneous Reports entry added to Print menu.
- New Physician Certification Statement report added to Miscellaneous
Reports. This report will list (sorted by date signed), all invoices
that have a PCS signed less than 60 days old on file.
- V15.64 - 12/09/2002
- New "Extra Training" field added to EMT file.
- Physician Certification Statement report improved.
- V15.65 - 12/10/2002
- More improvements to Physician Certification Statement report.
- V15.66 - 12/12/2002
- Problem using EMSClaims with AL Medicaid corrected.
- User defined codes renamed to contract if vendor code set to "LOGIST".
- V15.67 - 12/18/2002
- Patient list option 5, patients who pay monthly, now omits patients
with all invoices in collections.
- V15.68 - 12/26/2002
- Invoice round trip field changed to transport code for ANSI 837
compatibility. New values are:
- I - Initial trip
- R - Return trip
- T - Transfer trip
- X - Round trip
- AL Medicare has stated that multiple patient ambulance transports
should be filed as hard copy claims as follows:
- Use the "GM" modifier (2nd modifier for each line
item charge) to identify a multiple transport.
- Submit documentation to specify the particulars of the multiple
transport including the total number of patients transported
in the vehicle at the same time and the health insurance claim
numbers for each Medicare beneficiary.
- Submit the charge applicable to the appropriate service rendered
to each beneficiary and the total mileage for the trip.
- Indicate the destination and mileage for each patient if different.
- V15.69 - 01/02/2003
- Corrected problem (V15.59 bug) with vehicle code being modified.
- V15.70 - 01/03/2003
- Posting payments display improved to contain insurance carriers
with paycodes.
- V15.70A - 01/08/2003
- Bug with vendor field when restoring old data fixed.
- V15.70B - 01/10/2003
- Bug with past due statements for monthly pay patients corrected.
- V15.71 - 01/09/2003
- V15.72 - 01/10/2003
- The "list of 10" invoice screen has two new features:
- An "*" is displayed to the left of the patient code
if a patient memo exists.
- Use ALT+M to add/edit/delete the patient memo.
- The invoice screen is now 2 pages. New fields were added to
support the new ANSI 837 electronic claim standard required
by HIPAA regulations. Since the government is mandating that
all medical electronic claims use the same information, data
that was previously in the PAYCODE files has been moved to the
INVOICE file to prevent double data entry. Also note that the
DIAGNOSIS file now can be used to store common narrative information.
- CTRL+PGDN now works for both the primary and secondary
ICD9 codes and the associated narrative fields. The order
of entry has been reversed; the ICD code is now entered
first, then the diagnosis narrative.
- The EMT/attendant code is now entered in the invoice.
The update automatically copies the attendant data from
the paycode 1 and 2 files to the INVOICE and EMT files.
An EMT code of "UNKNOWN" is created for cases
where the attendant information is blank. Since in many
billing situations (private pay for instance), the EMT name
is not required, an UNKNOWN EMT code is acceptable.
- The new ANSI 837 transmission format accepts up to 5 condition
indicators (instead of the previous 2). Note the new code
"M" to indicate that the ambulance trip was medically
necessary. The old code "N" for not medically
necessary is no longer valid. The program automatically
converts the old condition codes to the new ones. The indicators
include:
- B - bed confined before and after trip
- E - emergency situation
- H - hemorraging
- M - medically necessary
- P - physical restraints
- S - stretcher
- U - unconscious or shock
- Two new narratives were added. Note that CTRL+PGDN can
be used to select common narratives from the DIAGNOSIS file:
- Purpose of stretcher
- Previously the secondary diagnosis was used or
the PCS information if available.
- Purpose of round trip
- Previously the primary diagnosis was used.
- The Physician Certification Statement information
is now contained in the INVOICE instead of the PAYCODE1
file. Note that CTRL+PGDN can be used to select common
narratives from the DIAGNOSIS file.
- Patient signature source code added:
- B - Signed signature authorization form or forms
for both HCFA-1500 claim form block 12 and block
13 are on file.
- C - Signed HCFA-1500 claim form on file.
- M - Signed signature authorization form for HCFA-1500
claim form block 13 on file.
- N - No signature available.
- P - Signature generated by provider because the
patient was not physically present for services.
- S - Signed signature authorization form for HCFA-1500
claim form block 12 on file.
- Release of information code added:
- A - Appropriate release of information on file
at health care service provider or at utilization
review organization.
- I - Informed consent to release medical information
for conditions or diagnoses regulated by federal
statues.
- M - The provider has limited or restricted ability
to release data related to a claim.
- N - No, provider is not allowed to release data.
- O - On file at payor or at plan sponsor.
- Y - Yes, provider has a signed statement permintting
release of medical billing data related to a claim.
- V15.73 - 01/13/2003
- From/to information moved to page 2 of invoice.
- V15.74 - 01/13/2003
- FTP server address field width increased.
- V15.75 - 01/14/2003
- Validate problem corrected (V15.72).
- V15.76 - 01/15/2003
- Paycode 2 physician's statement on file question removed (AL Medicaid).
- First ANSI 837 test with GA Medicare completed.
- Improved handling of ICD code data entry works as follows. When
editing either the primary or secondary ICD code field, the program
will use the entered value to search the DIAGNOSIS file for a match
in the ICD code or Diagnosis code fields. If a match is found in
either field, both the ICD code and the narrative fields are updated
from the DIAGNOSIS file. When entering a narrative, if the value
entered is 8 characters or less, the entered value is used to search
the DIAGNOSIS file for a Diagnosis code field match. If a match
is found, only the narrative field is updated.
- V15.77 - 01/16/2003
- Problem with entering through ICD code fields corrected.
- V15.78 - 01/20/2003
- Create new company now has 3 options:
- Create empty company (does not require exclusive lock of any
company).
- Create company from data files in most recently selected company.
- Duplicate company most recently selected.
- Backup 1 data file and restore 1 data file improved.
- Backup and restore options now copy BAR.@@@ to root of backup
drive.
- V15.79 - 01/21/2003
- New option to print statements for monthly payors only.
- NSF record GA0 field 20.0 now contains the purpose of round trip
narrative.
- NSF record GA0 field 21.0 now contains the PCS narrative if a
PCS is on file and the trip is not an emergency; otherwise, the
field contains the purpose of stretcher narrative.
- The PCS data entry information is enabled alway.
- V15.80 - 01/22/2003
- New help added to posting charges when entering 2nd modifier.
- GA - Item is expected to be denied as not reasonable and necessary;
ABN (advanced beneficiary notification) signed by beneficiary IS
on file.
- GW - Item is not related to the hospice patient's terminal condition.
- GY - Item is statutorily excluded or does not meet the definition
of a Medicare benefit.
- GZ - Item is expected to be denied as not reasonable and necessary;
ABN (advanced beneficiary notification) is NOT on file.
- V15.81 - 01/28/2003
- HCFA 1500 block 19 improved to print purpose of stretcher or PCS
information.
- V15.82 - 01/29/2003
- Problem updating old data files corrected.
- V15.81 problem corrected.
- V15.83 - 01/30/2003
- AL Medicare Information Codes are no longer used for invoices
with dates of service on or after 1/15/2003. Program changes to
data entry and electronic claims modified.
- V15.84 - 01/31/2003
- ANSI 837 electronic claims require that the pickup location have
a valid city, state, and zip code. The FROMTO data entry screen
now forces nonblank city, state, and zip code entries. The "Print
FROMTO File" option was improved to include the city, state,
and zip code fields to enable easy checking of the FROMTO file.
- V15.85 - 02/03/2003
- Medicare CMS 1964 (9/91) Request for Review form added. The printer
settings for a HP LaserJet 4050 is "Left Margin = 2" and
"Top Margin = 9".
- V15.86 - 02/05/2003
- Reset date printed option added to all appropriate print statement
menus.
- It turns out that AL Medicaid still requires the local AL Information
Codes. The data entry for the codes has been reinstated. The codes
are transmitted to AL Medicaid, but not to AL Medicare. To prevent
the secondary modifier from printing on HCFA1500 forms for AL Medicare,
edit the MEDICARE record in the INSURANCE company file and set the
following question to YES:
- HCFA1500 Block 24D - Only Include Charge File Modifiers: Y
- Printing HCFA1500 claims for TN Medicare improved to include A0999
line item charges in block 19.
- V15.87 - 02/06/2003
- HCFA1500 block 19 improved.
- Improved NSF 3.01 file extraction.
- Problem updating old data files corrected.
- V15.88 - 02/07/2003
- V15.86 bug printing TN Medicare HCFA1500 forms corrected.
- The program now supports electronic transmission of primary insurance
claims via the Internet to over 1000 payors. Fees may apply. Call
for more information about registering for this feature if your
interested.
- V15.89 - 02/07/2003
- Clearinghouse extraction improved.
- V15.90 - 02/10/2003
- Improved narrative data entry.
- V15.91 - 02/11/2003
- Balance due statement bug when using statement frequency feature
corrected.
- V15.92 - 02/11/2003
- ANSI 837 electronic claims problem with CR109 corrected.
- Clearinghouse electronic claims problem with invalid address corrected.
- V15.93 - 02/12/2003
- Paycode 7 record no longer created in posting payments if invoice
status is contract.
- V15.94 - 02/13/2003
- Subscription renewal report problem fixed.
- New options for block 19 of HCFA 1500 file in INSURANCE company
record:
- 1 - Leave block 19 blank
- 2 - Print from/to description
- 3 - Print narrartive information
- 4 - Print EMT name
- KY Medicare electronic claims no longer transmits local secondary
invoice modifier.
- New "Signature Request" printout added to print menu
"B-Miscellaneous Reports". New messages were added to
page 13 of MESSAGES file to enable user selectable messages to appear
on the signature request printout.
- V15.95 - 02/19/2003
- ANSI 837 change made to CRC03. At least one condition indicator
must be transmitted, even if its value is "N".
- Removed Medicaid information from TN Medicare ANSI 837 files.
- Print invoice report improved to omit narrative information if
selected in COMPANY file (page 3).
- Invoice signature and release fields now set to blank for new
invoices if no previous invoice for patient exists on file.
- V15.96 - 02/20/2003
- Corrected problem with monthly statements option 6, monthly payors
only.
- Corrected ANSI 837 problem with state field.
- V15.97 - 02/21/2003
Improved NSF electronic claims transmission of modifiers in KY.
Note:
- V15.98 - 02/24/2003
- When transmitting AL Blue Cross and Blue Shield primary claims
to AL Medicare, all modifiers are now removed.
- V15.100 - 02/25/2003
- Improved export type 2 to allow selection of primary payor or
current payor data.
- Telecom data entry screen (page 1) improved to work for states
where electronic claims are not sent directly to Medicare.
- V15.101 - 02/28/2003
- ANSI 837 modified for AL Medicare (carrier code).
- EMSClaims V1.26 - 02/28/2003
- SENT tab/folder now shows date/time batch transmitted.
- V15.102 - 03/03/2003
- ANSI 837 modified for GA Medicaid. TELECOM file (page 2) modified.
- Georgia customers should:
- Use national HCPCS codes for Medicaid claims on and after
4/1/2003.
- Use HCFA1500 forms for Medicaid claims on and after 4/1/2003.
- Edit the GA Medicaid parameters in the TELECOM file (page
2) on or after 2:01PM EST, 3/27/2003:
- Set Transmission Type to "05".
- Enter your assigned ACS trading partner ID
- V15.103 - 03/05/2003
- ANSI 837 modified to remove period from ICD-9 codes.
- TN Medicare approved ANSI 837 test.
- V15.104 - 03/07/2003
- EMSClaims support added to GA ACS Medicaid extraction program.
- V15.105 - 03/10/2003
- Improved data entry when entering 2nd ICD code, secondary diagnosis
is not modified.
- Corrected problem with monthly statement included marked payments
in balance due amounts.
- Corrected GA Medicaid extraction program marking claims (V15.102
bug).
- Corrected GA Medicaid electronic claims injury code field problem.
- EMSClaims V1.27 - 03/10/2003
- Support added for GA Medicaid ACS EDI Gateway.
- V15.106 - 03/10/2003
- Support added for GA Medicaid ACS EDI Gateway and EMSClaims.
- Improved handling of narratives.
- V15.107 - 03/12/2003
- New sort option added to list payments by date financial report.
- Improved handling of CTRL+PGDN for paycode records when in Add
mode.
- Improved data entry when entering 2nd ICD code, secondary diagnosis
is not modified if currently non-blank.
- EMSClaims V1.28 - 03/13/2003
- Added support for viewing zipped response files.
- Improved GA Medicaid ACS EDI Gateway module.
- Grid now sorts newest first.
- V15.108 - 03/13/2003
- New sort option added to list payments by date financial report.
- Fixed problem with GA Medicaid ACS transmission.
- Fixed problem editing Telecom file in TN (no page 2).
- ANSI 837 payor id changed for AL Medicare.
- V15.107 sort option improved.
- V15.107 handling of CTRL+PGDN for paycode records improved.
- ANSI 837 version and test flag fixed for GA Medicaid ACS transmission.
- On networked systems, logical printer devices LPT4-LPT9 cannot
be used in Windows NT/2000/XP. Instead use the Windows printer name
as the device.
- V15.109 - 03/18/2003
- FL Medicare carrier code added to ANSI 837.
- HCFA 1500 form ICD code placement in block 21 improved.
- V15.110 - 03/19/2003
- Changes to ANSI 837 made for FL Medicare and AL Medicaid.
- HCFA 1500 form corrected for GA Medicaid.
- Effective 3/18/2003, all GA Medicaid paper claims should be
submitted using the HCFA 1500 form. Edit your MEDICAID insurance
record with the following address:
GHP
P.O. Box 5000
McRae, GA 31055
- EMSClaims V1.30 - 03/19/2003
- Added support for FL Medicare ANSI 837 transmissions.
- V15.111 - 03/19/2003
- Aged report by paycode now gives option to include/omit collection
invoices.
- EMSClaims sequence numbers standardized.
- V15.112 - 03/20/2003
- Improved handling of monthly, paycode 7 records. The record is
deleted if the patient's balance is zero when saving payments. When
a partial private payment is made and a paycode 7 record does not
exist, you will be asked whether you want to create the monthly,
paycode 7 record.
- V15.112 - 03/20/2003
- Improved handling of monthly, paycode 7 records. The record is
deleted if the patient's balance is zero when saving payments. When
a partial private payment is made and a paycode 7 record does not
exist, you will be asked whether you want to create the monthly,
paycode 7 record.
- Insurance company file now contains new options to control printing
blocks 29 and 30 on the HCFA1500 form.
- Block 29 - Amount Paid Print Options:
- 1 - Include all payments
- 2 - Include only payments to paycode 7
- 3 - Include only payments to paycodes 3, 4, 5, and 6
- 4 - Include only payments to paycodes 3, 4, 5, 6, and
7
- 5 - Leave blank
- Notes:
- KY Medicaid requires option 5
- AL and FL Medicaid require option 3
- AL, AZ, and FL Medicare require option 2
- Other carriers may have different requirements
- Block 30 - Balance Due Print Options:
- 1 - Compute block 28 minus block 29
- 2 - Leave blank
- Notes:
- KY Medicaid requires option 2
- All other known carriers require option 1
- EMSClaims V1.31 - 03/20/2003
- Added new MOVE button to main form. Removed RESEND and SAVE buttons.
Files can now be moved to any folder.
- V15.113 - 03/21/2003
- V15.112 problem corrected with HCFA 1500 form.
- V15.114 - 03/21/2003
- PGDN now works in invoice display only mode.
- Structural changes made to HCFA1500 for Xbase compatibility.
- V15.115 - 03/25/2003
- ANSI 837 modified to send new DTP segment "Initial Treatment
Date" and not "Order Date".
- EMSClaims Instructions for GA Medicaid:
- Connect to ACS EDI Gateway system.
- When prompted for logon, click the "Logon" button
on the toolbar.
- When prompted for password, click the "Password"
button on the toolbar.
- To transmit the batch, select "1-Electronic Claim Submission"
in the ACS menu. Click the "Transmit File" button
on the toolbar to begin the transmission.
- To receive confirmation of the transmission, select "4-Download
Confirmation" in the ACS menu. Click the "Receive
File" button on the toolbar to receive the confirmation
file.
- Select "9-Exit and Disconnect" to terminate the
connection.
- V15.116 - 03/26/2003
- GA Medicaid electronic claims modified to transmit patient's weight
(always zero).
· Cigna Medicare has published a 48 page "Ambulance
Manual". This is recommended reading.
http://www.cignamedicare.com/partb/specman/pdf/Ambulance.pdf
- Printing problem in Validate corrected.
- According to the CMS web site, when printing Medicare HCFA 1500
forms, block 30 should be left blank.
- V15.117 - 03/28/2003
- GA EDS Medicaid forms and electronics claims removed from program.
- Program printing log file in ANSI 837 corrected.
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