Diagnosis Maintenance

Use Diagnosis Maintenance to maintain Diagnosis Codes and the specifically required format of those codes for each insurance.  You can maintain a different code for each of the nine insurance Form Types.  You can see statistics showing the number of times a doctor made a specific diagnosis during the current period or year.  In addition, you can assign the Diagnosis to the EPM Value List which means the Diagnosis Code will display in the appropriate drop-down lists during EPM.

Notes:  

• Often, Diagnosis information already exists, but you will need to use this maintenance to add the Diagnosis to the EPM value list.  To add to the EPM Value List, click Add Value List Item .  The diagnosis will only display in any drop-down list if you click the Add Value list Item.

• For more information about working with data in fields, see Data Entry Guidelines.

Directions:

To see directions for...

• Opening Diagnosis Maintenance, click More.

   

  1.  Click File Maintenance from the Menu Bar.

  2.  Click Standard Maintenance.

  3.  Click Diagnosis.
  
  Tip:  Or, use the keyboard shortcut:  [ALT] [m] [t] [d].

   

  Diagnosis Maintenance Window Example:

  

   

• Creating a new Diagnosis, click More.

   

  To create a new record choose one of these methods:

  • Enter the new Diagnosis Code and click Retrieve , or press [ENTER].
    Keyboard shortcut:  [ALT + t]

  • Or, enter the new Diagnosis Code and click File from the Menu Bar; next click New.
    Keyboard shortcut:  [ALT] [f] [n]

  Tip:  To indicate that you are building a new Diagnosis, displays next to the Diagnosis Code.  Default entries display and the first field is highlighted to let you know you can begin entering information.

   

  Diagnosis Maintenance Prompts Tip: To see more information about a field, click the hyperlink for that field name.
  Diagnosis Code	Enter the Diagnosis Code assigned to this diagnosis.  You can use the International Classification of Diseases (ICD) Code or some other code. (9 characters) Tip: Although codes other than ICD can be created, we recommend using ICD codes to be consistent with modern practices.
  	To update the new or changed information click Save or press [ENTER]. Keyboard shortcut:  [ALT + s]
  	CAUTION To avoid losing data, you must save new or changed records.
  	You can use Search to view all of the existing Diagnoses.  From the Search list you can select a Diagnosis to change or delete. Keyboard shortcut: [ALT + r]
  	To display an existing Diagnosis, enter the Diagnosis Code and click Retrieve or press [ENTER]. Keyboard shortcut: [ALT + t]
  	To allow the Diagnosis to be added to the EPM Value List, click Add System Value List Item. Notes:  When the Diagnosis is added to the Value List, the Diagnosis displays in appropriate drop-down list during EPM.  If you do not add to the Value List, the Diagnosis will not display in any drop-down lists. If the System Value List is active for the Diagnosis, the System Value List Item button displays . To remove the Diagnosis from the EPM Value List, click Remove System Value List Item.
  Description	Enter the full description of the Diagnosis.  This description prints on the 1500 form.  (up to 30 characters)
  Alternate/Sort Desc	Enter the abbreviated search description used to search for a diagnosis.  Although not required, you should enter an Alternate/Sort Description. (up to 10 characters) Tip: Some reports use Alternate/Sort Description to find and sort Diagnoses.
  Private Diagnosis	Enter the Private Diagnosis to print on the patient's private statement, if applicable. (up to 9 characters) Note: If Private Diagnosis is left blank, the Alternate/Sort Description will print on private statements.  The appropriate Diagnosis Code will always print on insurance claim forms.
  Note:  Because you can tailor the labels of the nine Form Type fields, the field labels in your software may not match the field names listed below.
  Form Type 1	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters) Note:  To satisfy Medicaid requirements for the HCFA claim form, FPF must print in box 24e and FP must print in box 24h for family planning diagnosis.  To accomplish this, you must type FPF as the Medicaid Print Code for family planning Diagnosis Codes. Tip: To quickly enter the same Diagnosis Print Code for each successive Form Type (if applicable) use the copy and paste commands. Keyboard shortcuts:  [CTRL +c] = copy and [CTRL + v] = paste
  Form Type 2	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters)
  Form Type 3	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters)
  Form Type 4	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters)
  Form Type 5	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters)
  Form Type 6	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters)
  Form Type 7	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters)
  Form Type 8	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters)
  Form Type 9	Enter the Diagnosis Code to print for this Form Type.  This Diagnosis Code is referred to as the Diagnosis Print Code and will print on the appropriate insurance form.  The Form Type Diagnosis Print Code may be specified by the insurance carrier. (9 characters)
  Non-Autobill Forms	Enter the Form Types (enter the Form Type Number) that should not be transmitted electronically when the Diagnosis is used.  Enter the Form Type numbers in sequential order without spaces or commas. (9.0 numeric)
  # Times Month to Date	Displays the number of times this Diagnosis Code was made by the providers within the practice during the current period.
  # Times Year to Date	Displays the number of times this Diagnosis Code was made by the providers within the practice during the current year.

• Editing an existing Diagnosis, click More.

  CAUTION:  To avoid losing data, you must save new or changed records.

  1.  To display the record to be changed, enter the Diagnosis Code and click Retrieve or press [ENTER].
  Keyboard shortcut:  [ALT + t]
  Tip:  If you do not know the Diagnosis Code, you can clickSearch to see a list of Diagnoses.

  2.  To position the pointer to the information that you want to change, press [TAB] or click the field using the mouse.

  3.  Enter the data changes.

  4.  To complete the edit process, click Save or press [ENTER].
  Keyboard shortcut:  [ALT + s]

• Deleting a Diagnosis, click More.

  1.  To display the record to be deleted, enter the Diagnosis Code and click Retrieve or press [ENTER].
  Keyboard shortcut:  [ALT + t]
  Tip:  If you do not know the Diagnosis Code, you can click Search to see a list of Diagnosis Codes.

  2.  Click File from the Menu Bar, and then click Delete.
  Keyboard shortcut:  [ALT] [f] [d]

  3.  At the Delete Records prompt, click the Proceed button to delete the record
  or, click the Cancel button to escape from the delete routine.
  
  Example:
  
  
  
  Note: After you click Proceed, you will see the following message on the Status Bar.