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1996-05-18
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39
THE CUSTOMIZATION MODULE: LEHICSTM
We will now turn to the Customization Module. There are two major
components in this module:
- Program configuration and registration.
- Set up user-defined files which will be unique for your
medical practice.
Note that in the opening Customization Menu screen there are a
group of options in the lower left hand corner which are called by
function keys. The F1_key is a general help screen. F2, F3, and
F4_keys are for configuration and registration.
<< F2_KEY: USER CONFIGURATION >>
******************************************************************
This key calls a screen which prompts for a password to get the
user configuration screen. This password can be found in the text
file "USERPW.TXT" which is distributed with the program. The file
is available to all users whether or not the program is
registered. You, as "computer system manager" in your office, may
wish to limit access to this password file to specific employees.
For this reason it is not included in the manual.
******************************************************************
The user configuration screen permits you to enter your name,
address, insurance ID Nos, and related information which will be
printed on insurance forms and statements. When you get to the
screen, note the instructions in inverse video. Also be sure to
use the F1 Help Screens, which are specific for each field you are
completing.
We might add that providing non-registered users with this
configuration screen is one of the many strengths of our shareware
program. Some programs would require non-registered users to
handwrite or stamp identifying information onto their forms. This
in addition to being most inconvenient would create unprofessional
appearing forms. We do reserve a few features of the program for
registered users. However, the day to day operation of the program
is in no way crippled in the non-registered version.
The "user configuration password" should not be confused with the
"registration password". The latter password is discussed below
under the F4_key.
40
<< F3_KEY: PRINTER CONFIGURATION >>
******************************************************************
IMPORTANT NOTE: The program by default is configured for any
generic dot matrix printer (e.g. Epsom, Star, etc) connected to
LPT1. By using such a printer connected to LPT1, you will be able
to print all the forms and reports in the program without ever
having to use the Printer Configuration Menu.
******************************************************************
The Printer Menu allows you to define and send specific commands
to your printer. You may want to change fonts, send a formfeed,
reset your printer, etc. In many cases, it will be easier to
change a printer setting directly on the printer panel. Here you
the option of changing a setting from your keyboard. This may be
more useful if you are using a shared network printer which is not
in your immediate vicinity.
First note the function keys in the lower left hand corner of the
Printer Menu. (Don't get confused! We called the Printer Menu via
a function key <F3> on the Customization Menu. We are now talking
about the function keys on the Printer Menu.) The function keys on
the Printer Menu are as follows:
- F1: Help Screen.
- F2: Menu Items. This allows you to define your own menu
options for items 6, 7, and 8 on the Printer Menu.
- F3: Laser: Allows you to specify if you are using a laser
printer. Press the right or left arrow_key to indicate
your choice and save.
Now consider options 2 through 9 on the Printer Menu. These are
the various command options which you can send to your printer.
How do you define these commands so they work from this menu? This
is done under option 1, "Select Printer".
Option 1, if no printer has been defined, will take you to a
screen entitled Printer Codes. Here you will type in the name of
the printer, the description (e.g. the model number), and the
various printer control sequences for your particular printer.
Refer to your printer manual for decimal codes for your printer.
The help screen provides an example of how to enter these codes.
Type in your codes starting in the first field to the left. If you
don't use all the fields, press the Enter_key to get through each
unused field. When you have finished entering your codes, save the
screen by pressing the Enter_key from the last field.
After saving the control codes you are taken to the Available
Printers Table. This is pretty much self-explanatory. Use the
F9_key to select the printer whose codes you have just defined.
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Option 1 from the Printer Menu, will take you directly to the
Available Printers Table if any printers have already been
defined. Note that from this table you may add new printers,
modify codes for an existing printer, or delete printers. You may
also select a different printer from those available in the table.
<< F4_KEY: PROGRAM REGISTRATION >>
This function key on the Customization Menu screen allows you to
enter the registration password for the program. You will receive
this password when you register the program; again, this is not to
be confused with the "user configuration password" which is
provided with non-registered versions as well.
Once registered, the opening screens in the various modules will
identify you (or your practice name) as the registered user. The
name displayed on these screens will be that which you entered for
"registered user name" under the user configuration screen (F2_key
discussed above).
There are additional advantages to registration such as receiving
the search utilities and Managed Care Module.
PLEASE REGISTER THIS PROGRAM IF YOU USE IT IN YOUR PRACTICE BEYOND
A REASONABLE TRIAL PERIOD.
<< USER-DEFINED FILES >>
This is the other major component of the Customization Module.
Here you will define various codes and files which may be unique
for your practice.
******************************************************************
Some of these files, already defined or partially defined, are
provided with the program. You may use these files as is, further
modify them, or delete them entirely to create new ones.
Refer to the technical section of this manual for instructions on
deleting a file completely.
******************************************************************
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******************************************************************
IMPORTANT POINTS: Entry of data into these files is pretty much
self-explanatory. Selecting a menu option from the Customization
Menu screen gives you a scrolling table of items for that
particular file. (If no data have been defined for the file, a
data entry form comes up allowing you to enter the first item for
the file.) From the scrolling table you may add new entries,
modify existing entries, or delete entries. Each table has help
screens to assist you.
There are certain files that can be created properly only after
another file has already been created. For instance, the diagnosis
code file requires you to first complete the diagnosis category
file. This will be discussed below.
The ordering of items in a file may be important to you.
Especially for longer files you will want to have the more
frequently used items at the top of the scrolling table. This will
avoid having to page down through the table to get an item which
you use often, such as the code for a routine office visit.
******************************************************************
We will provide a brief description of each file and detail how it
works in the program.
<< UPDATE CLAIM OR ACCOUNT TYPE >>
This file contains designations for the various account and claim
types. Account Type refers to a particular patient, e.g. a patient
may be Blue Cross, Medicaid, Aetna, etc. Recall that you can
pop-up a list of available account types when filling in the
account type field in the Master Form. This is where you create
the file that holds the list.
Claim Type refers to a specific patient Encounter Form. The office
visit or hospital service might be billed to Blue Cross, Medicaid,
an HMO, etc. Generally the Account Type and Claim Type will be the
same although there will be exceptions. Some patients may have
multiple insurance carriers or supplemental coverage. The
Account Type designation would be that of their major carrier.
However some Encounter Forms may go to a different carrier.
Since this file is used for both account and claim types, some
users include an EPSDT designation in the file. This designation
of course, would only be used for Claim Type. The patient would
(in most states) be Medicaid Account Type.
******************************************************************
IMPORTANT POINT: If you are a Florida user and plan to bill
Medicaid electronically, name your Medicaid account type "MCAID"
and/or "MDPAS". See the Lehicaid Module in the manual.
******************************************************************
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******************************************************************
IMPORTANT POINT: You will note that when entering an item in the
file, you specify the order for the item. You will want to put the
commonly used account/claim types near the top of the list.
Also note that the account/claim type designation allows a maximum
of 5 characters. This will require you to do come creative
abbreviating.
******************************************************************
<< UPDATE DIAGNOSIS CODES >>
This file contains the diagnosis descriptions and codes which you
will enter on a patient Encounter Form. This listing of diagnoses
and codes is called up from a pop-up table when completing the
Encounter Form.
******************************************************************
KEY POINT: This file should only be completed AFTER you have
created the file for diagnosis categories, which is the next
option on the Customization Menu.
******************************************************************
You will note that the data entry form has 3 fields:
- Category: This (by pressing the F5_key) selects a
diagnostic category.
- Diagnosis: A description of the diagnosis, maximum 20
characters.
- Diagnosis Code: The ICD-9-CM code for the diagnosis.
<< UPDATE DIAGNOSIS CATEGORIES >>
This file contains the diagnosis categories that are selected in
the preceding diagnosis code file. You may enter any number of
diagnostic categories; maximum field length is 6 characters.
******************************************************************
IMPORTANT POINT: The diagnostic categories will be arranged
alphabetically in the pop-up table that is called from the
Encounter Form. You may want to devise category names so that
certain ones appear at (or near) the top of the list.
For instance, you may want to devise a category named "AAA" which
includes your most common diagnoses. Alphabetically, this category
would appear at the top of the list.
******************************************************************
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<< UPDATE CPT CODES\DESCRIPTIONS\CHARGES >>
This file contains the procedure (CPT) codes, service
descriptions, and charges which you will enter in a patient
Encounter Form. This listing is called up from a pop-up table when
completing the Encounter Form.
******************************************************************
KEY POINT: This file should only be completed AFTER you have
created the file for CPT code categories, which is the next option
on the Customization Menu.
******************************************************************
You will note that the data entry form for this file has 5 fields:
- Class: This is the CPT Code category which is selected by
pressing F5_key.
- CPT Code: The 5 digit CPT Code.
- Modifier: The 2 digit CPT Code modifier, if any.
- Description: A description of the service, maximum 15
characters.
- Charge: Your charge for the service.
<< UPDATE CPT CATEGORIES >>
This file contains the CPT categories that are selected in the
preceding CPT code file. You may enter any number of categories;
maximum field length is 10 characters.
******************************************************************
IMPORTANT POINT: The CPT code categories will be arranged
alphabetically in the pop-up table that is called from the
Encounter Form. You may want to devise category names so that
certain ones appear at (or near) the top of the list.
For instance, you may want to devise a category named "COMMON"
which will include your most common CPT codes. Alphabetically,
this category would appear near the top of the list.
******************************************************************
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<< UPDATE CITY LIST >>
This file contains a list of cities which can be popped-up when
completing this field in the Master Form. You can specify the
order in the pop-up table allowing the more frequently used cities
to be near the top of the table.
Of course, you have the option of typing the city into the Master
Form if you prefer not to use the pop-up table.
<< UPDATE ZIPCODE LIST >>
This file contains a list of zipcodes which can be popped-up when
completing this field in the Master Form. You can specify the
order in the pop-up table allowing the more frequently used
zipcodes to be near the top of the table.
Of course, you have the option of typing the zipcode into the
Master Form if you prefer not to use the pop-up table.
<< UPDATE DOCTOR LIST >>
This file contains a lists of doctors or other providers
(physician assistants, nurse practitioners, etc.) in your
practice. You can pop-up a table of providers for the appropriate
fields in both the Master and Encounter Forms. The field length is
maximum 5 characters.
Of course, you have the option of typing the provider name into
the form if you prefer not to use the pop-up table.
******************************************************************
IMPORTANT POINT: The first 2 characters for each provider should
be unique. Some reports that sort billing by individual doctor
look only at the first two characters.
Assume you have 2 doctors in your practice with names of John
Smith and Mary Smith. Appropriate designations would include JSMTH
& MSMTH; 1SMTH & 2SMTH; MARY & JOHN. Designations, SMTH1 & SMTH2,
would not be suitable because the first two characters are
identical.
******************************************************************
46
<< INSURANCE PROVIDER NUMBERS >>
This file is primarily used in the Insurance Module of the
program. When completing field no. 33 in the HCFA 1500 Insurance
Form, you will be able to pop-up a table containing the various
insurance plans and your provider number for each plan. Refer to
the help screens associated with this file as well as the help
screens in the Insurance Module for assistance.
This file has an additional use for group practices when
completing field 24K in the HCFA 1500 Form. Refer to the help
screens for assistance.
<< HCFA CLAIM TYPES >>
This file contains the "HCFA claim types" that are selected in
field no. 1 of the HCFA 1500 Insurance Form.
******************************************************************
IMPORTANT POINT: These claim types are general types that are
required on the HCFA 1500 Form. They are only used in conjunction
with this HCFA form. They should not be confused with the claim
types associated with the Encounter Form in this program.
******************************************************************
******************************************************************
KEY POINT: Do NOT modify these entries. These entries must remain
"as is" in order for the billing part of this program to work
properly. However, you may want to modify the order in which the
entries occur in the table. Position the more frequently used HCFA
types at the top of the file.
******************************************************************
Refer to the help screens associated with this file as well as the
help screens in the Insurance Module for assistance.
This completes our discussion of the Lehicstm Module.