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#54771 06/14/2013 1:29 PM
Joined: Jul 2010
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AmberO Offline OP
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If you are planning to upgrade to 6.5.5, I think you should know the following problems that I have been experiencing. Please note that so far, none of these issues have been due to user error and many have had to be escalated up the chain of AC Angel Support techs. Some of these may matter to you, some may not depending on how you do your billing processes.
Keep in mind that we use Medware for billing that doesn't interface with AC. So, I print out necessary info and then hand enter it into the PM system.
1. Date fields that are deemed necessary but that didn't have data in them are defaulting to 01/01/1900. So, if you have a patient that you entered insurance information, but you didn't have the subscriber birth date, it's now 01/01/1900 and this will print on any demographic field that lists subscriber info. Should we have this info, yes...do we always get it, no.
2. Self pay claims no longer generate a CMS 1500 form. If you generate in invoice, you will get the CPT and ICD-9 code, but not the provider. My fix (as suggested by Wayne...thanks again) was to create a "self Pay insurance" and use that. This did mean manually changing 462 records however.
3. I have a single day where I can?t print any batch CMS 1500s for that day. After escalating the problem to programmer level, I was told to manually print per patient and let them know if it happens again (ie: we haven?t a clue as to why that happened).
4. BIG ONE!!!! When one of my PA?s signs off and appends charges, the bill is generating that it was done by ?administrator administrator? not her. Additionally, older services that have already been billed out are changed to the same provider ?administrator administrator.? AC has uploaded my database to see if they can figure it out, but no answer yet. Seems specific to PAs only at this point. However, our PAs are listed as highest level providers, so it?s conceivable that it could happen to MD?s depending on what the issue is. One tech wonders if the system defaults to the last provider for charges and since admin is first in the list, it is defaulting to that. Even if that?s the case?not ok.
5. The print alignment for CMS 1500 forms is terrible and also seems to depend on your DPI settings as well as your screen resolution. So, I?ve had to change these just so I can get the correct data to print, making other programs hard to read.
I want you to be aware of the issues so that if your processes are similar to mine, you will be prepared. If you are a one provider office that hand enters your charges into another program, you would probably be fine. If you are a multiple provider office that hand enters or if you do any interfacing for any size office, you may find trouble.
Amber


Amber
The Numbers Lady
Internal Med Practice
Fairbanks, AK
Joined: Jul 2010
Posts: 80
AmberO Offline OP
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Issue 6: The daily CMS 1500 batches are not complete. When checked against the schedule, at least one or two don't print...however...if I go to the pt's account information, the CMS 1500 is availabe there.

I'm really starting to wonder if we made a mistake by upgrading.
Amber


Amber
The Numbers Lady
Internal Med Practice
Fairbanks, AK
Joined: Jul 2010
Posts: 80
AmberO Offline OP
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Issue 4 Update: The problem is not specific to our PA's and it is not just Admin Admin that's being put in incorrectly as the provider. The program is actually listing other providers as the billing provider even when being billed at the time of signing off the note.
Angel Support is working on this and has now classified it as a bug. They also sent me an excel spreadsheet with a list of all the incorrectly billed charges since May 1st that we have to manually change.
Please, can anyone else tell me if they're having as much trouble as us?
Thanks,
Amber


Amber
The Numbers Lady
Internal Med Practice
Fairbanks, AK

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