Manual

Software

Updates

Web Sites

EMS Fast Cash Billing

Software Updates

04/01/2011 - 03/31/2012

• Modified date format in block 31 for CMS1500 Form.

• Program now rounds all charges to 2 decimal places.

• Update no longer deletes UPDATE.TXT.

• FL Medicaid upload fiename now shows at top of screen.

• Support for Kentucky's new Medicare carrier, CIGNA Government Services, added to ANSI 837 electronic file format.

• Hl500 code improved for W32 support.

• File maintenance search for fractional numbers updated to round charge quantity to 1 decimal place.

• Removed BCBS/TN electronic claims info.

• Removed BCBS/TN.

• New ASSIGN field added to INSURANCE screen for ANSI837 V5010.
• If a provider accepts assignment with an insurance company, they agree to:
• To be paid by the payer (insurance company)
• To accept only the amount the payer approves for their services
• To only charge the patient or other insurance the deductible or coinsurance amount.
• The program defaults the ASSIGN field to N-No for all insurance codes except MEDICARE, MEDICAID, AND RAILROAD.
• Release of information code in invoice on page 2:
• New ANSI837 V5010 only supports two options:
• I – Informed consent to release medical information for conditions or diagnosis regulated by federal statutes.
• Y – Yes, provider has a signed statement permitting release of medical billing data related to a claim.

• Wording for the condition indicators on page 2 of invoice modified to be compatible with ANSI837 V5010. All indicators that apply should be entered.
• A – Patient was admitted to hospital
• B – Patient is confined to a bed or chair
• E – Patient was transported in an emergency situation
• H – Patient had visible hemorrhaging
• M – Ambulance service was medically necessary
• N – Transportation was to the nearest facility
• P – Patient had to be physically restrained
• S – Patient was moved by stretcher
• U – Patient was unconscious or in shock

• Export #2 modified to include “Date Due” field.
• New clearinghouse code 6 (TELECOM page 3) was added to support transmitting NSF electronic claims to Zirmed for multiple rendering providers. The extraction was modified to include NPI numbers for both the billing and rendering provider.

• Corrected problem with missing file in update V24.9.

• Modified NSFEX2 CA0-Field 28.0 to be blank.

• Modified NSFEX2 CA0-Field 28.0 to be blank.
• Added support for KY Medicare Internet based electronic claims:
• Old BBS system is being shut down on 6/30/11.
• Edit TELECOM file and change the Medicare transmission type to “17”.
• Web site: http://www.claimshuttle.com

• Support for KY Medicare's (KYM1WEB) web based access to Claim Shuttle (http://www.claimshuttle.com) added.

• Corrected overflow problem on Operations Report (last year/current month column).

• Modified NSFEX2 FA0=Field 23.0 to be blank for Zirmed.

• Added new patient count field to invoice required for ANSI837 V5010. This is the number of patients transported.

• Zip code in COMPANY file must be 9 digits for ANSI837 V5010.
• ANSI837 V5010 requires that the provider address in the COMPANY file be a street address and not a PO box.
• ANSI837 V5010 tested with GA Medicaid.
• ANSI837 V5010 tested with Zirmed. This includes support for billing for multiple rendering providers.
• To use V5010 edit page 3 of TELECOM and set the Clearinghouse Identification Code to 7.

• New “Pay To” address fields added to COMPANY file (page 1). The company address must be a street address. The pay-to address can be a PO Box.
• Rendering provider secondary identification added to V5010.

• EXPORT #12 now ages based on date due.
• New EXPORT #30 G/L Trending export added.
• DOS Month
• Cash Payment
• Discount
• Contractual Writeoff
• Non-contractual Writeoff
• Total Transaction $
• Writeoff – non classified
• Writeoff Type A
• Writeoff Type B
• …
• Writeoff Type S
• New setting added to INSURANCE screen (page 2) to indicate how block 24G prints on CMS-1500 form. The new default value is 2.
• 1 – Round units to nearest integer
• 2 – Print fractional units
• Beginning with dates of service on and after January 1, 2011, for ambulance mileage, enter the number of loaded miles traveled rounded up to the nearest tenth of a mile up to 100 miles. For mileage totaling 100 miles and greater, enter the number of covered miles rounded up to the nearest whole number miles. If the total mileage is less than 1 whole mile, enter a “0” before the decimal (e.g. 0.9). See Pub. 100-04, chapter 15, §20.2 for more information on loaded mileage and §30.1.2 for more information on reporting fractional mileage.

• GA Medicaid V5010 bug corrected.
• GA Medicaid is requiring that all providers test the new V5010 electronic claims. Call CES for help completing this test.
• https://sites.edifecs.com/index.jsp?gamedicaid
• GA Medicaid contact: Detra Webb [detra.webb@hp.com]
• COMPANY pay to address defaults to street address. All invoices, statements, insurance forms, electronic claims now use the pay to address information.

• New EXPORT #31 Aged A/R By Current Payor Detail export added
• Payor
• Invoice #
• 0-30
• 31-60
• 61-90
• 91-180
• >180
• Bug concerning destination street address corrected with V5010 electronic claims

• New EXPORT #32 Aged A/R By Current Payor Summary export added.
• Payor2
• 0-30
• 31-60
• 61-90
• 91-180
• >180

• Support for ANSI 837P V5010 added for AL, GA, MS, and TN Medicare.

• Support for ANSI 837P V5010 added for AL, GA, MS, and TN Medicare.

• ANSI 837P V5010 modified
• AL/GA/TN Medicare approved V5010 electronic claims.

• Patient list by invoice status modified to include patient code filter.

• Added File Format field to all setup screens to show V4010 vs V5010.

• Added ANSI 837P V5010 support for AL, GA, FL, KY, and LA Medicaid.

• New flag added to COMPANY file (Page 6 of 7) to control whether to default information from previous invoice when adding a new invoice.

• ANSI 837P V5010 problem with MNAME_INS corrected.

• Rounding problem with COB benefits info error check in A4010 and A5010 corrected.

• Merge FROMTO file added to merge one data file menu.

• Added ANSI 277 file view support (EDIVIEW V1.7).

• Data entry for PATIENT, INSURANCE, and FROMTO improved to perform same zip code validation that electronic claims uses (must be 5 or 9 digits).

• Disabling the editing of existing memo data improved.

• Problem with V24.31 memo editing corrected.

• Updated V5010 support for AL BC/BS.

• Updated V5010 support for AL BC/BS.

• User authorization added to USER file. Selected users can be limited access to specified companies.
• New User Defined Code #2/Legal Contract file added to “System Files” menu.
• New User Defined Code #2/Legal Contract field added to invoice.
• New flag added to COMPANY file (page 6) to “Limit User Defined Code #2 to List in CODE2 file”.
• Export #2 updated to include new User Defined Code #2/Legal Contract field.

• Corrected problem with A5010 transmitting COB date when the claim was primary.

• A new field (Claim Frequency Type Code) has been added to the invoice (page 1) for 5010 electronic claims. When a claim is filed electronically, it is either:
• 1 – Original claim
• 7 – Replacement (adjustment) claim
• 8 – Void claim
• Another new field (Claim Number) has been added to the invoice (page 1) for 5010 electronic claims. When a claim is refiled as a replacement or void claim, the claim number from the EOB or audit trail report should be entered.

• ANSI 4010 and ANSI 5010 modified. If vendor = “LOGIST”, invoice will not extract if invoice date reviewed is blank.• Corrected problem with updating from CD; local update files must be erased.

• Corrected problem with updating from CD; local update files must be erased.

• Added support for up to 96 companies.
• Added new description field to COMPANY file. This field is used to display the description of the current company (top of screen) rather than the company name. Some electronic claims will reject if the company name does not match the registered name with the carrier. Changes to the description field do not affect electronic claims.

• Corrected problem with Railroad Medicare V5010 electronic claims (new payer ID is 00882).

• Added new Claim Filing Indicator Code to the INSURANCE file. The initial setting for all insurance records has been set to ‘CI’ with the exception of MEDICARE and MEDICAID. You will need to modifiy you existing insurance records with the proper code:
• 11 - Other non-federal programs
• 12 - Preferred provider organization (PPO)
• 13 - Point of service (POS)
• 14 - Exclusive provider organization (EPO)
• 15 - Indemnity insurance
• 16 - Health maintenance organization (HMO) Medicare risk
• AM - Automobile medical
• BL - Blue Cross/Blue Shield
• CH – Champus
• CI - Commercial insurance company
• FI - Federal employees program
• HM - Health maintenance organization
• LM - Liability medical
• MB - Medicare Part B
• MC – Medicaid
• OF - Other federal program
• VA - Veterans affairs plan
• WC - Workers' compensation health claim
• ZZ - Mutually defined - used when type of insurance is not known
• Updated ANSI V5010 electronic claims to use new Claim Filing Indicator Code.
• Alabama Medicaid has a desktop program that allows downloading and viewing audit reports:
• http://www.medicaid.alabama.gov/CONTENT/6.0_Providers/6.10_Provider_Electronic_Solutions.aspx
• Call for help installing
• V5010 testing with Railroad Medicare completed.

• Data entry validation improved to not allow blank primary ICD code in invoice.
• ANSI V5010 electronic claims extraction will abort if an invoice has a blank primary ICD code.

• ANSI V5010 improved to translate old release codes to new codes.

• ANSI V5010 improved to translate old release codes to new codes.

• Improve view of 999 file.

• ANSI V5010 modified to not send loop 2330B DTP segment for secondary claims.

• ANSI V5010 modified to send insurance type codes for MSP claims.

• ANSI V5010 again modified to correct MSP claim problem.

• ANSI V5010 problem with claim filing indicator corrected.

• Improve view of 999 file.

• ANSI V5010 problem with MSP sending policy number in SBR 2320 corrected
• F10 filter for PATIENT screen improved to include the patient’s social security number in the search. For instance, if you know the last 4 digits of the SSN set the F10 filter to known 4 digits to find the patient.
• Corrected problems with ANSI V5010 extraction program displaying COB information needed.
• Corrected problems with ANSI V5010 extraction program not correctly setting date filed for BC/BS of AL claims when BC/BS was secondary.
• Modified ANSI V5010 to not extract invoices with zero balance

• ANSI V5010 modified for AL Medicaid to round mileage to nearest whole number

• Export #16 modified to allow entering blank dates of service.

• EDIVIEW modified to show errors with red background.

• New Export #33 added to list invoices by selected date of service range and selected first payment date range.

• ANSI V5010 improved SBR 2320 loop.

• ANSI V5010 changes for FL Medicaid.

• ANSI V5010 changes for KY Medicare (ISA05 and ISA07 = 27).

• ANSI V4010 changes for KY Medicare (ISA07 = 27).

• ANSI V5010 changed to allow transmitting invoices with zero balance. To prevent the claim from being transmitting, set the date filed.

• New export menu added.
• New export invoices added.
• Generated filename is “INVOICES.XML”
• Temporary fix to 5010 electronics for AL BC/BS.
• 2310A NM1 – referring provider info sent for all AL BC/BS claims.

• Export invoices updated.

• Claim Type defaults to “1” when adding a new invoice.

• Problem with printing invoices corrected (V24.60 bug).

• Corrected problem with main menu (V24.59 bug).

• Corrected problem with temporary fix to 5010 electronic claims for AL BC/BS (V24.59 bug).

• Corrected problem with XML generated by export invoices function.

• Corrected rounding problem in Posting Payments.
• Added flag to COMPANY screen (page 6 of 7) to allow selecting whether zero balance invoices are extracted for electronic claims. By default the program will extract zero balance invoices.

• 5010 electronics claims update for AZ Medicare.

• Corrected rounding problems in various parts of program.

• It has been reported that ALL secondary insurance companies transmitted with 5010 must have 9 digit zip codes.

• 5010 electronics claims problem when Medicare secondary and Auto insurance primary corrected.

• Changes to 5010 electronics claims for KY Medicaid. Test approved.
• 5010 modified to never transmit “Discharge Date”.
• 5010 modified to transmit fractional total miles (CR106).

• Corrected problem with XML generated by export invoices function.

• Corrected problem with 5010 electronic claims to BC/BS of AL. If patient is not subscriber, do not transmit patient’s social security in 2010CA REF segment.

• Problem rounding negative numbers corrected.

• Modified FL Medicare support to retreive 277 and 999 files.