24E diagnosis pointer change to alpha from numeric V18

[Hearmel]

Running Medisoft V18. With ICD-10 new HCFA box 24E requires a letter, not a number identifying the diagnosis with the code on that line. How can i change to letters?

[Gavin Walker]

We recommend Medisoft v19 which supports this and the new CMS-1500 2/12 claim form.

[sathish_kaizen]

I am using 12 DX per claim and using different DX pointers for each line item. But when printing the claim by paper in CMS 1500 02/12 form the BOX 24E not printing (E to L) DX pointers, Its only printing A to D pointers checked in DX pointer.

[Gavin Walker]

Are you using Medisoft v19.0? You need Medisoft v19 sp1 and you might as well install the hotfix while you are at it.

[whelanchiro602]

I'm running v20 Advanced & am getting numbers instead of letters when running testing. What setting do I have wrong?

[Gavin Walker]

You need to pick a report template with 2/12 in its name to print the new claim form. If you are using a custom report template, you need to start with one that has 2/12 in its name before you start making your modifications.

[whelanchiro602]

well, I'm not actually printing.. I'm uploading the print image to OfficeAlly, my clearinghouse. I don't think I have image control in that circumstance. I guess I need to start using the ANSI 837 (5010) format to upload to OfficeAlly?

[Gavin Walker]

Print image was not updated for the CMS-1500 2/12 form. You need to switch to ANSI 5010 claims using Revenue Management. Get with a Medisoft re-seller who can set this up for you. We currently charge $150 to setup the first practice to Office Ally for electronic claims.

[pablorpica]

Can somebody help me with the following issue.
I'm running Medisoft 19 SP1 (19.1.3.38) and I'm not able to modify a CMS 1500 02/12 form or report to print Dx pointers from E to L ( 5 to 12) in the box 24E. When you insert a "Data Field" object and try to add a new Dx pointer in the Data Field Properties from Transaction.Dxpointer#, you only see Dxpointer 1 to 4, there is not 5 to 12 to select from. I also tried another way: if Transaction.Diagnosis_5 = "1" then print "A", I repeated this line 12 times from A to L and still not able to print more than four Dx pointers in box 24E (CMS 1500 02/12).

[Gavin Walker]

The field names in the database are still named 1-12 because Medisoft used to support and still does support printing the old CMS-1500 8/05 claim forms. I would suggest that you look at CMS-1500 (Primary) 2/12 template that came with Medisoft to see how the diagnosis codes are done in that report. Or, it will probably be easier to start with that report template and re-do any configurations that you have done previously.

[pablorpica]

Gavin W. , thank you for the quick replay.
I've been trying with the CMS-1500 2/12 primary template but we only have 4 properties: Dxpointer1, Dxpointer2, Dxpointer3, Dxpointer4 to choose from in Transaction / Fields, there are not Dxpointer5 to 12 available to choose from.
What do you think about that. Is there any way to add those needed DxPointers to the Report Designer?

[pablorpica]

Gavin (or another forum member) can you give me an example of the expression that I have to write to be able to print Dxpointer 5 (or E)?.

[pablorpica]

While looking at box 24E in the paper form CMS1500 2/12, I found that if you use 12 ICD-10 codes there is not space for 12 (ABCDEFGHIJKL) DxPointers in it, so what is the solution for that?

[Gavin Walker]

We haven't come up with a solution for this in Medisoft v18. While you can have 12 dx codes on a claim, you are only allowed 4 pointers on any charge line.