Office Therapy
-
Fixes
-
Insurance Filing History - the Filed On Date was showing the same date as the Transaction Date after adding options to display Filed to Primary and Filed to Secondary Dates added to the view. You can replace Filed On with Filed to Primary, though the Filed On Date has been fixed to show the correct date.
-
Runtime error when opening Office Therapy. This was due to opening Office Therapy after closing the application in a position off the screen or too far from the top or left.
-
Statements or Bills were not showing a 0.00 for $0 charges, but instead were not showing anything for the amount.
-
Error generating Legacy, Overdue Insurance Payment Report when filtering (excluding) specific insurance companies.
-
When adding a diagnosis for a client, if you enter an ICD-10 Code and press Enter, the diagnosis is saved but without the corresponding old ICD-9 code. The Enter key does not save and close the screen anymore. A diagnosis added in this way also caused the Claims Manager to fail to recognize there was a diagnosis for the client.
-
Months without Pay column on Client List not calculating correctly. This has been corrected, and now you can see months without payment for clients and for insurance - columns can be added for each.
-
Optional message when generating statements/bills allows more text that is allowed in database.
-
Under Maintain Electronic Filing setup, when filing with Trizetto, a phone number is required for the Submitter EDI Contact Information. This field now requires a phone number (numeric only) when the EDI Contact type is a phone, and if an email, must be formatted as an email address.
-
When adding a Group Appointment the CPT or Service drop-down and Provider drop-down does not auto-search as you type. Also, tab order was incorrect.
-
Quick Bill Advanced processing prints blank pages when run after the billing period date. This was due to using the current date as end of billing period rather than the end of month billing date.
-
When entering a value for box 33b Office Therapy is pulling in 24J shaded, should only be pulling 33b and 24J shaded should be left blank. To correct this, you can enter the value of 24j in the 33b box and then enter a Secondary ID and Secondary ID Type (If needed) on the main Insurance company tab, or on the E-File tab (if displayed).
-
Obsolete Paper or Filing formats (e.g. NSF) removed from database. If you have any Insurance Companies set for these you will need to reset to current Paper format option or set for electronic filing. NSF is no longer supported.
-
Provider License which can be multi-line is not doing more than 2 lines of text. It now allows up to three to be displayed.
-
Next Appointment Date on Encounter slip not formatting correctly. This was fixed to show the date/time is there is a future appointment, or a field for entering the next date by specific date or number or weeks, months.
-
When "Leave Blank" is selected for box 24J, the NPI is still printed on the claim.
-
"Invalid distribution" message under certain conditions where using % Due and the percentage is a decimal.
-
Under certain conditions when entering a payment from one party and allocating it against another party who was responsible, the Payment Method was not being saved. When opening and trying to change it, the payment method is locked (by design).
-
The Insurance Filing History view was showing all charges for clients with insurance even where a claim was not filed (though entering an empty date for date filed). This occurred after columns to differentiate dates when filed to primary and to secondary. This view will now only show where insurance has been filed and will show when last filed to primary and to secondary.
-
When entering a diagnosis for a client using the ICD-9 code and pressing tab or enter, if there were multiple ICD-10 choices, the one selected would not populate.
-
The Standard, default column list for Insurance Filing list now uses the new Filed on Primary and Filed on Secondary columns in place of the old Filed On column. (You can change any user-defined lists for Insurance Filing to use these columns in place of the Filed On column.)
-
Message concerning the change from 4010 to 5010 no longer displayed when first using Office Therapy. This message is no longer needed.
-
Enhancements
-
Appointment alerts added. Right-click a client and select Alerts. You can enter an alert to trigger when adding an appointment and setting a client to arrived status. A popup alert is called for each event.
-
Inactive providers no longer appear in list on calendar. See Preferences...Customize...Hide Inactive Providers under Calendar setting.
-
Charge screen now shows diagnosis on main tab making it easier to select relevant diagnoses and reducing chance of diagnosis not being selected.
Office Therapy
-
Fixes
-
Report Essentials Daily Charges Summary By Provider Report updated to now include transactions that are billed. The old report didn't include billed charges.
2. DailyPaymentsSummaryByProviderByTransReport now includes refunds with the reports. This report should match up with the provider earnings detail for payments and refunds.
-
Report Essentials Daily Payments Summary By Provider By TransReport now includes refunds with the reports. This report should match up with the provider earnings detail for payments and refunds.
-
When printing paper claims, if the box 29 option (found on Insurance Company setup, HCFA details tab) is set to "Leave Blank", the produced claim form has "0.00" in box 29. This user is getting those claims rejected, because Medicaid wants the box completely blank.
Office Therapy
-
Fixes
-
Facesheet corrected to include ICD10 codes.
-
CLIA number added to company profile and 837 processing.
-
Issue creating new provider password when new providers syncronized to QuicDoc.
-
Fixed Invalid Provider ID issue while processing remits.
-
Walkout state generating estatement file. It should not generate a file.
Office Therapy
-
Fixes
-
ICD 10's not
showing up on encounter slips.
-
Added Unallocated
Amount column to default fields in list for Client Transaction.
-
Do not call in
the Client setup is now changed to do not contact. If the Do not contact is
checked, then Phone, Text, and email are unchecked. If phone, text, or email are
checked then Do not contact is unchecked.
-
Fixed issue with
unallocated balances not being applied correctly. A new "Allocation Flag" field
is now available in the list of fields available to add as a column to the
ledger.
-
Fixed issue with claims
manager producing additional claim for the same date of service on ICD10 files
when primary and secondary insurances were setup for a client.
-
Turn off Medicaid
restriction on Client-->Insurance-->Additional details button.
-
Added the payment date
for the pending credit card transaction report.
Office Therapy
-
Fixes
-
Fixed issue with ICD 9 claims for same patients. Claims were not batched together on same claim. Instead of a new claim was being created causing rejections.
-
Fixed issue with power charging group appointments using ICD 10 codes.
-
Fixed issue with Superbill showing ICD 9 codes instead of ICD 10.
-
Fixed issue with creating a payment and using apply credits. If you enter an amount and don't tab or move out of the cell and click ok, the amount will not be deducted from any unallocated balances.
Office Therapy
-
Enhancements/Changes
-
Added option for Advanced Quick Bill to the clients menu to run bills for all clients that have had any charges, payments, or a balance since their last bill cycle.
-
Fixes
-
Cell phone syncronization from Office Therapy fixed.
Office Therapy
-
Enhancements/Changes
-
Help menu now
includes a link for Remote Support.
-
Fixes
-
Tiered Earnings Report
now includes calculation for provider earnings for date range selected instead
of YTD calculation.
-
Active Status not updated in QuicDoc when selecting from the main client grid.
-
Same day DOS claims are
being thrown on seperate transactions for the same client (ICD10).
-
Cell phone numbers should now be synchronized between OT and QD.
Office Therapy
- Enhancements/Changes
- eStatements
and paper statements now pulling in ICD10 codes.
- You can
now use ICD 10 codes in the main client screen as part of the Diagnosis
column.
Version 11.6.01 (September 10, 2015)
Office Therapy
- Enhancements/Changes
- Update
Standard Diagnosis screen to allow for crosswalk of DSM Codes to ICD 10. If
there are multiple ICD 10 matches then present
the user with a screen to convert the codes.
- File
Insurance 4010 turned off as it will not send ICD 10 codes.
- Remove
Add standard charges from Claims Manager ERA's.
- Old
4010 fields removed from Provider-->HCFA details screen (31, 33, and
33a) labels and textboxes.
- ICD 10
Exceptions Report added to aid in ICD 10 migrations. This is a list
of active clients without an ICD 10 diagnosis or do not have a diagnosis.
- If
ICD10 block contains data, then the old DSM codes from standard charge
screen are invisible. A button is available to show the codes
again.
- Fixes
- Tiered
Earning Report calculations for multiple tiers fixed.
- When
producing an ICD-10 batch of 837 claims using ICD-10 mode, if a client
has more than 4 ICD-10 code, the generated claim
correctly uses the ABK code for the primary code, but for any additional
codes, Claims Manager will incorrectly use a BF code when it should be
ABF for ICD-10. This issue has been resolved.
- Onset
illness Box 14 date fixed.
Version 11.6.00 (August 19, 2015)
Office
Therapy
- Enhancements/Changes
- ICD 10 Date flip for 2015. In
the Preferences-->Customize-->Administrative settings, the ICD 10
checkbox will be enabled when the system date is >= 10/1/2015.
- Claims Manager ICD tab now selects ICD radio button on
or after 10/1/15 by default.
- User changes now added to the audit log automatically
regardless if the audit log is on or off.
- Claims Manager ICD tab now selects ICD radio button on
or after 10/1/15 by default.
- Seperate
bills can now be generated to individual PDF files for each customer.
- Added Top 25 diagnosis reports to the Reporting menu.
- Fixes
- Tif
viewer in the cloud changed to use the OS phto
viewer for printing instead of the OT Forms based version. This
fixes a problem with printing in the cloud.
- Reszing
of main window fixed. When you click to restore the window it minimized
down and had to be resized again.
- eStatements FTP password updated to pull from FTP
Username and FTP password instead of GEDI User/Pass
- When changing provider fee and fee reduction values in
ledger, percentage based values would not change to reflect the correct
balance.
- Fix for ensuring unallocated balances are calculated
correctly. When using the enter key, or clicking on ok to apply credits,
the totals would not calculate at the bottom.
- Onset of Current Illness or Symptom Date cannot be a
future date and therefore will not be automatically populated when a
client is added to Office Therapy. This reduces the number of
claims rejections.
- Standard charge fixed amounts not calculating
correctly.
Version 11.5.10 (June 24, 2015)
Office
Therapy
- Enhancements/Changes
- Added Diagnostic Codes to eStatements. The new DiagCodes section will hold up to 12 codes.
- OTMessanger
is now always available under the Activities menu.
- Allow OTMessanger to do CC
and BCC.
- Update Insurance Filing History to pull from 5010
information.
- Added Top 25 diagnosis reports to the Reporting menu.
- Fixes
- Updated browser control to help fix internet explorer
scripting errors in the cloud.
- ICD 10 functionality on recurring calendar scheduled
appointments fixed. This was pulling old DSM codes.
Version 11.5.8 (March 19, 2015)
Office
Therapy
- Enhancements/Changes
- Office Therapy is ready for ICD 10 BETA testing with
Gateway customers. Please contact sales to get activated for ICD10
mode.
- You can now switch from ICD9 to ICD10 mode in claims
manager for submitting 837 claims. Insurance companies will may not be able to handle ICD10 processing on
10/1/2015, so we allow you to select which mode to submit claims when you
batch your claims.
- You'll be able to finish batching your old claims separately
from the ICD 10 claims to allow for a clean transition to ICD10.
- Gender is only sent over to QuicDoc when adding of a
new client.
- Procedure codes are now sent to Trizetto in
eStatements. Note: Trizetto still has their end in
development for printing the procedure codes on the statements.
- Fixes
- Issue with bill printing where ledger balances were
not matching up with printed bills. If you pull up a client and check the
"Also print "charges only" bill?" It would calculate
amount owed by client on the bill when running printed statements. This
was corrected.
- Special characters such as ' and & were not
processing correctly in eStatements. This has now been fixed.
- Issue with some charges containing a fixed amount and
a percentage due. Root cause was that CM was not removing the % due when
viewing a charge and updating the fixed amount. The fixed amount would be
posted, but the percentage within the charge would not be removed which
caused totals to incorrectly calculate.
Version 11.5.6 (November 3, 2014)
Office
Therapy
- Enhancements/Changes
- Printed 02/12 Paper claims can now be sorted by Payer
or Patient
- Users have the ability to generate electronic states
via Trizetto. This requires contacting Trizetto.
- When processing ERA's, you will now see new checkboxes
for Warnings and Alerts. This allows the user to process filter out
ERA's that have Warnings or Alerts.
- Fixes
- When printing future appointments, no time is
specified. This was corrected
- Nullable object must have a value when running
claims. Some claims had a charge, but the client did not have a
standard diagnoses. Users will now be prompted with the clients
that have diagnosis issues instead of the claims failing.
- When processing ERA's, any claims that do not have control
# will not be processed in claims manager. Even though they show up
in the list, they are filtered out when processing claims. These
have to be processed manually.
- Electronic setup now automatically prompts user to
create the 837 directory if it does not exist.
Version 11.5.5 (July 17, 2014)
Office Therapy
- Fixes
- Fixed Bad File Error when trying to produce bills.
- Fixed issue with the database updater which kept
prompting users to update the database and would not launch OT.
Version 11.5.4 (July 16, 2014)
Office Therapy
- Enhancements/Changes
- Claims Manager was updated to let the user know if
there is a diagnoses identified on a charge that is missing client
diagnoses. This functions the same way as they do for electronic claims.
The claims “scrubber” will trigger when no diagnosis exists at all, or
when a DSM-4 exists but no ICD-9 (legacy) exists.
- Added new fields to prepare for electronic
billing/E-statements.
- Added Remit To information on
Administration-->Maintain Company Information-->Billing Information
tab for future electronic statements. The following fields were added:
address 1
address 2
city
state
zip
billing phone
- Fixes
- Claims were being rejected because there was a period
in the HCFA 1500 02/12 for diagnoses codes in block 21. The period is
removed for all ICD codes in box 21.
- Onset Date Qualifier was corrected to allow a value of
484. Box 14 and 15 were corrected as they would not save blank values if
nothing was selected in the combo boxes.
- OTUpdater now correctly displays Old and new versions
of the database on the Updater screen.
- Fixed issue when trying to reproduce electronic
claims.
Version 11.5.3 (April 24, 2014)
Office Therapy
- Enhancements/Changes
- Added ability to modify/add new ICD9/10 codes.
View-->Diagnoses Codes--> Legacy ICD-9/DSM-IV Codes & ICD 10
Codes.
- Fixes
- Fixed Type Mismatch Error in Standard Charges when
entering non numeric values in the grid.
- Fixed issue when trying to adjust the check box in box
10, “The value cannot be saved because the data to be saved in
FormItemName exceeds the limit of 50 characters.”
Version 11.5.2 (April 1, 2014)
Office Therapy
- Enhancements/Changes
- Added ICD Code 300.3 Obsessive Compulsive Disorder to
New ICD Listing
- Fixes
- Standard Charges Totals did not refresh when entering
a new standard charge or changing the standard charge.
- Auto Update – the auto update feature is now enabled
for updates or service packs after this update version.
Version 11.5.0 (March 24, 2014)
Office Therapy
- Enhancements/Changes
- Added the ability to print existing charges to the old
HCFA 1500 08/05 or 02/12 format. Current and new charges can still
be printed on the 08/05 forms. Check with your payer to see if they
accept the new 02/12 forms.
- New ICD9/10 conversion tool to help convert ICD 9
codes to ICD 10. See Client… Diagnosis... Add or Modify
- Added ability to store 12 ICD-10 diagnosis codes per
client on Client…Diagnosis
- New nudge/alignment tool that allows positioning and
saving of each field on the HCFA 1500 02/12 form.
- New Claims Code (10d) added to charge screen for the
02/12 form.
- New Other Claim ID (11b) added to charge screen for
the 02/12 form.
- New qualifiers for box 14, 15, and 17 on
Client…HCFA/837 Details added to client screen for the 02/12 form.
- New free form qualifier added for box 19 on
Client…HCFA/837 Details added to client screen for the 02/12 form.
- Claims Manager now sorts by insurance company for
02/12 paper claims.
Version 11.1.0 (August 26, 2013)
Office Therapy
- Enhancements/Changes
- Added preference to Hide 4010 Claim Filing menu option
and task pane link (for customers using 5010). See
Preferences...Options...Administrative tab.
Also, on Company Info, if Hide
4010 is True, hide Use Company Information for the 837 Pay To Address
checkbox and label stating "(This setting only applies to 4010
claims)"; On Company Info, if you check "Allow 4010" and
Hide 4010 preference is True, it will change preference to False. On
Provider Setup, if Hide 4010 is True, hide fields pertaining to 4010 on
HCFA Details tab.
- Hide E-File tab on Insurance Setup. Moved Activate
Electronic Filing, Filing Format, and National Payer ID to first tab of
the Insurance setup and removed e-File tab since other indicators now
obsolete. Can be re-activated if necessary by DTI Support.
- Hide E-File tab on Provider Setup. Moved Activate
Electronic Filing for Provider and Taxonomy Code to first tab of the
Provider setup and removed e-File tab since other indicators now
obsolete. Can be re-activated if necessary by DTI Support.
- Hide E-File tab on Client Setup. Information now
obsolete. Can be re-activated if necessary by DTI Support.
- Added a field under Company setup for Company Taxonomy
for payers who need the company taxonomy and provider taxonomy in separate
loops of the claim. Also requires checking value under the Insurance
Company setup to use both codes. Required in some states where Medicaid
requires company taxonomy in loop 2000a)
- Preference added to suppress Check for Updates (see
Preferences..Options)
- Added fields in Referrals for Taxonomy, IDs and ID
Types. OT now uses Referrals list, where referral is a Physician, to
select Referring M.D. under HCFA Details. It will auto-populate Taxonomy
and IDs where entered.
- Walkout Statement which included option to print date
of next appointment now also shows time.
- User Fields on Client Setup, Client Transactions Setup
screens is now on one column. If number of fields is higher than screen
height you can scroll vertically to view them. In previous versions, if
more than 10 fields, they were arranged in 2 columns limiting view of the
data entry.
- General clean up and UI changes
- Fixes
- Not saving logo/image for Company
- When doing Aging Report, report showed All clients
even though option selected to show Active Clients Only.
- When charging an appointment for a client with no
diagnosis, Office Therapy sometimes inserted the diagnosis of the last
entered client. (even though the diagnosis was not associated with the
client with no diagnosis, was not saved nor was sent with a claim.)
- Error when clicking button to access scanning
interface.
- Claim not showing Middle Initial of Client in Client
loop when subscriber of Insurance not the client.
- Claims being generated for Clients with no diagnosis
even though prompt states they will not be generated.
- Insurance address prints to HCFA 1500 even though
checkbox to not print Insurance address on HCFA1500 is selected.
- Dash removed from zip code when zip +4 on HCFA-1500
causing rejections from some insurance payers
- You can enter more than 50 characters for field name
for user fields, but it results in an error.
- Claims Manager - When processing ERAs, if the ERA and
Charge do not reconcile and you need to modify the charge information,
the information grid automatically refreshes after saving the updated
charge information and returning to the information grid. Also, when
modifying the charge, the Amount field is fixed to allow only numeric
data and the charge distribution grid has been modified to display 2
decimal current when in edit mode (When clicking in grid to edit an
amount, the amount displayed as $20.0000 instead of $20.00)
- Dates of Service were being printed on CMS-1500 in
order of entry rather than sorted by Date of Service.
- Not auto-filling charge distribution information for a
non-standard charge when Charging an appointment from the calendar
Version 11.0.9 (March 7, 2013)
Office Therapy
- Fixes
- Shortcut icon for Office Therapy not showing properly.
Version 11.0.8 (March 5, 2013)
Claims Manager
- Fixes
- When printing the 5010 HCFA Form, the birth dates in
boxes 3, 9b and 11a will be in the MM/DD/YYYY format.
Version 11.0.7 (March 5, 2013)
Claims Manager
- Fixes
- When printing the 5010 HCFA Form, some of the dates
were using the MM/DD/YYYY format. I have corrected the form to show all
dates in the MM/DD/YY format.
- The claims manager error checker used to stop a claim
from being added to the electronic claim if there were issues with the
date of birth, zip code, illness onset date or claim file indicator. This
has been changed. The claims will still be included in the electronic
claims but the provider will receive a message that the claims may be
rejected because of missing/incomplete information. When receiving any
error checker messages, we recommend correcting the issues and
re-processing the claims before submitting them.
Version 11.0.6 (February 21, 2013)
Claims Manager
- Fixes
- When filing an electronic claim with a subscriber
other than the client, the electronic file may have been missing
information. This has been fixed.
Version 11.0.5 (February 18, 2013)
Claims Manager
- Fixes
- When using a Party as the subscriber for a client that
has a DIFFERENT address entered in the party setup, the complete
address/city/state/ZIP does not print on the HCFA paper claims. This has
been fixed.
- Box 20 is not being checked "No" on the HCFA
forms. This has been fixed.
- "Full Time Student" is not being checked on
the HCFA forms despite having entered it in the client setup. This has
been fixed.
- If the "scrubber" utility designated an
issue with a claim it would still be included in the electronic claims
with data missing. This has been fixed.
- The ERA payments were using the overridden provider
name (if applicable) as the provider for the payment. The rendering
provider will now be the associated provider name on the ERA payment.
Version 11.0.4 (February 7, 2013)
Claims Manager
- Fixes
- If the provider address was long, it may have been
getting cut off in box 33 of the paper claims. The box has been made
larger to allow an increased number of address characters to print on the
HCFA 1500 form.
- The 24H value was not printing on the paper claims.
This has been fixed.
Version 11.0.3 (January 24,2013)
OfficeTherapy
- Fixes
- When providers, using a 64 bit operating system, tried
to scan client documents in Office Therapy the program would immediately
close. This has been fixed.
Claims Manager
- Fixes
- On the paper claims, if a provider selected to use
custom billing address information, the phone number in box 33 was not
being populated properly. This has been fixed.
- On the electronic claims, the hospice indicator
wouldn't print if there was more than one procedure code modifier used.
This has been fixed.
Version 11.0.2 (January 4, 2013)
OfficeTherapy
- Fixes
- An object not set error could be seen if the company
information was saved without the company name being filled in. This has
been fixed. The company name is still required.
Claims Manager
- Fixes
- Secondary paper claims wouldn't allow the group
secondary ID to be listed in box 33b of the HCFA 1500 form. This has been
fixed. To show a group secondary ID, go to the insurance company's
information-E-File tab and put information in the secondary id and
secondary id type boxes.
- The date of birth was mandatory during the data
validation checks. This has been changed to recommend. The program will
warn the provider of a missing date of birth, however, it will still
process the claim.
- The secondary insurance claims wouldn't automatically
show in the grid unless the "include charges that were already
marked as filed" box was checked. This has been corrected.
- Enhancements
- A button has been added to the claim processing
results page. If any errors were encountered when producing the
electronic claims, the "Show Error Report" button will list the
errors and the clients affected.
- If a claim is unable to be processed because of a
missing date of birth, the log will now indicate whose date of birth is
missing as well as the client name.
CPT Manager
- Enhancements
- The Add CPT code function would only add the charge
types for new procedure codes. The charge types can now be added at any
time.
- The CPT Manager help files
have been added to the application.
Version 11.0.1 (December 11, 2012)
OfficeTherapy
- Enhancements
- Three daily reports were added to Report Essentials.
Two daily payment reports were added. One report is run by the
transaction date and the other is run by the entry date. The third report
is a daily charges summary report. All three reports can be found in
Report Essentials under the "Daily Entry Reports" folder.
Claims Manager
- Fixes
- Claims Manager required an illness onset date as a
part of a data validation check. Since this segment is situational, the
program has been changed to only evaluate the date if it is filled in.
The onset date is no longer required. However, if it is available, it
will be compared to the date of service for a validity check as the onset
date must be on or before the date of service.
- Enhancements
- On the "Process ERA Payments" screen a
drop-down box for payment method was added. The drop-down list
automatically searches for 'EFT'. If it's not found, it will default to
the first item in the list. Once the "Process Payments" button
is selected, this payment method will populate the drop-down list on the
payment screen in Office Therapy.
CPT Manager
- Enhancements
- The "Adjust Appointment Charges" utility has
been added. This utility is used to update appointment charge types. On
1/1/2013 new CPT codes will need to be used. Any recurring appointments
may still have the retired CPT codes. Use this utility to update the
appointment CPT codes.
Version 11.0.0 (December 3, 2012)
OfficeTherapy
- Fixes
- If you switched the calendar view to "week"
and then went to another part of the program, the "day" view
would be showing again when you returned to the calendar. Once you select
the "week" view the calendar will remember for that session.
- After making a payment, Office Therapy would ask to
file the secondary insurance claim (if applicable). If 'Yes' is selected
the program would take the provider to the 4010 claims filing process.
This has been removed from the program. To file secondary claims, open
the Claims Manager and search for open secondary insurance claims.
- Enhancements
- A link has been added to the CPT Manager application.
This application will be used to update CPT codes and standard charges.
- A validation check has been added to the charges
screen to validate CPT code filing. When you press "OK" to add
a charge for the client, the program will check to see if the CPT Code is
valid for that date of service. If it is not, it will not allow the
provider to add the charge.
- The effective date and expiration date fields have
been added to the procedure code screen. This information is used in the
CPT validation check of the charges screen.
- A 5010 Insurance filing history report has been added
to Report Essentials.
- A deceased flag has been added to the client screen.
- The Charge Type has been added to the Client
Information table on the calendar.
- The help files have been updated.
- Information
- The e-prescribing functionality has been removed from
the program.
- By default, 4010 claims processing has been disabled.
To enable, go to File-Administration-Maintain Company Information and
select the "Allow 4010 processing" item.
Claims Manager
- Fixes
- The Claims Manager claims log report wouldn't show any
paper claims records if there were no electronic claims. This has been
fixed.
- Office Therapy allows the group name of the insurance
company to be 60 characters. Claims Manager only allows 50. If a group
name is more than 50 characters it will be truncated in the electronic
filing.
- When searching for the unfiled secondary insurance
claims, the Claims Manager would show all secondary claims. This has been
fixed.
- Enhancements
- Added 5010 electronic remittance advice (ERA)
processing. In order to use this functionality, the electronic claim (837
file) must be generated from the ClaimsManager
in 5010 format.
- Added additional electronic claims validation
checking. When processing electronic claims, the program will now check
for the required fields: Diagnosis, Provider NPI, Rendering Provider
Name, Rendering Provider Tax ID, Rendering Provider Address, a 9-digit
Provider Billing Zip Code, Client Date of Birth, a Claim Filing Indicator
and the Benefit Assignment Certification Indicator. Claims Manager will
also check to make sure the illness onset date is on or before the
client's date of service.
- A button has been added on the main menu for the help
files. The files can also be accessed by pressing the 'F1' key.
Version 10.0.40 (October 26, 2012)
ClaimsManager
- Fixes
- An error would appear when trying to file 4010 claims.
This has been corrected.
Version 10.0.39 (October 25, 2012)
ClaimsManager
- Fixes
- The subscriber middle initial and suffix (if
available) were not being sent in the electronic claims files. This has
been corrected.
Version 10.0.38 (August 2, 2012)
Claims Manager
- Fixes
- An object reference not set to an instance of an
object error was produced when filing some claims. This has been
corrected.
Office Therapy
- Fixes
- The "My Fields" textboxes would overlap the
command buttons if there were more than 10 fields defined. This has been
corrected.
Version 10.0.37 (July 31, 2012)
Claims Manager
- Enhancements
- The hospice employee indicator loop has been added to
the electronic claim files. In order for this loop to be included in the
file, the insurance company name must be 'Medicare' and the procedure
code modifier must be a 'GV' or 'GW'.
- If a provider would like their credentials to show in
box 31 of the 1500 paper claims, they can go into the Office Therapy
Insurance Specific Provider Settings and use a custom billing name. This
billing name will appear in box 31. To add the credentials, simply add
the credentials after the last name in the custom name field.
Office Therapy
- Fixes
- When a GEDI Password was filled out in Office Therapy,
it would overwrite the FTP password. This has been corrected. You may
need to re-save the FTP password.
- If a user control name was long, the name would be
truncated on the screen. That field has been widened.
- Enhancements
- When accepting credit card payments there is an option
to process the payment manually. If this is selected, a message box will
appear to remind the provider that the credit card information will not
be sent to the payment processing company and that the payment cannot be
processed at a later time without re-entering the credit card
information.
Version 10.0.36 (July 6, 2012)
ClaimsManager
- Fixes
- The company NPI would show in box 24J of the paper
claim if the rendering provider was set up to file using the company
(group) NPI. This has been fixed.
Version 10.0.35 (July 2, 2012)
Claims Manager
- Fixes
- If the rendering provider was overridden on a charge,
and the claim was being submitted on paper, the NPI would show for the
rendering provider instead of the billing provider (in box 24J). This has
been fixed.
Office Therapy
- Fixes
- When selecting the "Upload to Clearinghouse"
button after processing a claim, the default folder of
"/Claims" was used as the FTP folder at the Clearinghouse. Not
all Clearinghouses use that folder for incoming FTP files. A textbox was
added in Office Therapy under File-Administration-Maintain Electronic
Filing Information named "FTP Remote Path" to set this value.
The name of the FTP folder can be put here for the "Upload to
Clearinghouse" button to use. The default value is
"/Claims".
- Enhancements
- On the insurance tab of the "Patient Setup"
screen, you are able to activate and deactivate patient insurance
companies. Functionality was added so that when an insurance company is
deactivated for the client, the "File Claims" checkbox is
unchecked. Conversely, if an insurance company is activated, the
"File Claims" checkbox is checked.
Version 10.0.34 (June 25, 2012)
Office Therapy
- Fixes
- The desktop icon was changed to a default icon in
version 10.0.33. This has been fixed. It may take a reboot of the
computer to be able to see the reinstated icon.
Version 10.0.33 (June 19, 2012)
Claims Manager
- Fixes
- When filing secondary paper claims the amount paid box
(box 29) was being rounded up to the nearest dollar. This has been fixed.
Version 10.0.32 (June 15, 2012)
Office Therapy
- Fixes
- An "invalid property array index" error
could occur when trying to schedule a group appointment if the number of
individuals in a group was less than the total number of groups. This has
been fixed.
Version 10.0.31 (June 8, 2012)
Claims Manager
- Fixes
- When filing a claim for a client without an ICD 9
diagnosis code an error ("Object reference not set to an instance of
an object.") would be triggered. ClaimsManager
will now continue processing the claims that do have a diagnosis and then
produce a list of clients that did not process because of the missing ICD
9 diagnosis.
Office Therapy
- Fixes
- When the Client ID column was added to the Client list
an error would occur ("A column has been specified more than once in
the order by list.") when trying to sort by the Client ID column.
This has been fixed.
Version 10.0.30 (June 4, 2012)
Claims Manager
- Fixes
- When filing a claim an error would occur if no Axis I
DSM-IV Diagnosis was specified for the client. This has been fixed.
Version 10.0.29 (June 1, 2012)
Office Therapy
- Fixes
- The cursor would sometimes freeze when entering the
Group Name or Group Number on the insurance tab. This has been fixed.
- When entering the standard charges for a client it was
possible to get a "Either BOF or EOF is
True" error. This has been fixed.
- Enhancements
- The document template "Filename" and
"Save Files" folder were very narrow, making a long file path
difficult to read. The text boxes were widened.
Claims Manager
- Fixes
- After a file is uploaded, the file is moved to an
archive folder. Archive was misspelled. This has been fixed.
- In some cases when claims were being submitted for a
patient with multiple diagnoses, multiple providers and multiple dates of
service the provider may have received a rejection because of a diagnosis
pointer error. This has been fixed.
- Enhancements
- A textbox has been added for the FTP port number. This
will allow providers to upload to FTP sites not using the default FTP
port number.
Version 10.0.28 (May 21, 2012)
- Fixes
- Unpaid and overdue charges were not being shown in the
claims manager when the "Show only unpaid and overdue charges"
checkbox was checked. This has been fixed.
Version 10.0.27 (May 17, 2012)
Claims Manager
- Fixes
- Prior authorization numbers were not included in the
service line level. This has been fixed.
- In the electronic claims file, when multiple claims
with different prior authorization numbers were being filed, only one
authorization number was printing in the file. This has been fixed.
- The icon for the "Review Acknowledgements"
menu item has been changed.
- Enhancements
- An additional claim identifier was added to the
electronic claim files. This information was added to help providers
track down specific claims in the acknowledgement file.
Version 10.0.26 (April 24, 2012)
Office Therapy
- Fixes
- Claim History tab on the Charge screen now indicated
the dates the claim was produced and filed.
- When printing a re-produced bill including super bill
info, the Dx code is showing in the top right
corner, but not in the bolded text in the center of the page. This is
because the diagnosis codes shown on the top are DSM. And the ones in the
lower section are ICD. It was confusing since both of these were labeled
as "Diagnoses". This is fixed where now each one is labeled
accordingly.
- If Referring Provider is entered as Firstname<space>LastName,
the Referring provider loop was not included in a 4010 claim.
Claims Manager
- Fixes
- In the Claims Manager, if you check the "select
all" check box and then deselect anything the Claims Manager will
still process all of the claims listed.
- Custom First and Last Name entered in the Billing Name
section of Provider Payer Settings is incorrectly produced on an
electronic claim.
- Claims Manager errored out with "System.NullReference" errors when orphan
distributions existed in the database.ex. The
distribution exists but the policy to which it was applied had been
deleted. Usually you will notice this on older charges.
- A customer reported experiencing issues with Diagnosis
Codes which had no printed on Paper Claims generated using Claims
Manager. This problem only affected Diagnosis code that
were 3 digits (without a second part).
- Enhancements
- Three new fields on the Claims Log Report - Claim File
Path, Claim Reference Number, and Ack Reference
Number, will now help you easily track back to the exact claim file
associated with the charges filed.
Version 10.0.25 (April 2, 2012)
Claims Manager
- Fixes
- For some users who were producing 4010 claims using OT
10, the Claims Manager would list the charges that were produced using
4010 and marked as filed.
- Enhancements
- Ability to select individual charges for producing
claims from the list of charges that appear in the Claims Manager. You
can do this by checking or unchecking the checkbox next to the charge.
- Added an easier way to reproduce a batch of charges
without having to pull up each individual charge and mark it for
resubmit. When selecting the criteria for listing the charges, on the
Advanced tab, check the box that says "Include charges that were
already marked as filed". The list will now include filed as well as
unfiled charges based on the other criteria thats selected.
Version 10.0.24 (March 22, 2012)
Claims Manager
- Fixes
- Extra diagnosis codes were wrongly added in box 21 of
certain paper claims.This usually occured when the claim batch included patients with
more than one diagnosis codes. This is fixed. Note that this issue was in
the CMS form data layout module and only affects the paper claims. In
order to regenerate any older paper claims you do not have to reproduce a
batch instead go to Claims History screen, pick the date the batch was
produced, and right click to "View/Print Claim". The new CMS
forms produced will have the correct data laid out to be printed.
- Allow free-typing date into the date field on the
Claims History screen.
Version 10.0.23 (March 21, 2012)
Claims Manager
- Fixes
- If Facility City, State, and Zip information was
entered in the "Address 2" field instead of the "City,State-Zip" field the electronic and paper
claims produced would not have the facility City,State,
and Zip information. This caused Facility Loop related rejections. This
is now fixed to where Facility City,State, and
Zip information will be correctly extracted irrespective of which field its entered in.
Version 10.0.22 (March 19, 2012)
Office Therapy
- Fixes
- The setting "Use Company Information for 837
Pay-To Address" the Company Information was visible in OT9 but not
in OT10. This is fixed. Note: this setting only applies to 4010.
- Under "Provide Specific Insurance Settings"
the Pay-To Phone box had always appeared as disabled. This is removed
since there is no relevant field for this on an electronic claim.
Claims Manager
- Fixes
- Custom Pay-To address information entered under
"Provider Specific Insurance Settings" was not being produced
on the electronic claims.
Version 10.0.21 (March 13, 2012)
Office Therapy
- Fixes
- "Patient Signature Source Code" which was
unavailable for editing is now available in the grid on the Client Setup
> EFile tab.
Note: that this code has had a major change between 4010
and 5010. In 4010, this code could possibly have one of several values-
B,C,M,P or S. In 5010, this code can only have one value, P, to indicate
when signature was executed on the patient’s behalf. So to capture this,
in addition to the being able to enter the value on the grid, we also
have a checkbox on the Client Insurance>HCFA Details form called
"Provider Signed On Patients Behalf". Checking this box will
set the "Patient Signature Status Code" to a value P.
- Grid related to EFile on the
Client Setup and Insurance Setup now clearly indicate
the fields that affect only 4010 claims. Ex. under Insurance Company
Setup>EFile the value assigned to
"837-Set 2010AA to Individual" affects only 4010 claims.
- Charges marked as filed using the File Insurance(4010)
module would still appear listed under the 5010 Claims Manager.
Version 10.0.20 (March 8, 2012)
Office Therapy
- Fixes
- The issue with the * in the ledger to indicate if a
charge is filed is now fixed. Please note that with this update all your
past (since upgrading to version 10) charges that were filed will be
automatically marked in the ledger accordingly. You do not need to refile
your claims.
- In an Office Therapy integrated with QuicDoc, when a
new provider is added in OT, a user is created in QD. This breaks in a
user based licensing environment. Additionally, even if this newly
created QD user was to be marked as inactive after the initial creation,
the next time changes are made to providers profile in Office Therapy,
the corresponding QD user profile gets reactivated thus breaking
licensing again. This is fixed where now when a provider is added to
Office Therapy, if there are no user licenses available in corresponding
QuicDoc, the QD user profile created will be marked as inactive.
- On the Provider>HCFA Details screen the box
"33a.Organization NPI" was marked as disabled. This is now
enabled. However note that this applies only to 4010.
- Enhancements
- When new providers were setup in Office Therapy, no
default settings were added under the HCFA Details>Insurance Specific
Provider Settings. If left as is, this would sometimes produce "System.NullReference" errors when trying to file
claims for that provider due to lack of billing and payto
infomation for that provider. So now when a new
provider is added, a default entry is created under the HCFA
Details>Insurance Specific Provider Settings for "All
Insurances" where the Billing and PayTo
information defaults to provider info.
Claims Manager
- Fixes
- Paper claim(HCFA 1500) form alignment was off.
- Enhancements
- Added a section at the bottom of the Claims Manager
that says "Do you want to apply any special criteria before
producing your claims?". In this section you will find two new
options.
- First, is the ability to exclude carriage returns
from your electronic claim file. This was included to accomodate the requirement of certain insurance
company.
- Second, is the ability to set the Claim Frequency
Code Type (Original, Corrected, Void or Replacement) and Original Claim
Reference Number when refiling claims.
Version 10.0.19 (February 24, 2012)
Claims Manager
- Fixes
- When filing paper claims, the service facility
location (box 32) would cut off the street name when using the company
address.
Version 10.0.18 (February 22, 2012)
Claims Manager
- Enhancements
- A check box was added to the Claims Manager that will
allow electronic files to be created without carriage returns.
Version 10.0.17 (February 21, 2012)
Claims Manager
- Fixes
- Claims were being rejected when facility information
for a location different than the provider's billing address was supplied
without an NPI.
Version 10.0.16 (February 17, 2012)
Claims Manager
- Fixes
- An error could occur when processing claims if the
provider had information stored in the "Provider Secondary ID-
Electronic Claim" fields.
Version 10.0.15 (February 14, 2012)
Claims Manager
- Fixes
- When viewing the claim history, the service date
(under service line details) was showing the month as "00".
Version 10.0.14 (February 9, 2012)
Claims Manager
- Fixes
- A NullReferenceException
error may have occurred when a provider designated specific insurance
companies within the "insurance specific provider settings".
This error did not occur if the provider used the "All"
setting.
Version 10.0.13 (February 3, 2012)
Office Therapy
- Fixes
- The application was unable to run on a virtual
machine.
Claims Manager
- Fixes
- In the claims manager an error occurred (specified
cast is not valid) when the insurance company HCFA field override was set
to blank on a date field (9a or 11a).
- Error producing paper claims for clients with charges
that had more than two diagnosis code pointers. The error description is
"An error occured updating
entries...String or Binary Data would be truncated". This error was
due to an insufficient field size in the database.
- Error producing paper claims for clients with managed
care contracts. The error description is: System.NullReferenceException
object reference not set to an instance of an object at....GetAssociatedCharges.
Version 10.0.12 (February 2, 2012)
Claims Manager
- Fixes
- After downloading 10.0.11 version 5010 claims being
produced with blank service facility info.
Version 10.0.11 (February 1, 2012)
Office Therapy
- Enhancements
- The status bar at the bottom now indicates the name of
the database that the user is connected to.
- OfficeTherapy program can now accept the server and
database name as parameterd. This means
multi-database users can now switch between databases easily using
desktop shortcuts with server and database information being passed as
parameters.
Claims Manager
- Fixes
- Reports indicated that Service Facility Loop was not
included on claims.
- For charge types erroneously setup to be filed for
insurance inspite of having no corresponding
procedure code the program would error out.This
is fixed to where if there is no procedure code the charge still appears
on the claim.
Version 10.0.10
Office Therapy
- Fixes
- Auto update feature is available in Office Therapy
again.
- Customers reported issues using the prescription
system.
- Enhancements
- Under Provider>HCFA Details screen the textboxes
that were diabled(greyed out) have now been
enabled again to provide the ability to the end user to make edits to the
data if needed.
- Added labels on Company Info and Insurance>HCFA
Details screen to indicate 4010 specific fields.
Claims Manager
- Fixes
- Customers were experiencing issues adjusting margins
when printing Paper Claims.
Version 10.0.9
Office Therapy
- Fixes
- Claims Rejections for Loop 2300-CLM08 containing an
invalid value of 1 or 0. This was caused due to a bug in the Benefit Assignemnt Code Indicator.
- The auto update failed for Customers using Windows XP
Home Edition with a
error saying "Windows cannot find taskill.exe". Additionally
,Windows XP Home Edition users will have to ensure ClaimsManager
program is closed before they run the update.
- Error updating database from OT9 to OT10.Eror
description "Runtime error. DF__ClinetIns_CPolA_2BC9F7C is not a constarint. Could not drop constraint."
Claims Manager
- Fixes
- Error producing paper claims for clients with employment
status of "Full Time Student" or "Part Time Student".
The error description is "An error occured
updating entries...String or Binary Data would be truncated". This
error was due to an insufficient field size in the database.
Version 10.0.8
Claims Manager
- Fixes
- When printing paper claims the Preview screen does not
allow printer selection.
- Enhancements
- Added an option on the Advanced tab of Claims Search
to "Show only charges that have a
insurance distribution i.e. Exclude charges with zero distributions to
insurance"
- Enhanced Print Preview screen to only show relevant
options
- Updated "FTP Credentials Missing" message to
indicate that in case of lack of FTP credentials users can continue to
submit claims just as they did 4010
Version 10.0.7
Office Therapy (10.0.7)
- Enhancements
- The tool bar buttons have been changed to clearly
indicate the formats.'Claim Manager(5010)' is
to be used for filing claims in 5010 format vs 'File Insurance(4010)' is
to be used for filing claims in 4010 format
- Fixes
- Fixed errors in the prescription entry system.
Claims Manager (1.0.7.0)
- Fixes
- Null object error produced when if no was diagnosis
exists for a client.
Version 10.0.6
Office Therapy (10.0.6)
- Enhancements
- Auto update feature is now a part of Office Therapy.
- The transition report screen is moved to after the
login screen.
Claims Manager (1.0.6.0)
- Fixes
- Claim errors out with "Nullable Object must have
value" error if "Patients Current Condition Related To" is
set under Patient > Insurance Policy> HCFA/837 Details screen
but Current Illness Date has no value
- Diagnosis pointers pointing to non-existent diagnosis
due to orphan records created when people delete diagnosis
- Billing Service TaxIDType
indicator (EI vs SSN) were being wrongly swapped
- Enhancements
- Auto update feature is discontinues in ClaimsManager and is instead moved to Office Therapy.
The autoupdate will update both the programs
Version 10.0.1
Office Therapy
- Fixes
- Tiered earning report not displayed for providers
- Runtime Error-Invalid Property value on Company Info
Claims Manager 10.0.5
- Fixes
- Added ability to generate a Claim Log Report at the
end of Claims Processing.This report will
provide a log of all the claims that have been produced
- Added ability to list only Active clients for
selection on the Claims Search screen under the Clients tab
- Program would error if a Client had Secondary ID info
setup for the Referring Provider
Claims Manager 1.0.0.4
- Fixes
- Program would error if Diagnosis Code was missing on a
client
- Program would error if ISA-GS information was not
custom entered
- Program would error if Client had contracts
- Program would error if user clicks upload to
clearinghouse without having FTP info setup.This
will now issue a warning
Claims Manager 1.0.0.3
- Fixes
- Fixed issues in Paper Claim generation - missing
diagnosis code,missing SIGNATURE ON FILE,
missing Service Line From Date etc
- Fixed Paper Claim printing to not warn about print
area outside margin
- Updated the message box in application startup
at beginning of program to display ErrorDetails
- Fixed splash screen to not show in taskbar
- Fixed spalsh screen to show
applications version number
Claims Manager 1.0.0.2
- Fixes
- Added padding to ST02 for compliancy with BCBSM
subsystem2 testing