HCFA Settings/Preferences
To set specific settings and options for printing the CMS-1500 form, select the Edit Menu – Preferences. Then click the HCFA Settings tab.
If your CMS-1500 form is not aligning correctly, you can nudge the data up/down and left/right.
Enter the nudge parameters in units of inches. For example 1/8 inch should be entered as .125.
Horizontal Nudging
Enter a positive number to move the text to the right.
Enter a negative number to move the text to the left.
Vertical Nudging
Enter a positive number to move the text down
Enter a negative number to move the text up.
You can darken the font by changing the font weight parameter. For CMS-1500 08/05, the font size and font type cannot be changed.
When using the Test button from the Edit – Preferences screen, make sure you click the Apply button after you enter new nudge parameters. Then click the Test button.
Procedure Charges
When creating claims, if the charge that you enter is different than the charge that is programmed for the specific CPT, you can have the standard charge updated for the specific CPT code.
Box 12 Date. The date printed for Box 12 can be set to the posting date of the claim or the date that the form is printed.
Box 26 Patient Identifier. Box 26 shows the patient id number. You can either print the internal MDC id number, or a self created chart number.
Box 9a. Box 9a will typically show the Secondary Insured Group or FECA number. You can also make box 9a show the secondary insured ID number. This change will affect all claims/payers.
Box 29. By default, box 29 will show $0.00 when printing a claim to primary, or it will show the Primary payment when printing a claim to secondary. You can set box 29 to also include primary adjustments and/or patient payments.
Prompt before changing Box 14 date. For OB/GYN’s Box 14 will automatically change to be 279 days prior to the EDC date. Check this box if you want to prompted prior to changing this date. By default, Box 14 will be set to the earliest date entered in the Box 24. If you edit a claim, and in the process of editing you change a service date to an earlier date, the date for box 14 will also reflect the earlier date. When this box is checked, MDC will prompt you before automatically updating the Box 14 date.
Warn when demographic data is missing. Typically, data that is highlighted in yellow in the patient demographic screen is required for claim processing. When you create a claim, if data is missing in these fields then MDC will warn you that data is missing. Check this box to turn off the warning message.
Allow Option to show CPT description in Box 24. Check this box if you require additional notes to appear in box 24 of the CMS-1500 form. The note will appear in the shaded area of the form directly above the service dates. When this box is checked, you can have the description of the CPT code automatically printed on the form. Additional options will be available when you create or edit a CPT code. Also, when this box is checked, you can selectively include the CPT description on the Claim screen when creating a claim.
Allow selection of Rendering Provider for Box 24J. The data for box 24J is automatically inserted in the claim form if the selected payer is configured to show data in this box. Typically, Box 24J will show the rendering provider NPI. You can override the automatic data entry by manually typing the NPI for each service line. There may be circumstances that require unique NPI’s to be shown for each service line of the claim. When this is the case, it will be simpler to just select the provider for each service using a drop down list. Check this box to allow a provider selection for box 24J.
Allow Patient Phase Level Modifiers. Check this box if you need to automatically insert modifiers based on the patient phase. When this box is checked, you can identify additional modifiers for each CPT code. You will also have the ability to set a phase level for each patient. The assigned modifiers will automatically be included based on the selected patient phase.
Allow option for fixed unit multipliers. Check this box if you need the ability to turn off the automatic multiplication of the procedure charge and the units. By default, the extended amount, or the amount that appears on the claim form will be the procedure charge multiplied by the number of units. When this box is checked, you’ll have the ability to keep the extended amount the same as the procedure charge regardless of the number of units entered. Enabling this option will give you further options when creating a claim that will let you fix the extended amount regardless of the number of units.
Claim Auto Fill. When you click the duplicate button when creating claims, MDC will automatically insert the CPT and Diagnosis codes of the selected claim. Uncheck or check these boxes to auto fill the CPT or Diagnosis codes.