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OfficeMate Home Office User's Guide - OfficeMate Software Solutions

OfficeMate Home Office User's Guide - OfficeMate Software Solutions

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Setting Up Insurance Codes, Modifiers, & Attributes<br />

Chapter 2 Setting Up Insurance Carriers & Plans<br />

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Select the PQRI (Voluntary) check box if the diagnosis is designated as a<br />

PQRI measure.<br />

Notes<br />

• For more information about the PQRI, go to the Centers for<br />

Medicare and Medicaid Services Web site at www.cms.hhs.gov.<br />

• After designating PQRI diagnosis codes and level II procedure<br />

codes and selecting to auto populate PQRI codes for select<br />

insurance companies, you will not receive a reminder on fee<br />

slips with level II procedure codes and $0 fees, and you will not<br />

receive the “Line Item cannot have ZERO” error in the Third<br />

Party Processing window. If all of the items on an insurance<br />

claim are level II procedure codes, then you can submit a $0<br />

balance insurance claim. For information on designating level II<br />

procedure codes, go to To add & modify procedure codes on<br />

page 101. For more information on auto populating PQRI<br />

codes, go to To set up insurance billing preferences on page 113.<br />

Select the Inactive check box if the diagnosis code is no longer in use.<br />

Click Save when you are finished.<br />

Repeat steps 3–10 to add or modify additional procedures as needed.<br />

Click Exit to close the Third Party Setup window.<br />

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To add & modify modifiers<br />

Open the Third Party Setup window. For information on opening the Third<br />

Party Setup window, go to To open the Third Party Setup window on page 101.<br />

Click the Modifiers tab.<br />

Click New Modifier to create a new code.<br />

OR<br />

Select a code from the list.<br />

In the Code (Box 24d) field, type the procedure modifier code.<br />

104 <strong><strong>Office</strong>Mate</strong> <strong>Home</strong> <strong>Office</strong> User’s <strong>Guide</strong>

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