The changes listed below will be used when the new CMS 1500 (02/12) form option is selected for billing. Facesheet, Claim Information

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1 Helper 8.1 Changes Version 8.1 Changes This release contains fixes and enhancements to prior versions. You must run the transfer program when upgrading from any previous version of Helper. CMS-1500 (02/12) changes included in this update The changes listed below will be used when the new CMS 1500 (02/12) form option is selected for billing. Facesheet, Claim Information Box 14, Pregnancy (LMP) checkbox, was added. If a date is entered in box 14 and checked, 484 will be printed as the qualifier. If a date is entered and unchecked, 431 will be printed as the qualifier. Box 15, Qual dropdown, was added. If selected, it will be printed on the claim as the box 15 qualifier. The Date label was shortened to Date from Give first date to make room for the qualifier on the screen. The box 15 label was changed to add Other Date to the end to match the wording on the new form.

2 Facesheet, Insurance Companies The box 10d label was changed to add Claim Codes to the end to match the wording on the new form. The box 11b label was changed to add Other Claim Id to the end to match the wording on the new form. The box 19 label was changed to add Additional Claim Info to the end to match the wording on the new form.

3 Libraries, Insurance Company Version 8.1 Changes Under the Claim Options tab, the option for 1500 Claim Form (08/05) (new) was changed to 1500 Claim Form (08/05 & 02/12) (new).

4 Billing, Print Claims On new installations there will be an additional default insurance form layout labeled 1500 (02/12) (new). Upgrade clients will need to create the new insurance form option manually or modify an existing layout. In the Insurance Form Layout is a new radio button to select the version 02/12 (new) form with the same formatting options as the version 08/05 (new) form as well as a new option for Box 30. The new form recommends that Box 30 be left blank but if an insurance company requires the Balance Due, you can select it here. Setup two Insurance Form Layouts if needed; one that leaves Box 30 blank and one that populates it with the Balance Due. Select the proper one on the Facesheet.

5 Encounter/Session Version 8.1 Changes The Diagnosis field (box 21) on the 02/12 claim form is labeled with letters instead of numbers. The labels on this screen have been changed to show both the number used on the 08/05 form and the letter used on the 02/12 form. You will see 1/A. instead of just 1 for example. The 02/12 form allows more than four diagnosis per claim but Helper will still only support four.

6 Other changes included in this update Libraries, Insurance Company There is a new Payor Identification # field on the Billing tab. As is noted next to the field, this value will be exported in the 5010 electronic claim, loop 2010BB REF*2U location. This value is not needed unless specifically requested by the payer. Encounter In Psychiatrist Helper you have the ability to add multiple procedure codes to a single Encounter. When an additional procedure was added to an Encounter the Time field would default to the current time. This causes issue when the Encounter is not being added at the exact time of service and the user does not notice the time difference. Now when adding an additional procedure to an Encounter the Time will default to the previously added procedure in the same Encounter. This makes it easy to add a new Encounter from the Scheduler where the time will default to the time of the scheduled appointment, and then add additional procedure codes to the Encounter with the same time.

7 ERA Processing The second tab was renamed from Claim Adjustment Codes to Adjustment Codes / Remark Codes. The display now includes both Claim Adjustment Codes and Remark Codes. Claim level Remark Codes will show the text Claim Level Remark Code in the Procedure column. In the screenshot below, N367 is a Claim Level Remark Code. Service level Remark Codes will show the Procedure name in the Procedure column. In the screenshot below the fourth line shows M62 as a Service level Remark Code. Remark Codes don't have dollar amounts associated with them so the Adj. Amount will always be blank for Remark Codes. If the Session Modifier s case was not the same as what was returned in the ERA then the session would not be matched to an existing session. In almost all cases the CPT Modifier is returned using all capital letters in the ERA. If they were originally entered as lowercase, they would not match. The ERA process was modified to ignore case when finding a session match. Thank you, The Helper Group