Netsmart Technologies, Inc., formerly CSM, CMHC Systems, Infoscriber, Continues and AMS, Carenet, is and established, leading supplier of enterprise-wide software solutions to health and human services providers and payers nationwide.

Billing


Billing Description Release WO#
The Medicare electronic billing reports were modified to be made Y2K compliant as per Medicare specifications.  These reports now use the National Format Version 5.0.  The reports modified include the AR14I92, AR16CA, AR16CA5.  This was also done for the AR16 report. 12.02 35144   36358
A new cash drawer report is now available that prints the payments received by receipt number and also prints the check/credit card number if the payment was made by check or credit card.  The new report is the AR03T.  Please note that this report consists of only the user detail report and this new report can be run multiple times as it does not update any files. 12.02 35802
The AR155 report was modified to only complete the other insurance
section if the report is being run for step-down billing.
12.02 36630
The WRITEOFF report was modified to calculate the current balance and current payor when determining the amount and payor to writeoff.  The program had previously been writing off the current balance to original payor not the current payor. 12.02 36813
The AR14R report was modified to set the proper indicator for the primary and secondary insurance records in the NSF00101 file. 12.02 36149
The receipt programs were changed to allow the receipt to now distinguish between check and credit card payments. 12.02 36592
The AR105NC report was modified to indicate the type of claim submitted (Box 1); display the correct information in boxes 11, 11A, 11B, and 11C.  12.02 36654
The BD command was modified to copy the entire 5 character payor from the heading if the PAYOR 1 field is left blank. 12.02 36691
A new parameter has been added to the report AR13. This new parameter, SUBPGM/ALL, will allow the user to run the report for a specific sub-program or all sub-programs. If a specific sub-program is entered, the report will select records for THAT sub-program only. If the parameter is left blank or ALL is entered, all sub-programs are selected. 12.01 35795
The report AR01 report was modified to now allow the user to specify whether the report should use the transaction date or the entry date. The report previously used only the entry date to select the records. Now there is a report parameter that allows the user to enter an 'E' to continue to use the report as it had been set up or enter a 'T' to select the records by the transaction date. 12.01 35834
The report ARBIL was modified to allow the user to select the records by Payor Class or by the specific payor code. 12.01 36070
The billing interface was modified to work with the PLAN record to get the correct percentage and/or flat COPAY amount. 12.01 35727
The following billing reports were enhanced to use the new version 5.0 HCFA format: AR14R, AR14S, AR14EC, AR14GA and ARMHNSF. 12.01 35144
The PAY command was modified to display the proper and complete payor code for the current balance. 12.00 35638
The BD command was modified to properly recognize the entire 5-character payor code. 12.00 35761
A new report parameter had been added to the F15 report. This new parameter - CHARGE COSITE will now allow the program to use the cosite of the charge record for ALL payments and adjustments associated with that charge. If the report parameter is set to 'Y', the report will use the cosite of the charge record. If the parameter is set to 'N', the report will use the exact cosite from each ARFILE record. 11.04 34663
The PAY PRE command was modified to calculate and display the correct balance for the patient. This balance amount will depend on the LIMIT COSITE option on the OPTBIL table. If the LIMIT COSITE feature is active, only those charges for that cosite will be included in the total displayed on the screen. Otherwise, the total will include the charges for all cosites. 11.04 35482
The F1 report will now look at the CUSTOMER table to get the health department name rather than have the heading coded into the program. Update the CUSTOMER table with the code key '30' and enter the health department's name but limit the name to the first 30 characters rather than the usual 60. Be sure to enter the address information also so that it will print on the patient statements. 11.04 34739
The MPAY command was modified to now work like the PAY command. If you enter a specific payor code such as 5XXX, only those charges for that payor will display. If you enter the single character reimbursement code (such as R, S or 5), the program will select all records that match. 11.04 35042
The AR10 reports were modified to now print the century in the following boxes: 3, 9B and 11A. This was done for all reports printing the HCFA1500 form. 11.04 35261 34662 33464
The AR06A report was modified to include a new report parameter. This new parameter will allow the user to set the line number where the name and address should start on the page. This is to make adjustments for printing in window envelopes. 11.04 34891
Please note that on the Patient Statement reports (AR06XXX series or AR6XXX series) that on the MIN BILL $$ parameter, you can only enter a 2 digit number. Any other value entered into this parameter will potentially cause the report to ignore the minimum amount and create a bill for all patients. For example, to enter a minimum balance amount of $2.00 enter 02 in the report parameter field. For a minimum balance of $25.00, enter 25. 11.04 35007
The AR10S report was modified to now print a CLIA number in box 23 - PRIOR AUTHORIZATION NUMBER, of the HCFA1500 form when the procedure service type is LA (LAB). Enter the CLIA number in the table COSITE2. 11.04 35022
The AR10 reports were modified to report the ACCIDENT JOB/AUTO/OTHER fields from the encounter screen. What ever the user marks on the encounter for these fields is now moved to the appropriate fields in box 10 of the HCFA1500 form. 11.04 35127
The F15 report was modified to now allow the user to select the ARFILE records based on the accounting date. Now the user can run the report to select the records based on the transaction date, the entry date or now, the accounting date. 11.04 35134
The AR14 report has been changed to ensure that the first DA0 record that is created contains the patient financial information for the payor code that is being billed. There had been a problem if the priority of the payor code selected was not priority 1. 11.04 35425
The PAY ALL command was modified to accommodate step-down billing. This screen will now display a balance record for each payor that has ever had a balance for that procedure. For example, the original procedure was posted for Medicaid (Payor R), then transferred to Self-Pay (Payor 6), when the PAY ALL command is issued, you will see a payment record for both Payor R and Payor 6. The balance on the Payor R will display as 0 since the amount due was transferred from this payor. The PAY command was modified to correctly include all credit balance items was well as the debit balance items. 11.03 35080
The F4P report was modified to now display the description of the payor code on the printout. The description will come from the REIMB table except for payor 'Z' which will come from the ZPAYOR table and for any payor that uses the INSURANC table. Those payor codes will display the INSURANC table description. 11.03 34229
The F4P report was also modified to add several parameters. The first sets the default printer that will print all of the report segments. If this parameter is left blank, the report will print at the COSITE's default printer. This cosite specific printer is determined from the COSITE table, COSITE PRINTER field. The next 6 parameters allow the user to specify up to six cosites to include in the report. If you leave all six cosite parameters blank, the report will run for ALL cosites. 11.03 34406
The AR10x reports were modified to now display the payor code description on the audit report. If the user runs the report with a one character payor code such as 'R', 'S' or '5', the description will come from the REIMB table. If the user enters a five character payor code such as '5xxxx', the description will come from the INSURANC table. This description will display in the report heading. 11.03 34402
The AR10x reports were modified to use the correct records when looking at the PROVSITE table. 11.02 34892
The BD/BH commands were modified to not include the adjustment code 94 amounts in calculating the total of the batch. 11.02 34816
The PAY command was modified to include all 0 balance and credit balance items. 11.02 32470

34940

The BD command was modified to highlight errors and require the user to fix these errors before the BD records will be written to the file. Please note that since there are so many lines available in the BD command, the entire line will highlight if there is an error on that line. 11.02 34991
The report AR14 was modified to use the COSITE2 table only for payors R and E. 11.02 35002
The BDP command was modified to use the corrected Y2K modified key field of the BDPFILE. 11.02 35004
The AR10x report was modified to use the MCO number from the PROVSITE table only if the payor code is MCO. 11.02 34804
The WRITEOFF report was modified to properly use the entire five character payor code. If the user enters the payor code of 5, the report will include ALL private insurance records. However, if the user enters a specific private insurance company such as 5XXXX, the report will only select those records that exactly match that payor code. 11.02 53752
The AR10R report was modified to move the PROVIDER MEDICAID NUMBER instead of the MEDICARE number to Box 24K of the HCFA1500 form. 11.02 34629
CH Screen.Previously the preloaded default End Effective Date on the CH screen was 01/01/99. This data item will now default to a date two years from the current system date at time of entry. Caution: Because the system has been pre-loading End Effective Dates of 01/01/99 for many years, you may have charges which will expire on that date. In advance of 1999 you may wish to review your data. A special file fix program has been written to automate the resetting of the CH End Effective Date. 

To run this job, enter: CALL FIXCHH01 PARM('old-end-eff-dt' 'new-end-eff-dt') For example: CALL FIXCHH01 PARM('01/01/99' '12/31/2002')All standard date formats are acceptable.

11.01 No WO#
Report AR10R has been modified for HCFA-1500 block 24K table PROVIDER Medicaid number will be printed instead of incorrectly printing the Medicare number. 11.01 34629
Report WRITEOFF has been modified to allow entry of a specific payor class and payor code such as 5ABCD. Previously only the single character reimbursement code could be entered for example 5, this would writeoff all payor 5 regardless of insurance code. Now if more than one character is entered the system will search for an exact match. If only 5 is entered then all insurance codes are written off. 11.01 34752
Report AR10S has been modified to properly retrieve the MCO# from table PROVSITE only when payor is MCO. 11.01 34804

34892

The AR10x report was modified to print the correct provider identification number when using the PROVSITE table. 11.01 34340

 

 









                                                                                       

 
   
 
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