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1. TYPE RX MAI Date Needed Initial A Replacement Ia Date Needed Revised a em Length of Need op Date Signed o Warranty m Patient Height Certificate On File MEM Patient Weight INN AMINO ACID DEXTROSE LIPIDS d Um ooo d ee J 10 02a Parenteral Nutrition defaults for LUCINDA BURKE CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision Delete Help 3 Recertification H W Print an Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of
2. AMOUNT APPROVED 2900 00 DEDUCTIBLE AMOUNT 0 00 SEQUENCE NUMBER 0001 BATCH ID NUMBER PAYMENT SOURCE DATE RECEIVED 09 15 2000 AMOUNT CHECK CHECK RECEIVED NUMBER DATE COMMENTS LI 0 M WE Browse Total Records 275 Ls A Save X Cancel T Delete Help LastAccessed 09 15 2000 Sequence Number Noble Direct automatically assigns a sequential number to each payment that you post for a transaction You can edit it if you want BALANCE DUE 1325 00 Batch ID Number This is an optional field that allows you to enter a batch number to help categorize the payments entered Payment Source Select the source of the check PRI indicates the primary insurance company SEC indicates the secondary insurance company and PAT indicates the patient OTH indicates another source and W O indicates that it is a write off Note You can also write off a transaction by right clicking on the transaction on the Enter Transaction tab and then choosing the Write Off command or by using the Automated Write Offs utility Date Received The date that you received the payment The current date is entered automatically Amount Received The amount of the check The approved amount is entered automatically If the amount that you received is different change the amount shown here Check Number The number on the check If you received a cash payment leave this field blank Che
3. User Defined 3 User Defined 4 User Defined 5 You may create up to five custom fields for storing additional information on your patients For example you might want to define a field to store meter types or times testing per day Enter a name for each custom field you would like to add the system will then allow you to store information in that field for each of your patients in the Patient File Maintenance window Utilities 6 23 Noble Direct Tracker MON O WT ER SS You can select event types to create events in Noble Tracker Repeat billing will create a 10th Month event in Noble Tracker for all Capped Rentals in the 9th month This is used for handling the Ten Month Option Letter Select an event to create in Noble Tracker when Repeat Billing creates a capped rental transaction for the 15th time This is used for handling End of Contract Pickup A transaction is a capped rental transaction if contains a modifier of KH KI or KJ Click on the magnifying glass and select the event type from the list 6 24 Utilities 7 Inventory The Comprehensive Remedy Noble Direct allows you to manage your inventory information including information on Items Vendors Purchase Orders Stock and Physical Inventory You can access Noble Direct s inventory functionality from the Inventory menu in the Noble Direct main window y y y All of the inventory functions with their corresponding menu com
4. 1 From the Claims Processing menu in the Noble Direct main window 2 Using the Claims Processing button on the quick menu All of the claims processing functions with their corresponding menu commands and tab names are listed below Menu Command Enter Transactions Create Edit List Transmit Claims Apply Payments Payment Register Repeat Billing Daily Confirmation Report Exit Tab Name Enter Transaction Create Edit List Transmit Claim Distribute Pmts Payment Register Repeat Billing Daily Confirmation None Claims Processing 3 1 Noble Direct Claims Processing Entering Transactions You can enter new transactions into Noble Direct using the Enter Transaction tab When you enter a transaction Noble Direct is learning about your patients physicians procedure codes diagnosis codes and much more Noble Direct s automatic learning simplifies your data entry How to Access the Enter Transaction Tab From the Claims Processing menu in the Noble Direct main window select the Enter Transactions command or Access the Claims Processing functionality from the quick menu and then click on the Enter Transaction tab or Press the Enter Claims toolbar button in the Noble Direct main window The Enter Transaction tab shows you a list of the patients that you have set up in the top part of the tab and a list of the transactions that you entered for the selected patient in the bottom of the tab To enter a new
5. Checking this checkbox shows the details of the payments on the invoice Clearing this checkbox just prints the payment totals Include Activity Which is the Responsibility Of Selecting these checkboxes controls the activity shown on the invoices Normally you would want to receive both the primary and secondary insurance payments before turning Special Reports 5 7 Noble Direct the remainder over to the patient By unchecking the Primary Insurance Company and the Secondary Insurance Company checkboxes and checking the Patient checkbox you can generate a patient invoice before the secondary insurance pays up Comment to Print at the Bottom of Each Invoice Selecting this checkbox and then entering a comment in the field prints this comment on each invoice Dunning Messages to Print at Bottom of Invoice When Appropriate Selecting this checkbox and then entering a message on the necessary tabs prints the appropriate messages on the invoice You can enter a different message for each aging period Font Button Pressing this button allows you to select the font type style and size used for the comments on the invoices Special Reports Patient Recall The patient recall report shows a list of when patients are due to return By setting the report criteria you can control the information shown in the report How to Access the Patient Recall Report Functionality From the Special Reports menu in the Noble Direct main win
6. HCFA 1500 Forms Patient Invoices Patient Recall Salesperson Commission CPT Activity Repeat Billing Master File Listing Accounts Receivable Mailing Labels Blank CMN Forms Patients Of Reports Birthday List Additional Reports Description Generates one or more HCFA 1500 forms for previously entered transactions Generates one or more patient invoices for previously entered transactions Generates a report of the patients who are due to return Generates a report calculating sales commissions Generates a report calculating total revenue by procedure code Generates a report of the repeat billing transactions that are currently defined Generates a report of the listings in the master files Generates an aged trial balance of your patient receivables Generates mailing labels for a variety of your master lists Allows you to print blank CMN forms Generates a report of patients of a particular physician insurance company provider or salesperson Generates a list of patient birthdays by month Allows you to install and use your own additional reports Quickstart 2 5 Noble Direct Utilities Menu The Utilities menu provides commands that give you additional miscellaneous functionality These include functions that repair the system when broken or control other non standard advanced features A list of the commands on the Utilities menu and a description of each command follows
7. Practice Snapshot Mailbox Handling amp utopost Payments Doctor Noble Recon Date aa Gi Check No E Received 06 22 2001 Batch Id Print Payments Report after Auto Posting v Update Approved Deductable Amount Print Error List after Auto Posting Auto Post Check No Check Date Patient Trx Seq Entwert Errors Patient Transaction Check fae rors To autopost payments 1 Describe the check that has arrived to the system Recon Date Enter the date of the report that contains the check you are about to post To lookup the report press the button next to the field Check No Enter the check number here This will aid you in reconciling the changes in the patients balances against check s total value To lookup the check number press the button next to the field Note If you enter all 9 s every check number from the Recon report will be posted automatically This gives you the ability to post numerous checks from a Recon report at once Received Enter the date that you received the payment This is the posting date of the payment and is included on report detailing a patient s claims and payments The current date is entered automatically Batch ID An identifier that you want to use to identify the group of payments that you are entering Completing this field is not required but can be useful 2 Check the checkboxes corresponding to the options that you want to use You can print a payments report after autopo
8. Pu DEED Sequence No A unique sequence number for the transaction Noble Direct automatically enters the sequence number using the next sequential number for the selected patient Date From The beginning date for the range of dates on which service occurred If there was only one date of service enter the same date in the Date From and Date To fields Noble Direct automatically enters the current date in this field Date To The ending date for the range of dates on which service occurred If there was only one date of service enter the same date in the Date From and Date To fields Noble Direct automatically enters the current date in this field Place of Service The appropriate place of service code Noble Direct automatically enters the default code that you entered when you set up your practice Type of Service The type of service for this transaction ICD 9 The primary diagnosis code for this transaction Noble Direct automatically enters 1 if at least one default diagnosis code is set up in the Patient File Maintenance window 1 corresponds to the first diagnosis code set up for this patient To see the diagnosis codes set up for this patient view the Patient Information tab at the bottom of the Enter Transactions window If you want to use a different diagnosis code which is set as a default code Enter 2 3 or 4 corresponding to the position of the code shown on the Patient Information tab If you want t
9. Question 6 Would the patient be bed or chair confined without the use of a wheelchair Question 7 Is the patient unable to operate a manual wheelchair Question 8 Can the patient ambulate in the home but the POV is required for movement outside the home Question 12 Is the physician signing this form a specialist in physical medicine orthopedic surgery neurology or rheumatology Question 13 Is the patient more than one day s round trip from a specialist in physical medicine orthopedic surgery neurology or rheumatology Question 14 Does the patient s physical condition prevent a visit to a specialist in physical medicine orthopedic surgery neurology or rheumatology File Maintenance 4 29 Noble Direct CMN Immunosuppressive Drugs The fields for CMN 08 02 are detailed here 08 02 Immunosuppressive Drugs defaults for LUCINDA BURKE TYPE RX MAI Date Needed Initial MEN Date Needed Revised NENNEN Facit MN 0 Date Signed D Warranty fe Certificate On File fi hm Tt i BH HEH 4 BS 3 10 ERBEN o CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision dq Delete Help 3 Recertification amp Print LE Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Facil
10. allowing you to enter the appropriate information See Certificate of Medical Necessity Window for more details MSP Your Yes Y or No N selection from this drop down list indicates whether Medicare is the secondary payer Work Your Yes Y or No N selection from this drop down list indicates whether the injury resulted from the patient s employment If you choose Yes claims will be suspended and or denied until verification of Workman s Compensation is completed EPSDT Your Yes Y or No N selection from this drop down list indicates whether this is a Medicaid Patient and Early Periodic Screening Diagnostic and Treatment Referral applies Employed Your Yes Y or No N selection from this drop down list indicates whether the patient is employed If you choose Yes the Employer File Maintenance window appears See Employer File Maintenance Window for more details Martial Choose S if the patient is single M if the patient is married or O if another status applies Student Choose F if the patient is a full time student P if the patient is a part time student or N if this field is not applicable Provider The provider ID for the patient s provider You can either choose a provider from the drop down list or type one into the field If you type a new provider into the field Noble Direct asks if you want to add it Choosing to add the patient type displays the Provider File Maintenance window You can als
11. 1 Narrow down the information to be shown in the report by selecting the providers insurance companies and patients to be included You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want your confirmation report to show all of your providers click on the All tab in the Providers section of the Daily Confirmation tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion 2 Enter the type of insurance company you want to include in the payment register by making a selection from the Insurance Type drop down list 3 If you want to limit the patients shown in the report to a specific patient type enter the type in the Patient Type field 4 Selectthe
12. 3 Press the General Check up button Doctor Noble looks through your patients transactions and payments It repairs any minor errors automatically and notifies you of any major errors that cannot be repaired If this happens right click on the error The system allows you to either edit or delete the error 4 To print the results of Doctor Noble s analysis press the Print Doctors Orders button 6 10 Utilities The Comprehensive Remedy Utilities Using the Special Utilities Noble Direct provides you with several special utilities These include Automated Write Offs Batch Change CPT Code Copy Practice Tables and Fresh Start For more information on these special utilities see Automated Write Offs Batch Change CPT Code Copy Practice Tables Fresh Start Trx Pmt Viewer Transaction Import Load Check Information Purge Reinstall Updates Performing Automated Write Offs Noble Direct allows you to easily write off a group of transactions whose balances are uncollectible Writing off a transaction automatically creates a W O payment in the amount of the current balance thus making the balance zero To learn how to write off an individual transaction rather than a group of transactions see Writing Off a Transaction Automated Write Offs To write off a group of transaction automatically 1 From the Utilities menu in the Noble Direct main window choose the Special Utilities command From the sub menu sel
13. 4 3 Patient invoices 5 6 Patient recall report 5 8 Patient Relationship to Insured Information window 4 8 Patient type 4 75 Patient Type Maintenance window 4 76 Patient type adding 4 75 Patient type deleting 4 75 Patient type editing 4 75 Patient adding 3 4 4 2 Patient deleting 4 2 Patient editing 3 9 4 2 Patient searching for 2 10 Patient uninsured 8 1 Patients of report 5 21 Patients tab 4 2 Payment 3 9 3 18 6 9 Payment Entry window 3 8 Payment register 3 20 Payment Register tab 3 20 Payment register generating 3 20 Payment adding 3 9 Payment applying to a transaction 3 18 Payment autoposting 6 9 Physical Inventory 7 13 Physician 4 44 Physician File Maintenance window 4 45 Physician adding 4 44 The Comprehensive Remedy Physician deleting 4 44 Physician editing 4 44 Physicians tab 4 44 Power Operated Vehicle CMN 4 29 Practice 2 9 4 77 6 14 Practice File Maintenance window 4 79 Practice Snapshot tab 6 4 Practice snapshot utility 6 4 Practice adding 4 77 Practice copying master files from one to another 6 14 Practice deleting 4 77 Practice editing 4 77 Practice setting up 2 9 Practices tab 4 77 Procedure code 4 47 Procedure Code File Maintenance window 4 49 Procedure code adding 4 47 Procedure code deleting 4 47 Procedure code editing 4 47 Provider 4 58 Provider File Maintenance window 4 60 Provider adding 4 58 Provider dele
14. Alternatively this button is called Add New in the CPT Procedures Choice List 2 Complete the fields in the Procedure Code File Maintenance window For more information on the fields in this window see Procedure Code File Maintenance Window 3 Press the Save button in the Procedure Code File Maintenance window To edit a CPT procedure code 1 Select the CPT procedure code that you want to edit by clicking on it If you need help finding the procedure code use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the Procedure Code File Maintenance window as necessary For more information on the fields in this window see Procedure Code File Maintenance Window 4 Press the Save button in the Procedure Code File Maintenance window Noble Direct automatically changes the information throughout the software 4 46 File Maintenance The Comprehensive Remedy To delete a CPT procedure code 1 Select the CPT procedure code that you want to delete by clicking on it If you need help finding the procedure code use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this CPT procedure code Press the Yes button if you do Note If the procedure code is still in use somewhere in the software the deletion w
15. Limitation of Liability EXCEPT AS OTHERWISE RESTRICTED BY LAW NOBLE HOUSE S AGGREGATE LIABILITY ARISING FROM OR RELATING TO YOUR USE OF THE SOFTWARE ASSOCIATED DOCUMENTATION OR ANY SERVICES PROVIDED BY NOBLE HOUSE AND OR ITS AGENTS IS LIMITED TO THE TOTAL OF ALL OF THE PAYMENTS MADE BY OR FOR YOU FOR THE SOFTWARE AND DOCUMENTATION NEITHER NOBLE HOUSE NOR ANY OF ITS LICENSORS EMPLOYEES OR AGENTS SHALL IN ANY CASE BE LIABLE FOR ANY SPECIAL INCIDENTAL CONSEQUENTIAL INDIRECT OR PUNITIVE DAMAGES EVEN IF ADVISED OF THE POSSIBILITY OF THOSE DAMAGES NEITHER NOBLE HOUSE NOR ANY OF ITS LICENSORS EMPLOYEES OR AGENTS IS RESPONSIBLE FOR LOST PROFITS OR REVENUE LOSS OF USE OF SOFTWARE LOSS OF DATA COSTS OF RE CREATING LOST DATA OR COSTS OF ANY SUBSTITUTE EQUIPMENT OR PROGRAM Some states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you Disclaimer of all Warranties and Liability EXCEPT AS OTHERWISE RESTRICTED BY LAW NOBLE HOUSE MAKES NO WARRANTY REPRESENTATION OR PROMISE NOT EXPRESSLY SET FORTH IN THIS LIMITED WARRANTY NOBLE HOUSE DISCLAIMS AND EXCLUDES ANY AND ALL IMPLIED WARRANTIES OF MERCHANTABILITY TITLE OR FITNESS FOR A PARTICULAR PURPOSE NOBLE HOUSE DOES NOT WARRANT THAT THE SOFTWARE OR ASSOCIATED DOCUMENTATION WILL SATISFY YOUR REQUIREMENTS OR THAT THE SOFTWARE OR DOCUMENTATION ARE WITHOUT DEFECT OR ERROR OR THAT THE OPERATION OF THE SOF
16. Manual Wheel Chairs External Infusion Pumps Continuous Positive Airway Parenteral Nutrition Pressure Lymphedema Pumps Enteral Nutrition Osteogenesis Stimulators Home Oxygen Therapy Transcutaneous Electrical Nerve User Defined Form Stimulators CMN Hospital Beds The fields for CMN 01 022 are detailed here J 01 02a Hospital Beds defaults for LUCINDA BURKE TYPE RX NN Date Needed Initia AE Replacement It Date Needed Revised a Facit EN 2 Length of Need 00 Date Signed a Warranty m Certificate On File E E cm E E WM CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision xe Delete Help 3 Recertification E Print LE Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can al
17. N A ROY FIELDS 5160 WEST IDAHO STREET To add a physician 1 Press the Add button Alternatively this button is called Add New in the Physician Choice List PINE VALLEY 23023 0000 PINE VALLEY 23023 0000 PINE VALLEY 23023 0000 PINE VALLEY 23023 0000 PINE VALLEY 23023 0000 SC 803 555 3724 ZC 803 555 2679 SE 803 923 2113 SC 803 111 1111 SC 803 764 1327 3 Delete 2 Complete the fields in the Physician File Maintenance window For more information on the fields in this window see Physician File Maintenance Window 3 Press the Save button in the Physician File Maintenance window To edit a physician 1 Select the physician that you want to edit by clicking on it If you need help finding the physician use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the Physician File Maintenance window as necessary For more information on the fields in this window see Physician File Maintenance Window 4 Press the Save button in the Physician File Maintenance window Noble Direct automatically changes the information throughout the software To delete a physician File Maintenance 4 43 Noble Direct 1 Select the physician that you want to delete by clicking on it If you need help finding the physician use the search utility at the top of the tab See Using th
18. Patient Weight The patient s weight in pounds Question 7 Does the patient have permanent nonfunction or disease of the structures that normally permit food to reach the small bowel Question 8 Does the patient require tube feedings to provide sufficient nutrients to maintain weight and strength commensurate with the patient s overall health status Question 10 Enter the product name Question 11 Enter the calories per day Question 12 Enter the days per week that the product is administered Enter 1 7 Question 13 Enter the method of administration Enter one of the following 1 syringe 2 gravity or 3 pump Question 14 Does the patient have a documented allergy or intolerance to semi synthetic nutrients Question 15 Enter Y for yes to enter additional information when required by policy File Maintenance 4 37 Noble Direct CMN Home Oxygen Therapy The fields for CMN H484 are detailed here J H484 Home Oxygen Therapy defaults for LUCINDA BURKE Bisi x CERT TYPE MEM DATE NEEDED INITIAL EIN TYPE SYSTEM MEM DATE REVISED RECERT EE FACILITY EMI 0 DATE SIGNED ENIM LENGTH OF NEED MIMMMI CERTIFICATE ON FILE MEM om o RI CM AN o oHm cO ON M b c EN TYPE OF CERTIFICATION Enter the type of certification being billed Save X Cancel NOTE Enter one of the following 1 Initial Certification Default Delete Help 2 Revised Certification 3 Renewal Rece
19. Quickstart 2 7 Noble Direct ambulatory surgical centers to which your patients go Macro Definitions Information about frequently used combinations of procedure codes By defining a macro with individual components you can initiate a variety of billing procedures with a single code Zip Codes All of the cities states and zip codes entered throughout the software Patient Types Type codes and descriptions for your patient types Practices Name contact information and system defaults for your practice Noble Direct can handle more than one practice on a single computer Additional Doc Macros Allows you to manage macros for additional documentation When you enter claims Noble Direct is learning about these categories and adding items to your master lists During the collection of all the above information numerous editing and validation routines verify that the information being entered is accurate You can also add information to the master lists directly by using Noble Direct s File Maintenance functionality If you would like to see a list of all of the items in a master list you can use Noble Direct s master file listing report functionality Daily Procedures When you enter a claim into Noble Direct you are completing an automated version of the HCFA 1500 form When you enter claims Noble Direct recognizes when you are entering new information and asks you to provide all of the necessary details about the new in
20. The street address for the vendor Address 2 Additional street address information such as a suite number City The city portion of the vendor s address If you enter a zip code that you used previously in the software the city state and zip code fields are completed automatically State The two letter state abbreviation for the state portion of the vendor s address Zip The zip 4 code for the zip code portion of the vendor s address You can either choose a zip code from the 7 6 Inventory The Comprehensive Remedy drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window Contact The name of the individual in the Vendor s organization with whom you deal Tax ID Number The Federal Tax ID Number of the vendor Telephone The vendor s telephone number Fax Phone The vendor s fax telephone number Email Address The vendor s email address Shipping Method The preferred means of delivering items from this vendor Terms The type of credit given to this vendor Inventory Purchase Orders The Purchase Orders tab allows you to add edit or cancel delete the Purchase Orders used to acquire the Items you wish to inventory This tab manages Purchase Order information You may also Receive Inventory previously ordered on a Purchase Order How to Access the Purchase Orders
21. Value X Cancel Enter a unique two character key for this additional document macro in the Key field Note Be sure that the characters appear in the Key field before entering your key If is not displayed in this field use the navigation buttons to move through the existing macros until is displayed Type the information to be included in the macro in the Value field Press the Plus Sign button To delete an additional document macro Use the navigation buttons to scroll through the saved macros until the key for the one that you want to delete is in the Key field Then press the Minus Sign button Press the Save button when you are done with the Add Doc Macros window To call up this additional document macro you need to enter the two character key in a field asking for an additional doc macro This can be used on the Macro Detail Definition window File Maintenance 4 75 The Comprehensive Remedy 5 Special Reports Noble Direct offers you a variety of reports for analyzing the information in your system You can access the special reports functionality in one of two ways 1 From the Special Reports menu in the Noble Direct main window 2 Using the Special Reports button on the quick menu The best way to see what a report looks like is to print the report All of Noble Direct s special reports with their corresponding menu commands and tab names are listed below Menu Command Tab Name HCF
22. for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 16 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Patient Height The patient s height in inches Patient Weight The patient s weight in pounds Question 1 Does the patient require and use a wheelchair to move around in their residence Question 2 Does the patient have quadriplegia a fixed hip angle a trunk cast or brace excessive extensor tone of the trunk muscles or a need to rest in a recumbent position two or more times during the day Question 3 Does the patient have a cast brace or musculo skeletal condition which prevents 90 degree flexion of the knee or does the
23. it will occur You can Choose None Weekly Monthly Oth Month every other month Quarterly or Semi Annual Times If you selected one of the repeating options in the Repeat Flag field the number that you enter in the Times field indicates the number of times that the procedure will repeat itself Charge Amount The charge amount to be used on the claim when this macro is used Benefit Amount The amount that the patient paid before receiving services Additional Doc The two character key identifier for an associated additional document macro if any For more information on creating additional document macros see File Maintenance Additional Doc Macros File Maintenance 4 67 Noble Direct File Maintenance Zip Codes As you use Noble Direct you are often asked for address information when you enter addresses for your patients physicians providers hospitals and even your own practice When you enter a new address Noble Direct saves the city state and zip code information By saving this information Noble Direct is able to offer the direct zip code feature where entering a zip code in any city field automatically completes the city state and zip code fields The Zipcodes tab allows you to add edit and delete zip code records manually as a supplement to the automatic addition that occurs when you add a new address How to Access the Zipcodes Tab From the File Maintenance menu in the Noble Direct main w
24. 02b are detailed here 07 02b Power Operated Vehicle POV defaults for LUCINDA BURKE TYPE RX MANI Date Needed Inici A Replacement Ia Date Needed Revised a em Length of Need op Date Signed ae Warranty m Certificate On File E HE HE oH OH H H CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision E Delete Help 3 Recertification H W Print SS Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services def
25. 1 Special utilities 6 11 Specialty Situations 8 1 Starting 2 2 Support Surface CMN 4 13 System configuration utility 6 20 System requirements 1 3 T Tab 3 2 3 3 3 14 3 16 3 18 3 20 3 22 3 25 4 2 4 44 4 47 4 53 4 55 4 58 4 62 4 66 4 68 4 73 4 75 4 77 5 2 5 6 5 8 5 9 5 12 5 13 5 15 5 16 6 2 6 4 6 8 6 9 6 10 Tab A R Reports 5 16 Tab Autopost Payments 6 9 Tab Commissions 5 9 Tab CPT 4 47 Tab CPT Activity 5 12 Tab Create Edit List 3 14 Tab Daily Confirmation 3 25 Tab Distribute Pmts 3 18 Tab Doctor Noble 6 10 Tab Enter Transaction 3 3 Tab HCFA 1500 5 2 Tab Hospitals 4 66 Tab ICD 9 4 53 Tab Ins Co 4 55 Tab Macros 4 68 Tab Mailbox Handling 6 8 Tab Master Lists 5 15 Tab Pat Invoices 5 6 Tab Pat Recall 5 8 Tab Patients 4 2 Tab Payment Register 3 20 Tab Physicians 4 44 Tab Practice Snapshot 6 4 Tab Practices 4 77 Tab Providers 4 58 Tab Repeat Billing 3 22 5 13 Tab Reset Flags 6 2 Tab Salesmen 4 62 Tab Transmit Claim 3 16 Tab Types 4 75 Tab Zipcodes tab 4 73 Technical support 1 5 Transaction 2 11 3 2 3 9 3 10 3 11 3 12 3 13 6 11 Transaction Import 6 15 4 Index Transaction repeat 3 13 Transaction repeat turning off 3 13 Transaction adding payment 3 9 Transaction deleting 3 12 Transaction editing 3 12 Transaction entering 3 2 Transaction entering zero payment 3 13 Transaction searching for 2 11
26. 1 indicates initial certification default 2 indicates arevision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D
27. File Maintenance Menu Special Reports Menu Utilities Menu Inventory Menu Help Menu Claims Processing Menu The Claims Processing menu provides commands that allow you to enter details on claims transmit claims handle repeat billings and receive and apply payments as the insurance company responds A list of the commands on the File Maintenance menu and a description of the each command follows Details on these commands are exp lained in the Claims Processing section of this documentation Menu Command Description Enter Transactions Allows you to enter the details needed to submit a claim to an insurance company Create Edit List Generates a list of the transactions that are ready to be transmitted for collection Transmit Claims Transmits the claims for electronic processing Apply Payments Allows you to apply payments from Medicare Medicaid insurance companies or patients to your patients accounts Payment Register Generates a report that details the payments that you applied during any period of time Repeat Billing Creates a batch of repeat transactions that you have previously defined Daily Confirmation Report Generates a report that details the transactions for any period of time Exit Exits the software File Maintenance Menu The File Maintenance menu provides commands that allow you to define and edit details about your practice and patients A list of the commands on the File Maintenance menu and a descr
28. Information Window for more details Medigap will only be accepted on assigned claims from Medicare B participating physicians or suppliers Relation The patient s relationship to the holder of the insurance Choose S for self P for spouse C for child or O for other If you choose any relationship other than self the Patient Relationship to Insured Information window appears You must enter the required information See Patient Relationship to Insured Information Window for more details Recall The date on which the patient is due to return in MM DD Y YYY format That is two digits for the month and day and four digits for the year To quickly clear the recall date press the button next to the field Admission The date on which the patient was admitted for treatment in MM DD YY YY format that is two digits for the month and day and four digits for the year To quickly clear the admission date press the button next to the field Discharge The date on which the patient was discharged in MM DD Y Y YY format That is two digits for the month and day and four digits for the year To quickly clear the discharge date press the button next to the field 4 4 File Maintenance The Comprehensive Remedy DME CMN Your Yes Y or No N selection from this drop down list indicates whether a certificate of medical necessity is required Entering Yes or pressing the List button displays the list of Certificates of Medical Necessity
29. Last Accessed 03 19 2001 V Save X Cancel ol Delete Help Company Id An identifier that uniquely identifies this insurance company This identifier can be a maximum of eight letters and or numbers Company Name The name of the insurance company Address 1 The street address for the insurance company Address 2 Additional street address information such as a suite number City The city portion of the insurance company s address If you enter a zip code that you used previously in the software the city state and zip code fields are completed automatically State The two letter state abbreviation for the state portion of the insurance comp any s address This is a required field 4 54 File Maintenance The Comprehensive Remedy Zip Code The zip 4 code for the zip code portion of the insurance company s address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window Contact The contact person for the insurance company Telephone The telephone number for the insurance company Medigap Id The Medigap number for the insurance company as assigned by Medicare Part B This enables Medicare to automatically crossover any claims that are processed by Medicare Transmit Choose Y if you want to transmit claims to this i
30. Noble Direct does not know that the crossover happened If you receive a payment on a partial transaction for a claim submitted to Medicare To prevent the printing of a secondary insurance form in these cases Set the secondary transmit flag for the claim to Y Once you receive a payment for those transactions that have not crossed over you can manually change the secondary transmit flag back to N and print those transactions which are ready to be forwarded to the carrier You can change the secondary transmit flags on the Enter Transaction tab For more information see Toggling the Transmit Flag How Do I Handle Capped Rentals Noble Direct has the ability to process track and fully automate the Medicare mandated requirements of Capped Rentals Noble Direct uses Modifiers and the Repeat Billing feature to manage Capped Rentals Capped Rentals A capped rental is a rental of a piece of equipment that can be rented for a specific amount of time after which the rental may continue or the equipment may be purchased Noble Direct will automatically handle the generation of the Purchase Option letter and create maintenance transactions at the conclusion of the 15 month Capped Rental period For Purchase Option transactions Noble Direct will cease repeat billing at the conclusion of 13 monthly billing cycles Likewise for a Rental Option Noble Direct will discontinue monthly billing on the 15 cycle and automaticall
31. Noble Direct does not offer any magical solutions for obtaining payments from uninsured or underinsured patients However it does allow you to enter your treatment of uninsured patients into its files and produce patient invoices To enter uninsured patients and their transactions into Noble Direct 1 Add an insurance company called Uninsured that is set to not transmit or print For more details see File Maintenance Insurance Companies For the patient s primary insurance company on the Patient File Maintenance screen select the insurance company called Uninsured For more information on this window see Patient File Maintenance Window Continue to enter the patient s claim in the normal way setting the insurance company field to Uninsured For more information on entering claims see Claims Processing Entering Transactions Enter a primary insurance payment of 0 00 This leaves the entire bill on the patient s account For more information on entering payments see Adding a Payment Print an invoice for the patient For more information see Special Reports Patient Invoices Specialty Situations 8 1 Noble Direct How do I handle DME commissions Noble Direct offers its Durable Medical Equipment provider users with a way to handle commissions To set up a commission system 1 In the Procedure Code File Maintenance window enter a five character commission type for each eligible procedure code For more
32. ROAD sc 29029 0000 MEDUNY MEDICAL UNIV OF SC PINE VALLEY 000 000 0000 123 ANYSTREET SE 29029 0000 D TE STLUKE ST LUKES HOSPITAL PINE VALLEY 803 123 1234 u 126 FORT STREET sc 29029 0000 Edit EI Delete To add a hospital or facility 1 3 Press the Add button Alternatively this button is called Add New in the Hospital Choice List Complete the fields in the Hospital Facility File Maintenance window For more information on the fields in this window see Hospital Facility File Maintenance Window Press the Save button in the Hospital Facility File Maintenance window To edit a hospital or facility 1 Select the hospital or facility that you want to edit by clicking on it If you need help finding the hospital or facility use the search utility at the top of the tab See Using the Search Utility for more information Press the Edit button Change the information in the fields in the Hospital Facility File Maintenance window as necessary For more information on the fields in this window see Hospital Facility File Maintenance Window Press the Save button in the Hospital Facility File Maintenance window Noble Direct automatically changes the information throughout the software To delete a hospital or facility 1 Select the hospital or facility that you want to delete by clicking on it 4 62 File Maintenance The Comprehensive Remedy If you need help finding the hospital or facility
33. Transaction Press the Add Payment button Enter the approval and deductible amounts in the Edit Approval and Deductible Amounts windows that appears and then press the OK button The Enter Transactions window appears Complete the Payment Entry window If the Payment Entry window doesn t open automatically press the New Payment button in the Enter Transactions window For additional information on this window see Payment Entry Window Press the Save button in the Payment Entry window The payment is recorded on the Payments tab of the Enter Transactions window Press the Close button in the Enter Transactions window to return to the Enter Transaction tab Claims Processing 3 9 Noble Direct Viewing the Transaction Totals Besides using the transaction section of the Enter Transaction tab to enter new transactions you can use it to view the transaction totals by patient transaction or date To view the transaction totals from the Enter Transaction tab 1 Click on the patient and Jor transaction for which you d like to view the totals For help in finding a patient see Locating a Patient For help in finding a transaction see Locating a Transaction 2 Press the View Totals button on the Enter Transaction tab A separate window appears and remains on your screen until your press the Hide Totals button on the Enter Transaction tab This window allows you to view the transaction totals for the selected patient select
34. We at Noble House are constantly listening to our family of customers for suggestions and improvements to Noble Direct and its associated applications When we implement enhancements all of our users receive an update This is our interpretation of a win win situation While we can t possibly think of every little enhancement we let you do that and reward you in return This is why Noble Direct was created Noble Direct is The Comprehensive RemedySM 1 2 Introduction The Comprehensive Remedy System Requirements Noble Direct for Windows has the following minimum system requirements IBM compatible computer with 128 megabytes of memory RAM 500 megabytes of available hard disk space Microsoft Windows 9x NT XP and or 2000 Operating System VGA or higher resolution monitor Microsoft mouse or compatible pointing device Printer LaserJet and or Deskjet recommended Modem and Internet access TCP IP protocol Note These requirements are the minimum for Noble Direct for Windows to function As with any software better hardware will make the software run faster Introduction 1 3 Noble Direct Legal Issues LIMITED WARRANTY Media Noble House warrants the physical media of the Noble Direct software referred to in this limited warranty as the Software against physical defects for a period of 90 days from installation or purchase whichever is later Your sole remedy for defective media is replacement
35. Welcome to Noble Direct the Comprehensive Remedy There are five applications in the Noble House suite of applications Noble Direct Noble PreQ Noble Tracker Noble Labels Noble Security About Noble Direct Noble Direct is designed to automate the processing of industry standard HCFA 1500 forms and associated Certificate of Medical Necessity CMN documentation It is designed to streamline the processing of these claims by 1 Decreasing the manual paperwork by automating the data entry 2 Decreasing the response payment times by transmitting the claims electronically Electronic transmission is not only easier lacking all of the complex forms and mailing hassles it is also faster more reliable and initiates much faster response times Key Features e Electronic filing of forms via modem This provides private insurance companies Medicare and Medicaid with your reimbursement requests while avoiding most of the usual delays of manual processing In addition with Noble Direct and the modem link you can track Medicare s response to payment requests finding out the check number and amount of their payment even before it arrives in your mail Patient tracking and billing These features allow you to track your outstanding receivables with special consideration for the multiple sources of payments that medical providers must juggle Noble Direct expects each patient s bill to be a confusing medley of Medicare Medicaid i
36. a lot of useful information in the process The Practice Snapshot utility uses this information to draw an instant picture of where your practice is financially This is handled using the Practice Snapshot tab How to Access the Practice Snapshot Tab From the Utilities menu in the Noble Direct main window choose the Practice Snapshot command or Access the Utilities functionality from the quick menu and then click on the Practice Snapshot tab Mailbox Handling Autopost Payments Doctor Noble ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS Patient Type INCLUDE ALL PATIENTS RH ALL One Range INS INCLUDE ALL INSURANCE 7 All Companies D ALL Primary Transmit Flag EB A Display To take a practice snapshot 1 Narrow down the transactions to be included in the snapshot by selecting the providers insurance companies and patients for the transactions that you want to include You must select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want to include all of the providers click on the All tab in the Providers section of the Practice Snapshot tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnify
37. accurate click NO and fix it once you click Yes the PO cannot be changed To change a purchase order 1 Select the purchase order that you want to change by double clicking on it 2 Change the fields in the Purchase Orders window For more information on the fields in this window see Purchase Orders File Maintenance Window 3 Pressthe Save button To cancel delete a purchase order 1 Select the purchase order that you want to delete by clicking on it If you need help finding the purchase order use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this vendor Press the Yes button if you do To add an item to an existing purchase order 1 Select the purchase order that you want to change by clicking on it 2 Press the Add Item button 3 Enter the information in the fields in the Purchase Order Items Window and press the Save button For more information on the fields in this window see Purchase Order Items Window To modify an individual item on an existing purchase order 1 Select the purchase order that you want to change by clicking on it 2 Selectthe item that you want to edit by clicking on it 3 Press the Edit Item button 4 Change the information in the fields in the Purchase Order Items Window and press the Save button For more information on the fields in this window see Purchase Order It
38. asks you if the HCFA forms printed properly If they did press the Yes button and Noble Direct automatically marks all of the transactions as printed If they didn t press the No button so that you can re print the forms HCFA Options Window This window appears when you are generating HCFA 1500 forms using Noble Direct s Special Reports functionality Each field is explained below PRIMARY HCFA 1500 FORMS TAB Primary HCFA 1500 1 Secondary HCFA 1500 Ins Company Invoices PRIMARY Primary Transmit Flag IN Positioning gfo efo Print Field Alignment Boxes X Cancel Primary Transmit Flag Specifies the transmit flag for the claims that you want to generate The question mark symbol is used as a wildcard allowing claims with any transmit flags to be generated Positioning Adjusts the vertical and horizontal position of the printing 300 units per inch Special Reports 5 3 Noble Direct Print Field Alignment Boxes Checking this checkbox prints a box around the fields so that you can properly align the HCFA form SECONDARY HCFA 1500 FORMS TAB HCFA Options g M Printonlvithose transactions which Haye an outstanding Secondary Transmit Flag Specifies the transmit flag for the claims that you want to generate The question mark symbol is used as a wildcard allowing claims with any transmit flags to be generated Transaction Value to Use Your selection from this drop down list indicates wh
39. beginning date for the range of dates on which service occurred PS The place of service code CPT The CPT procedure code M1 M4 Up to four two digit modifier codes used to alter the meaning of the medical or surgical description ICD 9 The primary diagnosis code for this transaction D U The total number of days or units of treatment Chg App The amount charged or approved for the service provided Balance The dollar amount of the remaining unpaid balance for this transaction Noble Direct may place one of the following codes after the balance to indicate the following conditions indicates a zero balance D indicates a deductible indicates a balance due If there is no code shown here then no payments have been made on the transaction Resp The responsibility indicator Before any type of payment activity the payment responsibility belongs to the primary insurance company and thus this column is marked PRI Once there is primary payment activity of any kind the responsibility falls to the secondary insurance company and this column is marked SEC if the patient has secondary insurance Once there is secondary payment activity or if the patient doesn t have any secondary insurance the responsibility falls to the patient and this column is marked PAT Adding a Patient Each transaction must be assigned to one patient only Before you can enter any details about a transaction you must assign it to a patien
40. device Question 14 Does the patient have coexisting pulmonary disease Question 15 Has a conservative treatment program been tried without success Question 16 Was a comprehensive assessment performed after failure of conservative treatment Question 19 Are open moist dressings used for the treatment of the patient Question 20 Is there a trained fulltime caregiver to assist the patient and manage all aspects involved with the use of the bed Question 21 Provide the stage and size of each pressure area ulcer necessitating the use of the overlay mattress or bed Question 22 If you have indicated ulcer s in the previous questions you should answer the following question Over the past month the patient s ulcer s has have 1 Improved 2 Remained the Same or 3 Worsened Enter the number of the appropriate response File Maintenance 4 13 Noble Direct CMN Motorized Wheel Chairs The fields for CMN 02 03a are detailed here J 02 03a Motorized Wheel Chairs defaults for LUCINDA BURKE TYPE RX MEM Date Needed Initial A Replacement ES Date Needed Revised a em Length of Need op Date Signed o Warranty m Patient Height Certificate On File MEMO Patient weight INN d E om E oU UN CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision dq Delete Help 3 Recertification H W Print SS Se
41. include all of your items click on the All tab in the Items section of the tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range fromthe first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which 7 14 Inventory The Comprehensive Remedy you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must make a selection for each criterion with which you are presented 2 Press the Print button 3 Complete the Report Destination window For more information on this window see Report Destination Window Inventory Options Noble Direct allows you to set defaults for information used in inventory processing such as shipping methods and terms of payment To enable inventory functionality Inventory Options Iv 1 From the Inventory menu in the Noble Direct main window choose the Inventory Options command 2 Click the checkbox to enable the system s inventory functionality Inventory 7 15 Noble Direct To set inventory opti
42. information see Procedure Code File Maintenance Window 2 Inthe Salesperson File Maintenance window define the commission as fixed or percent and enter the amount or percent Each salesperson can have up to three commission types For more information see Salesperson File Maintenance Window Once these two items are defined the setup portion of the commission system is complete Using the commission system is automatic When you place the commission s procedure code on a claim Noble Direct checks the salesperson for the claim to see if he can collect that commission If he can notice is made within the Noble Direct system If he can t collect on the commission the physician for the claim is checked Each physician DME manager has a salesperson associated with him If the physician s associated salesperson is eligible for the commission notice is made in the Noble Direct system When a payment is entered against the claim the commission is calculated and added to the salesperson s account The next time that a commission report is generated the commission appears under the salesperson s name The house account collects all of the commissions for which there are no eligible salesperson This house account allows the unused commissions to be included on the commission report How do perform Medicare Medigap Medicaid crossovers Noble Direct can perform automatic crossovers of Medicare claims to Medigap Medicaid and comp
43. menu in the Noble Direct main window choose the Mailbox Handling command or Access the Utilities functionality from the quick menu and then click on the Mailbox Handling tab or Press the Mailbox toolbar button in the main window To use mailbox handling Click Download Mailbox the system downloads and lists the files in your mailbox You may print the files by selecting them and clicking Print Selected Files or you may print all files that have not yet been printed You may also delete old files in your mailbox by clicking the Purge Historic Files button entering the date prior to which you want files deleted and clicking OK 6 8 Utilities The Comprehensive Remedy Utilities Autoposting Payments Autopost Payments is part of Noble Direct s ERN information handling functions Using this utility you can apply the payments that you received from Medicare to the patients accounts This is handled using the Autopost Payments tab Autopost payments is possible because the details on how to split up the check already exist in the ERN information Note Autopost payments cannot be used for private insurance company payments or payments directly from the patient How to Access the Autopost Payments Tab From the Utilities menu in the Noble Direct main window choose the Autopost Payments command or Access the Utilities functionality from the quick menu and then click on the Autopost Payments tab Reset Flags
44. number of cycles for the repeat in the Enter Transactions window Noble Direct s Repeat Billing tab simplifies your handling of these repeat billings When you run the repeat billing function you allow Noble Direct to check the repeat transactions to see if they are due to be re transmitted If a transaction is due to be re transmitted the Repeat Billing function handles the transmission without any further effort on your part If a transaction is not due for repeat Noble Direct skips it but stores it so that it can be tested again the next time that you run this function To ensure that repeat transactions are filed as timely as possible you should run the repeat billing function as part of your daily routine Note Do not manually enter the repeat transaction using the Enter Transaction tab as this can lead to double billing The repeat billing code that you entered in the Enter Transactions window handles the repeat billing automatically and will continue to do so unless you turn off the repeat billing by either changing the repeat code in the Enter Transactions window or by turning off the transaction repeat from the Enter Transaction tab How to Access the Repeat Billing Tab From the Claims Processing menu in the Noble Direct main window select the Repeat Billing command or Access the Claims Processing functionality from the quick menu and then click on the Repeat Billing tab or Press the Repeat Billing toolbar button in the mai
45. of the actual code allows you to have multiple entries of the same procedure code Description The description of the procedure or an alternate description if an actual code has been defined File Maintenance 4 47 Noble Direct NDC Number The National Drug Code number Certain procedure codes and all drugs have an NDC number Oral Cancer Drug Your Yes Y or No N selection from this drop down list indicates if this procedure involves an oral cancer drug Charge Amount Your standard charge amount for this procedure Approved Amount The approved amount for this procedure This amount is for internal use only and will not be printed and or transmitted to any insurance company Factor Value A value used to compensate for the difference between what is a billable unit in your inventory and a billable unit for the insurance company For example when you bill a box of lancets to Medicare they consider a box as one unit with each box containing 50 lancets However lancets also come in boxes of 100 If you sell a box of 100 lancets to a patient this is one box as far as inventory is concerned but two boxes as far as Medicare is concerned In this case you need to enter a factor value of 2 When you enter a claim you would enter one unit When Noble Direct generates the HCFA 1500 form it will automatically multiply the quantity the one unit by the factor value of 2 CMN Cert Form For a DME procedure code select the CMN
46. of this documentation Menu Command Ttems Vendors Purchase Orders Receiving Return to Stock 2 6 Quickstart Description Allows you to add edit or delete the Items you wish to inventory Allows you to add edit or delete the Vendors from whom you acquire the Items you wish to inventory Allows you to add edit or cancel delete the Purchase Orders used to acquire the Items you wish to inventory Allows you to receive inventory previously ordered on a Purchase Order Allows you manage serialized items Serialized items are not consumed rather they can be used by one patient and then returned and used by another patient The Comprehensive Remedy Physical Inventory Reports and Lists Inventory Options Help Menu Allows you to manage physical inventory You can freeze selected items print lists of frozen items to be used in physical inventory taking enter counts create variance reports and then update inventory with new count information Generates inventory reports Sets defaults for inventory processing The Help menu is where you should go if you need assistance with the software A list of the commands on the Help menu and a description of the each command follows Menu Command Description Contents Displays the onscreen help system Tech Info Displays technical information about each Noble Direct component This includes the state size and index About Displays Noble
47. our regular office hours 9 00 A M to 5 00 P M Eastern Time Monday through Friday 954 418 0829 Voice 954 418 9631 Fax Introduction 1 5 2 Quick Start The Comprehensive Remedy This quick start section introduces you to the main window of Noble Direct for Windows and helps you get the software up and running quickly Because Noble Direct learns the details about your practice as you enter claims most of the software s setup or training occurs as you use it When you see a field on an entry screen with a Magnifying Glass button next to it that field is typically one that trains the software Entering a new item into the field records the information into Noble Direct s master files This item is then automatically available to you during all future occurrences of the field This quick start section covers the following topics Starting Noble Direct The Noble Direct Main Window Claims Processing Menu File Maintenance Menu Special Reports Menu Utilities Menu Inventory Menu Help Menu About the Master Files Daily Procedures Setting Up Your Practice Common Features Using the Search Utility Locating a Patient Locating a Transaction Quick Menu Report Destination Window Quickstart 2 1 Noble Direct Starting Noble Direct To start Noble Direct for Windows l 2 From the Windows Start menu select the Programs group then the Noble House group Click on the Noble Direct icon the system pres
48. payments as the insurance company responds File Maintenance used to define and edit details about your practice and patients Special Reports used to generate HCFA forms patient invoices and various management reports that analyze your practice Utilities provides miscellaneous support utilities for various functions Inventory allows you to manage your inventory information including information on Items Vendors Purchase Orders Stock and Physical Inventory These five categories appear as menus across window the top of the main window In addition if you move your cursor over the status bar on the bottom of the main window you will see the same four categories in the quick menu To learn how to turn the quick menu on and off see Configuring Your System When the quick menu isn t displayed the status bar shows the practice ID practice account number and practice name It may also show the transaction procedure code description patient comment indicator transaction comment indicator and alternate description indicator depending on the function that you are currently using The main window also contains a toolbar that provides quick access to the most commo nly used functions Throughout this documentation we will present all of the ways of accessing Noble Direct s functionality Quickstart 2 3 Noble Direct For details about the commands on each menu in the main window see the following Claims Processing Menu
49. press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion 5 2 Special Reports The Comprehensive Remedy 2 Select the service dates for the claims that you want to generate You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Dates area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 3 Select the patient type for the claims that you want to generate You can enter the patient type in two ways 1 by typing a patient type directly into the field or 2 by pressing the All button in the Patient Type area of the tab Pressing the button generates claims for the patient types that you have defined 4 Press the Print button 5 Complete the HCFA Options window by clicking on the appropriate tab filling in the necessary fields and pressing the OK button Noble Direct confirms the number of transactions that it will print and asks you if should continue For more information on the HCFA Options window see HCFA Options Window 6 Complete the Report Destination window Noble Direct prints the claims to your selected destination For more information on this window see Report Destination Window 7 Complete the Confirm HCFA Printing window This window
50. press the button next to the field Patient Height The patient s height in inches Patient Weight The patient s weight in pounds Question 1 Does the patient have severe permanent disease of the gastrointestinal tract which prevents absorption of sufficient nutrients to maintain weight and strength commensurate with the patient s overall health status Question 3 Enter the number of days per week on which the patient is infused Enter 1 7 Question 4a Enter the formula component for the amino acid for ml day Question 4b Enter the formula components for the amino acid for the concentration percent Question 4c Enter the formula components for the amino acid for the gms protein day Question 4d Enter the formula component for dextrose for the number of ml day Question 4e Enter the formula component for dextrose for the concentration percent Question 4f Enter the formula component for lipids for the ml day Question 4g Enter the formula component for lipids for the concentration percent Question 4h Enter the formula component for lipids for the number of days weeks Question 5 What is the route of administration Enter one of the following 1 central line 2 peripheral line 3 hemodialysis access line or 7 peripherally inserted central catheter PICC File Maintenance 4 35 Noble Direct CMN Enteral Nutrition The fields for CMN 10 02b are detailed here J 10 02b Enteral Nutrition defaults
51. re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Question 1 Does the patient require positioning of the body in ways not feasible with an ordinary bed due to a medical condition which is expected to last at least one month Question 3 Does the patient require for the alleviation of pain positioning of the body in ways not feasible with an ordinary bed Question 4 Does the patient require the head of the bed to be elevated MORE THAN 30 DEGREES most of the time due to congestive heart failure chronic pulmonary disease or aspiration Question 5 Does the patient require traction which can only be attached to a hospital bed Question 6 Does the patient require a bed height different than a fixed height hospital bed to permit transfers to chair wheelchair or standing position Question 7 Does the patient require frequent changes in body position and or have an immediate need for a change in body position File Maintenance 4 11 Noble Direct CMN Support Surfaces The fields for CMN 01 02b are detailed here P 01 02b Support Surfaces defaults for LUCINDA BURKE TYPE RX MEM Date Needed Initial A Replacement ES Date Needed Revised a em Length of Need op Date S
52. tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range in the first drop down list and the ending item for the range in the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Copies of Each Label Specifies the number of copies of each label that you want to generate Starting Label Number Specifies the starting label position The graphic to the left of the control shows the layout of the label sheet Noble Direct requires that you are use Avery labels 5160 5260 or equivalent You can either enter the starting label number in the field or press the label number in the graphic Positioning Adjusts the vertical and horizontal position of the labels 300 units per inch Advanced Button Displays the Advanced Labeling Positioning window which allows you to precisely adjust the left edges of each column in pixels and to set the font and font size Conditions Allows you to enter additional conditions that control which labels are generated To add a condition press the Plus Sign button Complete the fields in the Add C
53. that asks for a provider This window is called Provider Choice List Patients Physicians CPT ICD 3 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search For Provider ID Reset PS Ki N CARE RE PRO j JOVER e EIS 5 REET DODO Ke Delete To add a provider 1 Press the Add button Alternatively this button is called Add New in the Provider Choice List 2 Complete the fields in the Provider File Maintenance window For more information on the fields in this window see Provider File Maintenance Window 3 Press the Save button in the Provider File Maintenance window To edit a provider 1 Select the provider that you want to edit by clicking on it If you need help finding the provider use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the Provider File Maintenance window as necessary For mo re information on the fields in this window see Provider File Maintenance Window 4 Press the Save button in the Provider File Maintenance window Noble Direct automatically changes the information throughout the software 4 56 File Maintenance The Comprehensive Remedy To delete a provider 1 Select the provider that you want to delete by clicking on it If you need help finding the provider use the search utility at the
54. that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you wantto add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed a
55. the DME CMN field in the Patient File Maintenance window the information that you enter appears as default information for this patient each time that you enter a new transaction You will be given the opportunity to edit this default information In other words the entries that you place here will be the template from which all of the patient s transactions will be created If you are completing the CMN from the DME CMN field in the Enter Transactions window the information that you enter completes the CMN that will be sent with the claim form If you entered default CMN information for the patient when you set up the patient that default information appears automatically You can edit this default information if you wish Each CMN entry window also provides controls for deleting CMNs printing CMNs and adjusting the printing of CMN forms Press the Save button in the CMN entry window You are returned to the Certificate of Medical Necessity window Either repeat steps 1 through 4 above to enter another CMN or press the OK button to close the Certificate of Medical Necessity window CMNs that you complete are shown in bold type in the Certificate of Medical Necessity window The following CMNs are provided with Noble Direct See below for details on the CMN entry window Hospital Beds Seat Lift Mechanisms Support Surfaces Power Operated Vehicles File Maintenance 4 9 Noble Direct Motorized Wheel Chairs Immunosuppressive Drugs
56. the Transmit Flag Viewing or Editing a Transaction If you need to view or edit a transaction you can do so from the Enter Transaction tab To view or edit an existing transaction from the Enter Transaction tab 1 Click on the patient for the transaction in the top part of the tab A list of the existing transactions for the selected patient appears at the bottom of the tab For more information on finding an existing patient see Locating a Patient For more details on the information shown for the patient see Enter Transaction Tab 2 Double click on the transaction that you want to view or edit or Right click on the transaction that you want to view or edit and then choose Edit from the context menu The Edit Transactions window opens For more information on this window see Enter Transactions Window Make any necessary changes in the Enter Transactions window 4 Press the Edit button to make your changes 5 To save your changes and return to the Enter Transaction tab press the Save button Deleting a Transaction If you need to delete a transaction you can do so from the Enter Transaction tab To delete a transaction from the Enter Transaction tab 1 Click on the patient for the transaction For help in finding a patient see Locating a Patient 2 Clickon the transaction that you want to delete For help in finding a transaction see Locating a Transaction 3 Rightclick on the selected transaction and then choose t
57. the practice that you want to edit by clicking on it If you need help finding the practice use the search utility at the top of the tab See Using the Search Utility for more information Press the Edit button Change the information in the fields in the Practice File Maintenance window as necessary For more information on the fields in this window see Practice File Maintenance Window Press the Save button in the Practice File Maintenance window Noble Direct automatically changes the information throughout the software 4 72 File Maintenance The Comprehensive Remedy To delete a practice 1 Select the practice that you want to delete by clicking on it If you need help finding the practice use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this practice Press the Yes button if you do Note If the practice is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the practice and assign new values to those fields Practice File Maintenance Window The Practice File Maintenance window appears when you add or edit a practice When you save the practice from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below J Practice File Maintenance Biel x Sys
58. those transactions that are setup for Weekly Monthly Quarterly Semi Annual and Every Other Month cycles However for Capped Rentals we are mainly interested in the Monthly and Semi Annual cycles This is what happens at various months during the process Specialty Situations 8 3 Noble Direct NINTH MONTH When a Capped Rental transaction is encountered that is in the 9th month a Ten Month Option Letter event will automatically be sent to Noble Tracker This event will generate a mail merge document which can be forwarded to the patient for their selection of either purchasing or to continue renting the equipment By Noble Tracker generating the Ten Month Option Letter you will have the ability to utilize all of the features of Noble Tracker in monitoring the status of the document while you are waiting for it s return from the patient TENTH MONTH When a Capped Rental transaction is encountered that is in the 10th month Noble Direct will automatically prompt the user for the response of the patient regarding the Ten Month Option Letter You will only have the ability to select one of the following options BP The patient has elected to purchase the equipment BR The patient has elected to continue renting the Equipment BU The patient has NOT elected one of the above THIRTEENTH MONTH When a BP Capped Rental transaction is encountered that is in the 13th month the transaction will
59. times that the transaction will repeat itself Each time that the transaction s cycle comes due Noble Direct automatically creates a claim for it and subtracts one from the number of cycles remaining DMN CMN Your Yes Y or No N selection from this drop down list indicates whether a Certificate of Medical Necessity CMN is required Entering Yes displays the list of Certificates of Medical Necessity allowing you to 3 6 Claims Processing The Comprehensive Remedy enter the appropriate information See Certificate of Medical Necessity Window for more details When you complete a CMN the information is transmitted along with the HCFA form Note This field not only displays the CMN window but also designates whether the CMN should be transmitted with the HCFA form You must leave the DME CMN field set to Yes until you finally transmit the claim Addl Doc Your Yes Y or No N selection from this drop down list indicates whether you want to attach any additional document to this transaction If you choose Y the Additional Documentation window appears into which you can type your additional information Pri XMIT The primary transmit flag Indicates whether the transaction has been submitted for electronic processing or local printing to the primary insurance company Y means that the transaction was transmitted or printed Typically N indicates that it was not Note To re transmit or re print a primary HCFA form set t
60. to categorize items on the report Summary shows a total for each CPT code Patient Totals shows the patient transactions that went into calculating the totals for each CPT code Service Date shows the service date transactions that went into calculating the totals for each CPT code Physician Totals shows the physicians that ordered the procedure for each CPT code total Insurance Co Totals shows the insurance company for each transaction that went into calculating the total for each CPT code Full Transaction Details shows the details for each transaction that justifies each total CPT code calculation Patients w Addresses shows the patients name and contact information for each transaction that went into calculating the total for each CPT code Full Trx w Alt Desc shows the transaction details including any alternate descriptions for each CPT code total The two fields next to the drop down list allow you to enter the primary and secondary transmit flags for the transactions to be included in the report The question mark symbol is used as a wildcard allowing transactions with any transmit flags to be included in the report 4 Press the Print button 5 Complete the Report Destination window For more information on this window see Report Destination Window Special Reports Repeat Billing The repeat billing report lists the repeat billing claims for a range of patients This allows you to predict your recurring revenues
61. to change a patient s address update a physician s statistics or change the defaults that Noble Direct is using For these situations Noble Direct s file maintenance functionality is available You can access Noble Direct s file maintenance functionality in one of two ways 1 From the File Maintenance menu in the Noble Direct main window 2 Using the File Maintenance button on the quick menu All of the file maintenance functions with their corresponding menu commands and tab names are listed below Menu Command Tab Name Patients Patients Physicians Physicians CPT Procedure Codes CPT ICD 9 Diagnosis Codes ICD 9 Insurance Company Ins Co Providers Providers Salesperson Salesmen Hospital Facility Hospitals Macro Definition Macros Zip Codes Zipcodes Patient Types Types Practice Practices Additional Doc Macros None File Maintenance 4 1 Noble Direct File Maintenance Patients The Patients tab allows you to add edit or delete patient records recording personal information and setting up default answers for the questions that you encounter during claims entry How to Access the Patients Tab From the File Maintenance menu in the Noble Direct main window select the Patients command or Access the File Maintenance functionality from the quick menu and then click on the Patients tab Note A window that is similar to the Patients tab can be accessed by pressing the Magnifying Glass button next to a field that asks for
62. transaction 1 Select the patient for the transaction in the top part of the tab If the patient for the transaction isn t listed you can add the patient to the system using the Add Patient button For more information on adding a new patient see Adding a Patient For assistance in using the search utility to locate a patient in the list see Locating a Patient For more details on the information shown for the patient on the Enter Transaction tab see Enter Transaction Tab Note You must select the patient before you can enter the patient s transaction 2 Press the Add Transaction button in the transaction section of the Enter Transaction tab 3 Complete the fields in the Enter Transactions window that appears For more information on this window see Enter Transactions Window 4 Press the Save button in the Enter Transactions window The transaction now appears in the transaction section of the Enter Transaction tab For more details on the information shown for the transaction see Enter Transaction Tab From the Enter Transaction tab you can also do the following Edit a Patient Record Add a Payment View the Transaction Totals Set the Transaction Defaults Toggle the Transmit Flag Suspending a Transaction View or Edit a Transaction Delete a Transaction Write Off a Transaction Turn Off a Transaction Repeat Enter a Zero Payment 3 2 Claims Processing The Comprehensive Remedy Enter Transaction Tab The Enter Trans
63. transmit dates to be included in the daily confirmation report Claims Processing 3 25 Noble Direct You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Transmit Dates area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 5 Enter the primary transmit flag for the transactions that you want to include in the report 6 Press the Print button In the Daily Confirmation Report window that appears check the print options that you want to include and then press the Print button These options allow you to choose if you want to include the additional documentation or CMNs in your confirmation report 8 Complete the Report Destination window For more information on this window see Report Destination Window Claims Processing Exiting Noble Direct To exit the software From the Claims Processing menu in the Noble Direct main window choose the Exit command or Press the Exit button on the toolbar in the main window 3 26 Claims Processing The Comprehensive Remedy 4 File Maintenance Because Noble Direct learns about your patients procedure codes and other information as you enter claims into the software theoretically you may never use the file maintenance section of the software except to set up your initial practice However in reality there may be times when you want
64. window see Item Maintenance Window Press the Save button in the Items Inventory window Noble Direct automatically changes the information throughout the software To delete an item 1 SE Select the item that you want to delete by clicking on it If you need help finding the insurance company use the search utility at the top of the tab See Using the Search Utility for more information Press the Delete button A dialog box confirms that you want to delete this item Press the Yes button if you do Inventory The Comprehensive Remedy Item Maintenance Window The Item Maintenance Window appears when you add or edit an item When you save the Item record from this window the required fields that are incomplete are highlighted in red Item Maintenance EN Item Id Description OMC OT CPT Code BEE Cl TRANSFER BOARD OR DEVICE NDC Number MEME Dft Location La ihe Bin Item Information Serial Numbers Vendor BARTS Teas p Track Qty on Hand Part Number Qty on Hand ES Description ERzTERSRERTGDIREESTSG Qty On Order E Case Name D Items Case Last Ordered SE Lead Time Days Expected Last Cost ml Reorder Paint Economic Order Quantity Average Cost a Sales Unit Name PEG Items Sales Unit Retail Price ml Taxable K Modifiers Rk Selling Price ml Allow Backorders e H Never Pick vu Record gt Save x Cancel 3 Delete Help aide a Accessed Each field in this window is explained b
65. 2 Enter the defaults that you want to use in the New Transaction Defaults window 3 Press the Save button in the New Transaction Defaults window Toggling the Transmit Flag Besides using the transaction section of the Enter Transaction tab to enter new transactions you can use it to change the transmit flag for a transaction To change the transmit flag from the Enter Transaction tab 1 Click on the patient for the transaction For help in finding a patient see Locating a Patient 2 Clickon the transaction for which you d like to change the transmit flag For help in finding a transaction see Locating a Transaction 3 Rightclick on the transaction that you want to change and choose either the Toggle Primary command or the Toggle Secondary command from the context menu depending on whether you want to change the primary or secondary transmit flag If the patient doesn t have secondary insurance the Toggle Secondary command will not be available When you make your selection The P or S column in the transaction section of the Enter Transaction tab changes to reflect your choice 4 If you want to change the transmit flag back repeat step 3 Transmit flag A code that indicates whether a transaction has been transmitted for electronic processing or printed locally The code of Y for yes is always used to indicate that a transaction has been transmitted or printed Typically a code of N for No is used to indicate that
66. 2001 09 23 2001 09 23 2001 Transactions SC 14 63 X Cancel 7 Help This window shows the transactions that are eligible to be repeated It displays all of the transactions that met the criteria that you set on the Repeat Billing tab as well as a total transaction count and dollar amount If you right click inside the box a menu appears from which you can run the Pre Repeat report and exclude transactions from the list If a transaction is set for weekly repeats but you forget to run the repeat billing function for an entire month Noble Direct creates four transactions when you finally do run the function Similarly if a transaction is set for monthly repeats and you run the repeat option each day Noble Direct only repeats the transaction once on the Claims Processing 3 23 Noble Direct monthly anniversary of the original service date 6 Press the Create Transactions button in the Repeat Billing window to create the repeat transactions and generate a repeat billing report The repeat transactions marked with your new transmit flag are created for you automatically and will show on the Enter Transaction tab The repeat billing report confirms their creation In addition the number of cycles that you set in the Enter Transaction window is reduced by one for each transaction created 7 Inthe Repeat Billing Report window that appears check the checkboxes for the information that you want to include in the repeat billing rep
67. 4 75 Deleting physician 4 44 Deleting practice 4 77 Deleting procedure code 4 47 Deleting provider 4 58 Index 1 Noble Direct Deleting salesperson 4 62 Deleting transaction 3 12 Deleting zipcode 4 73 Diagnosis code 4 53 Diagnosis code adding 4 53 Diagnosis code deleting 4 53 Diagnosis code editing 4 53 Distribute Pmts tab 3 18 Doctor Noble tab 6 10 Doctor Noble utility 6 10 E Edit list 3 14 Edit list creating 3 14 Editing 3 9 3 12 4 2 4 44 4 47 4 53 4 55 4 58 4 62 4 66 4 68 4 73 4 75 4 77 Editing diagnosis code 4 53 Editing hospital facility 4 66 Editing insurance company 4 55 Editing macro definition 4 68 Editing patient 3 9 4 2 Editing patient type 4 75 Editing physician 4 44 Editing practice 4 77 Editing procedure code 4 47 Editing provider 4 58 Editing salesperson 4 62 Editing transaction 3 12 Editing zipcode 4 73 Employer File Maintenance window 4 43 Enter Transaction Payment Amounts window 3 19 Enter Transaction tab 3 2 3 3 Enter Transactions window 3 5 Enteral Nutrition Tab 4 51 Enteral Nutrition CMN 4 37 Entering 3 2 Entering claim 3 2 Entering transaction 3 2 Exiting Noble Direct 3 26 External Infusion Pump CMN 4 33 F File maintenance 2 9 4 1 4 2 4 44 4 47 4 53 4 55 4 58 4 62 4 66 4 68 4 73 4 75 4 77 4 81 File maintenance additional doc macros 4 81 File maintenance CPT Procedure Codes 4 47 F
68. 62 Adding zipcode 4 73 Additional A R Report Criteria window 5 17 Additional doc macro 4 81 Additional doc macro adding 4 81 Additional doc macro deleting 4 81 Additional reports 5 23 Alternative Ship To Address window 4 7 Automated Write Offs utility 6 11 Autopost Payments tab 6 9 B Batch Change CPT Code utility 6 12 Birthday list 5 22 C Certificate of Medical Necessity 4 10 4 13 4 15 4 17 4 19 4 21 4 23 4 25 4 27 4 29 4 31 4 33 4 35 4 37 4 39 4 41 Certificate of Medical Necessity window 4 9 Certificate of Medical Necessity continuous positive airway pressure 4 19 Certificate of Medical Necessity enteral nutrition 4 37 Certificate of Medical Necessity external infusion pump 4 33 Certificate of Medical Necessity home oxygen therapy 4 39 Certificate of Medical Necessity hospital bed 4 10 Certificate of Medical Necessity immunosuppressive drugs 4 31 Certificate of Medical Necessity lymphedema pumps 4 21 Certificate of Medical Necessity manual wheel chair 4 17 Certificate of Medical Necessity motorized wheel chair 4 15 Certificate of Medical Necessity osteogenesis stimulator 4 23 Certificate of Medical Necessity parenteral nutrition 4 35 Certificate of Medical Necessity power operated vehicle 4 29 Certificate of Medical Necessity seat lift mechanism 4 27 Certificate of Medical Necessity support surface 4 13 Certificate of Medical Necessity transcutaneous elec
69. 8 3 19 4 3 4 7 4 8 4 9 4 43 4 45 4 49 4 54 4 56 4 60 4 64 4 67 4 69 4 71 4 74 4 76 4 79 5 3 5 7 5 17 5 18 5 19 Window Add Condition 5 18 Window Additional A R Report Criteria 5 17 Window A Iternative Ship To Address 4 7 Window Certificate of Medical Necessity 4 9 Window Employer File Maintenance 4 43 Window Enter Transaction Payment Amounts 3 19 Window Enter Transactions 3 5 Window HCFA Options 5 3 Window Hospital Facility File Maintenance 4 67 Window ICD 9 Code Maintenance Window 4 54 Window Insurance Company File Maintenance 4 56 Window Invoice Options 5 7 Window Macro Definition File Maintenance 4 69 Window Macro Detail Definition 4 71 Window Mailing Labels 5 19 Window main Noble Direct 2 3 Window Medigap Insurer s Information 4 7 Window Patient File Maintenance 4 3 Window Patient Relationship to Insured Information 4 8 Window Patient Type Maintenance 4 76 Window Payment Entry 3 8 The Comprehensive Remedy Window Physician File Maintenance 4 45 Window Practice File Maintenance 4 79 Window Procedure Code File Maintenance 4 49 Window Provider File Maintenance 4 60 Window Report Destination 2 11 Window Salesperson File Maintenance 4 64 Window Zipcode File Maintenance 4 74 Writing off 3 13 6 11 Writing off transaction 3 13 6 11 Z Zero payment 3 13 Zip code 4 73 Zip Code File Maintenance window 4 74 Zip code adding 4 73 Zip code deleting 4 73 Zip co
70. 8 Editing a Patient RECO ti c cc siscsccsccsseccessiass SEENEN NEESS EES AGUER 3 9 Adding Payment E 3 0 Viewing the Transaction Totals ERREUR ER NERVAE N ER EVER I HR ees 3 10 Setting the Transaction Default eet RIBERA et Ue 3 11 Togshng the Transmit Flag e RR ERE EUER IRE I es 3 11 Suspending a TransactiOn ite rrt bre m m HERO HE E ERE E E E Iro rede be Toes 3 12 Viewing or Editing Re 3 12 Deletwm ea Re e E 3 12 Writing Ofta Transaction EE 3 13 Turning Off a Transaction Repeat NENNEN 3 13 Entering a Zero Paym nt acea ee rette teet Medie e QE Hee He Eae E REESE E TETERE 3 13 Claims Processing Creating an Edit LiSE 6 retire PE UE DERI CERERI ERE PEPH ERI Ee FU Sp evi CU EE HEELS 3 14 Claims Processing Transmitting Claims Claims Processing Generating a Daily Confirmation Report ENEE 3 25 Claims Processing Exiting Noblezturect ENEE ENEE 3 26 Certificate of Medical Necessity Window CMN Hospital Beds tee rU RH Ee eret I HU HER UID EU X pH eR etie eere eed CMN Support Surfaces CMN Motorized Wheel Chairs iiec ttt EESE EE EE eS IA ERER RRE ERE geheegt CMN Manual Wheel Cha CT CMN Continuous Positive Airway Pressure CMN Lymphedema Pumps dettes ttt etie trao eres tree nee PEE e DH Pee HORE HESSEN ESL PER DELUH EE Ere DER eS HUE Rep ei UHR EE CMN Osteogenesis Stimulator ENEE 4 22 CMN Transcutaneous Electrical Nerve Stimulator ENEE 4 24 CMN S
71. A 1500 Forms HCFA 1500 Patient Invoices Pat Invoices Patient Recall Pat Recall Salesperson Commission Commissions CPT Activity CPT Activity Repeat Billing Repeat Billing Master File Listing Master Lists Accounts Receivable A R Report Mailing Labels None Blank CMN Forms None Patients Of Reports None Birthday List None Additional Reports None Special Reports 5 1 Noble Direct Special Reports HCFA 1500 Forms The HCFA 1500 form is the standard form for reporting claims for payment to Medicare and insurance companies Noble Direct automatically completes the HCFA form printing it on pre printed forms that you can purchase from Noble House or its dealers It also print invoices on plain paper to primary or secondary insurers Noble Direct allows you to generate primary and secondary HCFA forms These two HCFA forms differ only in their destination The primary HCFA form goes to the primary insurer while the secondary HCFA form goes to the secondary insurer You can print an HCFA form for each claim in your system By setting the report criteria you can control the claims that you generate How to Access the HCFA 1500 Report Functionality From the Special Reports menu in the Noble Direct main window choose the HCFA 1500 Forms command and then select either Primary Secondary or Invoices from the sub menu or Access the Special Reports functionality from the quick menu and then click on the HCFA 1500 tab or Press the Pr
72. By setting the report criteria you can control the information shown in the report How to Access the Repeat Billing Report Functionality From the Special Reports menu in the Noble Direct main window choose the Repeat Billing command or Access the Special Reports functionality from the quick menu and then click on the Repeat Billing tab HCFA 1500 Pat Invoices Pat Recall Commissions CPT Activity d j Master Lists A R Report ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS INCLUDE ALL PATIENTS Service Dates Max Remaining 01 01 1300 B A SE SA Print To generate a repeat billing report 1 Narrow down the information by selecting the providers and patients to be included in the report You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want the 5 12 Special Reports The Comprehensive Remedy report to include all of your providers click on the All tab in the Providers section of the tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the firs
73. CEN Cin No 9 Goen salesmen co EEE me DC o Insurance Comments Custom Fields Track Events n Oj run DEEN oo SN MEDI PAK BCBS OF ARKANSAS LITTLE ROCK AR _ mmm mmm pj ENNEE NENNEN Total Records 17 T Delete 7 Heb LastAccessed 05 23 2001 200 FL99999 ACME MEDICAL SUPPLY INC Gg Patient ID An identifier that uniquely identifies this patient This identifier can be a maximum of nine letters and or numbers While Noble Direct can assign a sequential patient identifier we recommend that you use the patient s social security number for the patient ID Ship To Your Yes Y or No N selection from this drop down list indicates whether the patient has an alternative ship to address If you choose Yes the Alternative Ship To Address window appears into which you must enter the required information See Alternative Ship To Address Window for more details on this window Name The patient s full name in first name middle initial last name order Completing the first and last name fields is required Address 1 The street address for the patient Address 2 Additional street address information such as a suite number File Maintenance 4 3 Noble Direct City The city in which the patient lives If you enter a zip code that you used previously in the software the city state and zip code fields are completed automatically State The two letter state abbreviation for the s
74. Certification form from this drop down list This forces Noble Direct to only accept that CMN form when you are entering transactions Commission Type The commission type for the procedure code This links the procedure code in the commission report with the associated salesperson and the corresponding commission rate In other words if you add one or more procedure codes with the same commission type then assign that commission type to a salesperson that salesperson receives a commission each time he or an associated physician sells that procedure code Commission types may be a maximum of five letters and or numbers For a procedure code commission type to match a salesperson commission type the spelling of both types must be identical For more information on using a salesperson commission type see Salesperson File Maintenance Window Print Desc on HCFA Your Yes Y or No N selection from this drop down list indicates whether you want the description to print on the HCFA 1500 form Noble Tracker Tab Noble Tracker Enteral Nutrition Event 1 EE cl Event 2 EN You can control whether Noble Direct transmits a transaction for a specifie CPT code for a patient based upon whether the patient has a valid event defined in Noble Tracker If you identify an event to Noble Direct in the Track Events Tab when the system is about to transmit a transaction with this CPT Code for a patient it will first check with Noble Trac
75. Click on the Create button and select the type of merge you wish to create Form Letters in this example Form Letters Specialty Situations 8 5 Noble Direct The system asks you if you wish to use the active window Microsoft Word Q Active Window Mem Man Document 4 Click Active Window The Mail Merge Helper window now looks like this SCH Ges Jm To Locate the Data Source 5 Next click on Get Data and then choose Open Data Source Open Data Sourc 6 From the Open dialog box select the document you previously saved in Word e g Data doc containing your data Word then asks you to identify the delimiters in the data file Header Record Delimiters siete Date Time Practice PatientId First Name Middle Name Last Name Care of Street 1 Street 2 City State Zipcode 7 Select the Comma for the Field Delimiter and Enter for the Record Delimiter and click OK Word then asks you to add the merge fields to your form letter 8 6 Specialty Situations The Comprehensive Remedy Microsoft Word Q 8 Click Edit Main Document the system displays your document with the Mail Merge toolbar at the top To Add Merge Fields and Text 9 From the Insert Merge Field menu in the toolbar select the fields you wish to insert into your document by placing your cursor in the document and then selecting the names from the list Fi
76. DME users of Noble Direct The salesperson commission report reviews the paid claims reporting and allowing you to handle commissions due It also allows you to review your commission policy By setting the report criteria you can control the information shown in the report How to Access the Salesperson Commission Report Functionality From the Special Reports menu in the Noble Direct main window choose the Salesperson Commission command or Access the Special Reports functionality from the quick menu and then click on the Commissions tab HCFA 1500 Pat Invoices Pat Recall Y CPT Activity Repeat Billing Master Lists A R Report ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range SALESMEN INCLUDE ALL SALES PEOPLE Payment Dates Options 01 01 1900 12 31 2999 Summary E A Print Include House Special Reports 5 9 Noble Direct To generate a salesperson commission report 1 Narrow down the information by selecting the salespeople and patients to be included in the report You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want the report to include all of your salespeople click on the All tab in the Salesmen section of the tab To select one item for the criterion Click on the One tab for the criterion and then select y
77. Details on these commands are explained in the Utilities section of this documentation Menu Command Reset Transmit Flags Practice Snapshot Mailbox Handling Autopost Payments Reprint Last Xmit Doctor Noble Special Utilities DataSync Import Export Live Update Offsite Backup System Configuration Inventory Menu Description While transactions are usually transmitted for collection once this feature allows you to reset transactions for retransmission if needed Allows you to view your entire practice s financial activity in one window including the value of services rendered and collection information Controls Noble Direct s mailbox functions Applies the payments that you received from Medicare to the patients accounts using the ERN information Reprints the last Electronic Claim Summary report Allows you to check for errors on your system Provides several special utilities including Automated Write Offs Batch Change CPT Code Copy Practice Tables Fresh Start and Trx Pmt Viewer Synchronizes data between computers Updates Noble Direct to the latest version Backs up files offsite Allows you to set a variety of Noble Direct system options The Inventory menu provides commands that give you the ability to manage your inventory information including information on Items Vendors Purchase Orders Stock and Physical Inventory Details on these commands are explained in the Inventory section
78. Direct s About window About the Master Files Noble Direct saves the information that you enter into master files There are separate master files for the following categories Master File Description Patients Name contact information diagnosis codes insurance details employer and physician Physicians Name contact information UPIN associated salesperson and insurance numbers for the physicians who refer patients to your practice Procedure Codes Code description billing information and commission Diagnosis Codes Insurance Companies Providers Salespeople Hospitals Facilities information for procedure codes used in your practice These codes are used to represent your standard tests treatments and procedures Standard ICD 9 codes and descriptions used in your practice Like the procedure code master file this file only contains the information pertinent to your practice specialty Name contact information and Medigap ID for the insurance companies to which you will be submitting claims For those companies to which you ll be submitting claims electronically a transmit flag is also saved to notify Noble House as to where to forward the claim Name contact information and identifiers for the care providers with which your practice deals Name contact information federal ID and commission schedule for salespeople involved with your practice Name and contact information for the hospitals and
79. Export window select the name of the practice from which you want to export the records from the Practice drop down list and enter a date range in the Start Date and End Date fields If you want to export all of the records press the All button Doing so enters a date range of 01 01 1900 to 12 31 2999 4 Press the Export button To import records 1 From the Utilities menu in the Noble Direct main window choose the DataSync Import Export command From the sub menu select the DataSync Import command DataSync Import Import Filename JAA nE BIT DEIER zl Include Records from Noble PreQ Files Import new patients and activity from the specified import file 2 Inthe DataSync Import window select the name of the file to which you exported the records If you need help locating the path and filename of the file press the button next to the Import Filename field 3 Press the Import button Utilities Updating the Software Noble Direct for Windows allows you to connect to the Noble House web site to obtain the latest version of the software Note You must exit Noble Direct on all of your other computers if any before updating your software To update Noble Direct 1 From the Utilities menu in the Noble Direct main window choose the Update Software command The system reminds you that you must be connected to the Internet and notifies you that Noble Direct will shut down 2 Click Yes to continue The system d
80. NOBLE DIRECT NOBLE DIRECT Noble House 828 S E 8th Avenue Deerfield Beach FL 33441 Sales 561 392 6700 Technical Support 954 418 0829 Fax 954 418 9631 All Contents Copyright 1991 2001 by Noble House Funding Corporation All Rights Reserved Table of Contents 1 INTRODUCTION TO NOBLE HOU S Biicistisiiascnnnninniimmninsnnianiiennen 1 1 eg KEE About Noble EEN About Noble Tracker About Noble Labels About Noble Security System Requirements IE al TSSUGS c Getting Help 2 QUICK STAR E 2 1 Starting NOble DICeCt E 2 2 The Noble Direct Main Wipdouw ENEE 2 3 Claims Processing Menu File Maintenance Menu eee ioter tenete ete vd eee Eee ERE ERR EE EE REIR a Reeve Special Reports Mentis DRE EENS Utilities Mehl sisse NU UAM emo eer eee eee eee T LIE Jeepen Help Menu About the Master Files Daily PHO E Setting Op Your E 2 9 ee 2 9 Usmg the Search Utility EE 2 0 Locating Patient EE 2 10 Locating WLAMS ACTON EE 2 11 Report BSEC 2 11 4 CLAIMS PROCESSING eee ee 3 1 Claims Processing Entering Transactions netten tenente tenerent tenente nette te tenerent tenens 3 2 Enter Transaction VAD LEER 3 3 Addi g a Batent m 3 4 Enter Transactions Wand OW d 3 5 Payment Entry Wit dOw C 3
81. NUMBER CHECK DATE COMMENTS PMT COUNT REMAINDER 9 000 Distribute To apply a payment to a patient transaction 1 Select the patient to which the payment applies by pressing the Magnifying Glass button clicking on the patient in the Patient Choice List and then pressing the Select button Complete the following fields When you click on one of these fields the patient s transactions that have an outstanding balance are displayed on the bottom of the tab and the patient s ID number and transaction balance are displayed next to the patient name Batch ID This optional field allows you to enter a batch number to help you categorize the payments that you are entering Source Select the source of the check PRI indicates the primary insurance company SEC indicates the secondary insurance company and PAT indicates the patient OTH indicates another source and W O indicates that it is a write off Date Received The date that you received the payment The current date is entered automatically Pmt Amount The amount of the check Check Number The number on the check Check Date The date of the check The current date is entered automatically Comments Any comments that you want to make about the payment if any The payment source appears here 3 18 Claims Processing The Comprehensive Remedy automatically You can change or add to the comment if you wish 3 Check the check box in fro
82. PATIENTS Ir ALL One Range INS INCLUDE ALL INSURANCE 7 All Companies d Service Date IS en eee aLL Primary Transmit Flag Transmit To transmit your claims 1 Narrow down the information to be transmitted by selecting the providers insurance companies and patients to be included You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want to transmit the claims for all of your providers click on the All tab in the Providers section of the Transmit Claim tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button 3 16 Claims Processing The Comprehensive Remedy Note You must select all one or range for each criterion If you want to limit the patients includ
83. Press the Yes button if you do Note If the salesperson is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the salesperson and assign new values to those fields Salesperson File Maintenance Window The Salesperson File Maintenance window appears when you add or edit a salesperson When you save the salesperson information from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below Salesperson File Maintenance Biel EZ Salesperson Id Name Address 1 Address 2 Ciy State Zipcode IT E Telephone Federal MENNENEEEENI CPT Code Type Fised Percent Commission 1 com DI Commission 2 comi P BH RS Commission 3 Fe a rr Total Records 3 Browse Last Accessed 09 29 2000 f V Save X Cancel Kai Delete Help Salesperson ID An identifier that uniquely identifies this salesperson This identifier can be a maximum of five letters and or numbers Name The salesperson s full name in first name middle initial last name order Completing the first and last name fields is required Address 1 The street address for the salesperson Address 2 Additional street address information such as a suite number City The city portion of the salesperson s address If you enter a zip code that you used previously in the software the city state and zip code
84. RE 176 N W 20TH STREET MD 21203 0000 STL STUART T LANE COOPER CITY 200 WEST PALMETO PARK ROAD FL 33026 0000 Edit 3 Delete To add a salesperson 1 Press the Add button Alternatively this button is called Add New in the Salesman Choice List 2 Complete the fields in the Salesperson File Maintenance window For more information on the fields in this window see Salesperson File Maintenance Window 3 Press the Save button in the Salesperson File Maintenance window To edit a salesperson 1 Select the salesperson that you want to edit by clicking on it If you need help finding the salesperson use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the Salesperson File Maintenance window as necessary For more information on the fields in this window see Salesperson File Maintenance Window 4 Press the Save button in the Salesperson File Maintenance window Noble Direct automatically changes the information throughout the software File Maintenance 4 59 Noble Direct To delete a salesperson 1 Select the salesperson that you want to delete by clicking on it If you need help finding the salesperson use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this salesperson
85. ROVIDERS ALL One Range PATIENTS Patient Type INCLUDE ALL PATIENTS Ir Insurance Type Primary af Reset Flags Change Flag D to D To reset the transmit flags 1 Narrow down the transactions to be reset by selecting the providers insurance companies and patients for the transactions that you want to reset You must select all one or a range of items for each of these criterion Note Please be very careful when using this utility as you could potentially reset the transmit flags for all of your transactions causing all of your claims to be submitted in duplicate To select all of the items for the criterion Click on the All tab for the criterion For example if you want to reset the transmit flags for all of the providers click on the All tab in the Providers section of the Reset Flags tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button 6 2 Utilities The Comprehensive Remedy To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass butt
86. Recall Commissions CPT Activity Repeat Billing Master Lists A R Report ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS INCLUDE ALL PATIENTS ALL ne Range INSU RANCE INCLUDE ALL INSURANCE 7 All Companies Service Dates Gen B Patient Type MENO s SA Print To generate an accounts receivable report 1 Narrow down the information by selecting the providers patients and insurance companies to be included in the report You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want the report to include all of your providers click on the All tab in the Providers section of the tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then pre
87. TWARE WILL BE UNINTERRUPTED Some states do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you This warranty gives you specific legal rights which vary from state to state Other Legal Items Noble House reserves the right to make improvements and modifications in the product described in this documentation at any time and without notice 1 4 Introduction The Comprehensive Remedy Getting Help Noble House provides Online Help and a User Manual This documentation is designed to teach you how to use Noble Direct for Windows and to be a reference when you need assistance with software problems To display Windows Help for Noble Direct Contents Tech Info OnLine Support About 1 Select Contents from the Help menu the system displays the Contents screen of the Noble Direct Online Help System Help for all aspects of the system can be accessed from this page NOTE The Tech Info option is for the use of Noble House technical support 2 Select OnLine Support from the Help menu the system launches your browser if you are connected to the Internet will display the Noble Direct support page at the Noble House Web site 3 Select About from the Help menu the system displays a dialog box identifying version and contact information If you are unable to find the answers that you need in this documentation we will be happy to provide you with customer support during
88. Tab From the Inventory menu in the Noble Direct main window select the Purchase Orders command Items Vendors Purchase Orders Retum to Stock Physical Inventory Order No z pD Reset 3 Add Order pa EN Le ell Order No Vendor Id Terms of Payment Shipping Method Creation Date _ AMERICAN FEDERAL EXPRESS 06 08 2001 P Add Item 7 Delete Item Seq Item No Bin Qty Ordered Cost Sub Total 2 STEELMOD 06 08 2001 1 2 00 2 00 r Item s in This Order 2 Total 8 00 Outstanding 8 00 Open Shipping Cost 3 00 To add a purchase order Press the Add Order button 2 Complete the fields in the Purchase Orders window to add general purchase order information For more information on the fields in this window see Purchase Orders File Maintenance Window 3 Pressthe Save button 4 For each item that you want to add to the purchase order click the Add Item button complete the fields in the Purchase Order Items Window and press the Save button For more information on the fields in this window see Purchase Order Items Window Inventory 7 7 Noble Direct 5 When you have completed adding items click the Shipping Cost button and add the shipping cost 6 Click the printer icon to print the Purchase Order Once printed a purchase order cannot be changed You may print to the printer or to the screen The system asks you if the Purchase Order is accurate If itis not
89. Transaction setting defaults 3 11 Transaction suspending 3 12 Transaction toggling transmit flag 3 11 Transaction viewing 3 12 Transaction viewing totals 3 10 Transaction writing off 3 13 6 11 Transcutaneous Electrical Nerve Stimulator CMN 4 25 Transmit Claim tab 3 16 Transmit flag 3 11 6 2 Transmit flag defined 3 11 Transmit flag resetting 6 2 Transmit flag toggling 3 11 Transmitting 3 16 Transmitting claim 3 16 Trx Pmt Viewer 6 15 Types tab 4 75 U ninsured patient 8 1 pdate Software utility 6 19 ser Defined CMN 4 41 tilities 6 1 6 2 6 4 6 8 6 9 6 10 6 11 6 12 6 14 6 15 6 18 6 19 6 20 tilities Configuring Your System Setup Options 6 21 tilities Offsite Backup 6 20 tilities automated write offs 6 11 tilities autopost payment 6 9 tilities batch change CPT code 6 12 tilities copy practice tables 6 14 tilities DataSync import export 6 18 tilities Doctor Noble 6 10 tilities fresh start 6 11 6 15 tilities mailbox handling 6 8 tilities overview 6 1 tilities practice snapshot 6 4 tilities reprint last xmit 6 10 tilities reset transmit flags 6 2 tilities system configuration 6 20 tilities trx pmt viewer 6 15 tilities update software 6 19 cic ce GUOUO eee oic tie iit V Vendor File Maintenance Window 7 6 Viewing 3 10 3 12 6 15 Viewing transaction 3 12 Viewing transaction totals 3 10 Viewing trx pmt information 6 15 W Window 2 3 2 11 3 5 3
90. a physician This window is called Patients Choice List Patients Physicians CPT ICD 3 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search for Patient Id Reset ES k gt i 01 02 BILL CARTER BOCA RATON 561 418 082 77203M01 100 LAKE ROAD FL 33428 0000 12312123 01 05 JEAN FOWLER PINE VALLEY 803 756 1215 MCARE C 134 SMITH LANE SC 29029 0000 000 00 0000 01 08 THOMAS JONAS COLUMBIA 809 323 1233 MCARE C 3252 WEST HILLS DRIVER SC 297020000 123121234 Baw 01 10 ROBERT REYNOLDS PINE VALLEY 803 756 5937 S MCARE C 5909 LOCKLEAR SC 29029 0000 131 25 0403 Edi 01 11 JAY SMITH PINE VALLEY 803 756 2386 MCARE C 4614 OXBOW SC 29029 0000 21 46 0903 4 Delete 01 12 MARK OWENS PINE VALLEY 803 756 7891 MCARE C 7563 MAIN STREET SC 29029 0000 12211 0101 To add a patient 1 Press the Add button Alternatively this button is called Add New in the Patients Choice List 2 Complete the fields in the Patient File Maintenance window For more information on the fields in this window see Patient File Maintenance Window 3 Press the Save button in the Patient File Maintenance window To edit a patient 1 Select the patient that you want to edit by clicking on it If you need help finding the patient use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the inform
91. action tab allows you to enter new transactions and view or edit existing transactions Each field on this tab is explained next Enter Transaction Repeat Biling Create Edit List Transmit Claim Daily Confirmation Distribute Pmts Payment Register PatientName AOO OI ge x m t AddPationt ID Number Name State Provider Type R Phone Number LUCINDA BURKE GC CARE DIABET 06 26 1999 803 756 3795 BILL CARTER 561 418 0829 CARL CARTER Seq PSRC Srv Date PS CPT M1 H2 M3 M4 ICD 9 DZU Chg App Balance Resp 0001 D NN 08 02 1995 12 E0972 ZX 3449 1 0 0 00 PAT PATIENT SECTION The top section of this tab lists your patients You use it to choose the patient to which the transaction applies The information listed about the patient corresponds to the information entered in the Patient File Maintenance window For more details about this window see Patient File Maintenance Window ID Number The identifier that uniquely identifies this patient Name The patient name in first name middle initial last name format State The two letter state abbreviation for the state in which the patient lives Provider The identifier for the patient s provider Type The patient type Recall Date The date on which the patient is due back The last column can vary depending on the criterion that you are using to sort the items In most cases this column displays the patient s telephone number but it can display the pa
92. actions and verify their accuracy using the transaction edit list you can transmit your claims This is done using Noble Direct s Transmit Claim tab When you transmit claims you are asking Noble Direct to send some or all of your unreported claims to the appropriate insurance companies electronically Using a computer modem and an unused telephone line Noble Direct automatically sends the selected transactions without the usual forms reports and postage Note It is highly recommended that you always generate a transaction edit list before transmitting claims Generating and verifying a transaction edit list will help you to identify entry errors and omissions before the insurance companies get involved It is a lot easier to correct a mistake in your computer than to reverse a faulty claim in the insurance company s computer For more information on transaction edit lists see Creating an Edit List How to Access the Transmit Claim Tab From the Claims Processing menu in the Noble Direct main window select the Transmit Claims command or Access the Claims Processing functionality from the quick menu and then click on the Transmit Claim tab or Press the Transmit toolbar button in the main window Enter Transaction Repeat Billing Create Edit List Transmit Claim Daily Confirmation Distribute Pmts Payment Register ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS paient DS INCLUDE ALL
93. agnosis code throughout the system CPT Your most commonly used procedure code CPT Used as the default procedure code throughout the system Modifiers The procedure code modifiers Used as the default modifiers throughout the system Letterhead Your selection from this drop down list indicates whether you are using letterhead If you are the software will not print your practice name at the top of each page for patient invoices and the packing lists from the DME Label option Pg Break on Confirm Rpt Y indicates that the confirmation report that you receive after transmission will be set up with one patient per page N indicates that the confirmation report will contain as many patients per page as possible The format of the confirmation report is the same as the format ofthe edit list except for the heading Pg Break on Edit List Y indicates that the edit list will be set up with one patient per page N indicates that the edit list will contain as many patients per page as possible The format of the edit list is the same as the format of the confirmation report except for the heading DME Labels Choose Y for Yes here if you want to use the label printing features Calc Balances Choose Y for Yes here if you want Noble Direct to calculate and display balances on the transaction choice list You can view the totals by pressing the View Totals button on the Enter Transaction tab The Totals window that appears is also c
94. aim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical
95. aintenance Window 3 Press the Save button in the ICD 9 Code Maintenance window To edit an ICD 9 diagnosis code 1 Select the ICD 9 diagnosis code that you want to edit by clicking on it If you need help finding the diagnosis code use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the ICD 9 Code Maintenance window as necessary For more information on the fields in this window see ICD 9 Code Maintenance Window 4 Press the Save button in the ICD 9 Code Maintenance window Noble Direct automatically changes the information throughout the software File Maintenance 4 51 Noble Direct To delete an ICD 9 diagnosis code 1 Select the ICD 9 diagnosis code that you want to delete by clicking on it If you need help finding the diagnosis code use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this ICD 9 diagnosis code Press the Yes button if you do Note If the diagnosis code is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the diagnosis code and assign new values to those fields ICD 9 Code Maintenance Window The ICD 9 Code Maintenance window appears when you add or edit an ICD 9 diagnosis code When
96. al The beginning date of this certified period of medical necessity To quickly clear this date 4 24 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Question 1 Does the patient have acute post operative pain Question 2 What is the date of the surgery resulting in acute post operative pain Question 3 Does the patient have chronic intractable pain Question 4 How long has the patient had intractable pain Enter the number of months rounded up with acceptable values being between 1 and 99 Question 5 For which if any of the following conditions is the TENS unit being prescribed Enter one of the following 1 headache 2 viscreal abdominal pain 3 pelvic pain 4 temporomandibular joint TMJ pain or 5 none of the above Question 6 Is there documentation in the medical record of multiple medications and or other therapies that have been tried and failed Question 7 Has the patient received a TENS trial Question 8 If you answered Quest
97. alled the Floater Note To best view the floater we recommend that your screen resolution be at least 800x600 so that the floater can be placed directly to the right of the main Noble Direct window If your screen is using a resolution of 640x480 the floater will sit right on top of Noble Direct State The two letter abbreviation for the default state Used as the default state throughout the system Primary Insurance Your most commonly used primary insurance ID number Used as the default primary insurance company throughout the system Provider Your most commonly used provider ID Used as the default provider throughout the system Trx Facility Your most commonly used location where services are were rendered Used as the default facility throughout the system Diabetic KS ZX Your Yes Y or No N selection from this drop down list indicates whether you want Noble Direct to automatically apply KS or ZX modifiers for Type II diabetic with a diagnosis code of 25000 This field was designed because of a HCFA Medicare ruling on July 1998 4 74 File Maintenance The Comprehensive Remedy File Maintenance Additional Doc Macros Noble Direct allows you to use macros that automatically create an additional document attachment for a procedure code To add an additional document macro 1 From the File Maintenance menu in the Noble Direct main window select the Additional Doc Macros command Ke GE Wa k vu
98. and verified all items click the Return button the system updates inventory with the returned items 3 To return all items at once for a patient click the double right pointing arrow and then click the Return button 7 12 Inventory The Comprehensive Remedy Physical Inventory The Physical Inventory tab helps you manage physical inventory You can freeze selected items print lists of frozen items to be used in physical inventory taking enter counts create variance reports and then update inventory with new count information How to Access the Physical Inventory Tab From the Inventory menu in the Noble Direct main window select the Physical Inventory command STEELMOD Modular Ramp How to take inventory 1 Select the items in the list on the left that you wish to inventory by clicking on them then click the Add Item button the system moves the item to the box on the left When you have moved and verified the items click the Freeze Items button Inventory 7 13 Noble Direct 2 To freeze all items at once click the Add All Items button and then click the Freeze Items button Items Vendors Purchase Orders Retum to Stock Physical Inventory Enter Counts Quantity m WWeWeDege M km base JS STEELNOD iiser ei p Information x 3 Item s have been frozen now you can perform the items count manually then you can ente
99. ation in the fields in the Patient File Maintenance window as necessary For more information on the fields in this window see Patient File Maintenance Window 4 Press the Save button in the Patient File Maintenance window Noble Direct automatically changes the information throughout the software To delete a patient 4 2 File Maintenance The Comprehensive Remedy 1 Select the patient that you want to delete by clicking on it If you need help finding the patient use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this patient Press the Yes button if you do Note If the patient is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the patient and assign new values to those fields Patient File Maintenance Window The Patient File Maintenance window appears when you add or edit a patient When you save the patient record from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below PF Patient File Maintenance lel XI se B ver DN Signature EB work EN Assignment EB rop IN accident DNI Employed IBI Coverage DN Marital s E Pjs DEER ree BN e RI Birthdate ME Onset E TI Reco DEEZEU Provider E O Terrore ACRE CT 015 NNI 0 ERT 2
100. automatically stop repeating for any future months FIFTEENTH MONTH When a BR Capped Rental transaction is encountered that is in the 15th month the transaction will automatically stop repeating for any future months Additionally a new transaction will be created six months in the future which will contain an MS modifier Maintenance and the repeat flag will be set to semi annually This maintenance transaction will continue to repeat until manually turned off 8 4 Specialty Situations The Comprehensive Remedy How Do Use Word Mail Merge Here is an example of how to use the Mail Merge feature of MS Word to generate a form letter In this example we ll use two files a Word document with the letter document2 doc and a data file data doc with the information e g names and addresses for whom the form letter will be generated Mail Merge can then print the form letter for each name in the data file either directly to the printer or to a file NOTE If your data is in a text file you should first save it as a Word document Select Open from the File menu and select the text file Then Select Save As from the File menu and select Word Document doc as the type Close the document To Create the Form Letter 1 Select Newfrom the File menu creating a new document 2 Select Mail Merge from the Tools Menu the system presents the Mail Merge Helper dialog box Mail Merge Helper Geb Date 3
101. b 1 Click on the patient for the transaction For help in finding a patient see Locating a Patient Click on the transaction to which you want to apply a zero payment For help in finding a transaction see Locating a Transaction Right click on the selected transaction and then choose either the Zero Pay Primary or Zero Pay Secondary command from the context menu Claims Processing 3 13 Noble Direct Claims Processing Creating an Edit List After you enter all of your transactions you can generate a transaction edit list that you can use to check the information that you entered for the claims This is done using Noble Direct s Create Edit List tab While the transaction edit list contains information on the untransmitted claims the information that appears is the same as the information that will be transmitted for collection How to Access the Create Edit List Tab From the Claims Processing menu in the Noble Direct main window select the Create Edit List command or Access the Claims Processing functionality from the quick menu and then click on the Create Edit List tab Enter Transaction Repeat Billing Create Edit List Transmit Claim Daily Confirmation Distribute Pmts Payment Register ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS Patient Type ff Dee ALL One Range INS m BL LOL 7 A Companies El Service Date IIIe eu 06 20 2001 ALL Primar
102. can Press the No button in this window to cancel the transmission fix the claims with errors then repeat this transmission procedure to transmit all of the claims at once Note Transmitting claims can take several minutes and uses your telephone to connect to the Internet If your computer is sharing a telephone line with one of your telephones that telephone must not be touched or used while the transmission is occurring When the transmission is complete the insurance companies will have your transactions and will act on them without further involvement from you Claims Processing 3 17 Noble Direct Claims Processing Applying Payments Once you transmit a transaction to an insurance company or send an invoice to a patient the next step is to wait for the payment to arrive Every payment that you receive should be applied to the patient s account so that you can keep track of outstanding and overdue receivables You apply these payments using Noble Direct s Distribute Pmts tab How to Access the Distribute Pmts Tab From the Claims Processing menu in the Noble Direct main window select the Apply Payments command or Access the Claims Processing functionality from the quick menu and then click on the Distribute Pmts tab Enter Transaction Repeat Billing Create Edit List Transmit Claim Daily Confirmation is Payment Register Patient Name II Li Balance 0 00 BATCH ID SOURCE DATE RECEIVED PMT AMOUNT CHECK
103. ce Tables ABT ABT MEDICAL SUPPLY INC E Ship li Addresses fo Comments iv M M M M iv lt I To copy your master files from one practice to another 1 From the Utilities menu in the Noble Direct main window choose the Special Utilities command From the sub menu select the Copy Practice Tables command 2 Inthe Copy Practice Tables window select the practice from which you want to copy the master files from the Copy From drop down list 3 Select the practice to which you want to copy the master files from the Copy To drop down list Note You must have already set up the new practice for it to be included in this list For information on setting up a new practice see File Maintenance Practices 4 Check the checkboxes corresponding to the master files that you want to copy 5 If you want to replace pre existing records when duplicates are encountered check the checkbox Otherwise leave it blank 6 Press the OK button When the copying is complete Noble Direct tells you how many items were copied successfully 6 14 Utilities The Comprehensive Remedy Getting a Fresh Start Noble Direct provides you with the Fresh Start utility that automatically closes and re opens all of the master files This is used for troubleshooting To get a fresh start From the Utilities menu in the Noble Direct main window choose the Special Utilities command From the sub menu select th
104. certified period of medical necessity To quickly clear this date press the button next to the field Date Revised Recert If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Certificate on File Paper copies of the certification documentation must be signed by the physician and on file in the supplier s office Is such paper documentation signed and on file Enter Y to indicate that certification is on 4 38 File Maintenance The Comprehensive Remedy file or N to indicate that certification is not on file Question 1a Enter the results of the most recent test taken on or before the certification date listed in Section A Enter arterial blood gas PO2 here Question 1b Enter the results of the most recent test taken on or before the certification date listed in Section A Enter oxygen saturation test here Question 1c Enter the results of the most recent test taken on or before the certification date listed in Section A Enter the date of the test here Question 2 Was the test in Question 1 performed either with the patient in a chronic stable state as an o
105. cessary For more information on the fields in this window see Patient Type Maintenance Window 4 Press the Save button in the Patient Type Maintenance window Noble Direct automatically changes the information throughout the software To delete a patient type 1 Select the patient type that you want to delete by clicking on it 4 70 File Maintenance The Comprehensive Remedy If you need help finding the patient type use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this patient type Press the Yes button if you do Note If the patient type is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the patient type and assign new values to those fields Patient Type Maintenance Window The Patient Type Maintenance window appears when you add or edit a patient type When you save the patient type from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below Patient Type Maintenance KC DO NOT USE THIS PATIENT UNTIL Els Type Code An identifier that uniquely identifies this patient type This identifier can be a maximum of six letters and or numbers Description A general description by which you can refer to this patient type The description may b
106. choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion If you want to limit the CPT code change to a specific patient type enter the type in the Patient Type field Select the service dates for the CPT code change You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Date area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 Press the Gather button The Change CPT Code window appears showing you a list of the transactions meeting your criteria Do the following To remove a transaction from the list and thus not change the CPT code select the transaction s that you want to remove and then press the Remove Item s button To select multiple items hold down either the Shift key to select contiguous items or the Ctrl key to select non contiguous items while clicking on the transactions that you want to remove from the list When you have only the transactions that you want to change appearing in the list press the Change CPT s button Utilities 6 13 Noble Direct Copying the Practice Tables Noble Direct for Windows allows you to copy your master files from one practice to another This is referred to as copying practice tables Copy Practi
107. choice in the window that appears and then press the Select button Note You must select all one or range for each criterion 2 Enter the type of insurance company you want to include in the payment register by making a selection from the drop down list 3 If you want to limit the patients included in payment register to a specific patient type enter the type in the Patient Type field 4 Selectthe payment dates to be included in the payment register 3 20 Claims Processing The Comprehensive Remedy You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Date area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 Enter the payment batch ID if any Select the report layout You can choose to display the report as a regular payment register check register by transaction or by transactions by check number Press the Print button If you are given the choice select the report order that you want to use in the Check Register window and then press the Print button Complete the Report Destination window For more information on this window see Report Destination Window Claims Processing 3 21 Noble Direct Claims Processing Handling Repeat Billings When you entered a transaction you were given an opportunity to set how often the transaction repeats and the
108. cial Reports Blank CMN Forms 5 c ccssccsccsecsssssssesesssssscnsctssssnescssenssensousnvessusbabsssnesbecenseucsesehvestystesensascesdeaseuederornvasees 5 19 Special Reports Patients Of Reports entente tenente nte tente tenente te tentent nette tenente tenen tenens 5 20 Special Reports Birthday List scc cccscsscsssscoccccssssecsessssssssesoosssascussstsassbursessussenseupnvestyevessssnsssessnsseedeuetvestestessnsaucbsceeseuesetorseveies 5 21 Special Reports Additional Reports Aen ae eR A Gh ean ae 5 22 TK UE tilities Resetting the Transmit Flags ENEE ENEE tilities Taking a Practice Siapshot sccciccssssssscscsscccssssvasetsesassestusssvesssccustenusensevaseessusbevencascustebsounsevervesesssssoaseschstersaedssereavases tliti s Handling Your lbq tilities Reprinting the Last Transmission tilities Working With Doctor Noble AEN tilities Using the Special Utilities oreet ee REI REIR IS HY RR ee RSEN Sce tee hne Performing Automated Write Of EEN Batch Changing a CPT Code Sc ds s s s Copying tbe Practice E Getting Fresh LE Viewing tbe Treier Information iret i SS ERR PERIERE EAR U U U Utilities Autoposting Payments U U U Transaction el coi o rti a HERE Ee a IEEE dc Rer te ET RENE A Load Check Information Utilities Updating the Software ENNEN Utilities Offsite Ba aper Utilities Configuring Your System ENEE Utilit
109. cify the calories per unit billed to Medicare e g if Medicare allows 100 calories per unit billed enter 100 in the Calories Units field Specify the Cans Case field by entering the total cans per case of this item 4 Once your CPT codes are set up properly you can enter transactions and bill From the Enter Transactions Window enter a transaction for each of the Enteral items e g chocolate vanilla strawberry For each transaction be sure to enter the date range for which you are billing e g 11 01 2001 11 30 2001 File Maintenance 4 49 Noble Direct When these items are billed electronically or printed on a HCFA form the system will sum all of the charge amounts from the individual Enteral items together into one transaction with the generic CPT procedure code you set up initially Here s an example Note the thee transactions each with their own amounts 0010 N NN 11 01 2001 12 50001 00322 150 0 180 00 180 00 PRI Here s what the transactions look like after they have been billed 0016 Y NN 11 01 2001 12 B4150 00322 450 0 487 50 487 50 PRI Note that their charge amounts are zeroed out and a new transaction was created with the total dollar amounts from the three transactions and the Actual Code from the generic CPT code you set up previously This is the transaction that is billed to Medicare 4 50 File Maintenance The Comprehensive Remedy File Maintenance ICD 9 Diagnosis Codes Whi
110. city and state are completed automatically Question 11 On what date was the patient discharged from the hospital following this transplant surgery Question 12 Was there a prior transplant failure of this same organ File Maintenance 4 31 Noble Direct CMN External Infusion Pumps The fields for CMN 09 02 are detailed here J 09 02 External Infusion Pump defaults for LUCINDA BURKE TYPE RX MAI Date Needed Initial NE Replacement ES Date Needed Revised NENNEN Facit FT 2 Length of Need 00 Date Signed o Warranty RR Certificate On File MEM co SCC a co EE 7m CERTIFICATION TYPE Enter one of the certification types 1 Initial certification default 2 Revision xe 3 Recertification ave 3 Cancel ko I2 elete Help Print H didi S Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displa
111. ck Date The date of the check The current date is entered automatically If you received cash leave this field blank Comments Any comments that you want to make about the payment if any The payment source appears here automatically You can change or add to the comment if you want 3 8 Claims Processing The Comprehensive Remedy Editing a Patient Record If you need to you can edit a patient s record directly from the Enter Transaction tab To edit a patient record from the Enter Transaction tab 1 Double click on the patient that you want to edit or Click on the patient that you want to edit right click on your selection and then choose the Edit Patient command from the context menu The Patient File Maintenance window appears For help in finding a patient see Locating a Patient Change any necessary patient data in this window For more information on this window see Patient File Maintenance Window Press the Save button in the Patient File Maintenance window Adding a Payment Besides using the transaction section of the Enter Transaction tab to enter new transactions you can use it to add a payment to a transaction To add a payment to a transaction from the Enter Transaction tab 1 Click on the patient for the transaction For help in finding a patient see Locating a Patient Click on the transaction to which you want to apply a payment For help in finding a transaction see Locating a
112. d by the ordering physician To quickly clear this date press the button next to the field Date of Last Examination The date on which the patient was last seen by the certifying physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Patient Height The patient s height in inches Patient Weight The patient s weight in pounds File Maintenance 4 41 Noble Direct Employer File Maintenance Window This window appears when you are entering a new patient whose is employed It appears when you choose Y in the Employed field Employer File Maintenance EN Company E m P E KO Address 2 City State Zipcode A Continue Help X Cancel When you are done entering the information in this window press the Continue button If there are any required fields that are incomplete they are highlighted in red Each control is explained below Company The name of the company for which the patient works Address 1 The street address for the company Address 2 Additional street address information such as a suite number City The city portion of the company s address If you enter a zip code that you used previously in the software the city state and zip code fields are completed automatically State The two letter abbreviation
113. d only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 14 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Patient Height The patient s height in inches Patient Weight The patient s weight in pounds Question 1 Does the patient require and use a wheelchair to move around in their residence Question 2 Does the patient have quadriplegia a fixed hip angle a trunk cast or brace excessive extensor tone of the trunk muscles or a need to rest in a recumbent position two or more times during the day Question 3 Does the patient have a cast brace or musculo skeletal co
114. de editing 4 73 Zipcodes tab 4 73 Index 5
115. dow choose the Patient Recall command or Access the Special Reports functionality from the quick menu and then click on the Pat Recall tab HCFA 1500 Pat Invoices l Commissions CPT Activity Repeat Billing Master Lists AAR Report ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS INCLUDE ALL PATIENTS ALL ne Range INSURANCE INCLUDE ALL INSURANCE 7 All Companies Al Range Blanks Only Recall Dates Patient Type All Print Include All Recall Dates and Blanks To generate a patient recall report 1 Narrow down the information by selecting the providers and patients to be included in the report You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want the report to include all of your providers click on the All tab in the Providers section of the tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list 5 8 Special Reports The Com
116. e Fresh Start command Noble Direct re open all of the master files Viewing the Trx Pmt Information This function is for use by Noble House technical support only Transaction Import Noble Direct provides you with a utility that allows you to import transaction details from a file J Transaction Auto Import Biel EZ Enter Transaction Import Filename rT e To import transactions From the Utilities menu in the Noble Direct main window choose the Special Utilities command From the sub menu select the Transaction Import command Enter the Transaction Import Filename and click Execute The system imports the transaction details Utilities 6 15 Noble Direct Load Check Information Noble Direct provides you with a utility that allows you load check information directly from a file This is only necessary if the file is not loaded automatically when you check your Mailbox To Load check information Populate Check Table Utility zl c E CA CG PRG CG NDEO e From the Utilities menu in the Noble Direct main window choose the Special Utilities command From the sub menu select the Load Check Information command Select the file from the list and click OK to load or click All to load all Click the Results tab and review information Populate Check Table Utility 6 16 Utilities The Comprehensive Remedy Purge Noble Direct provides you with a utili
117. e Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this physician Press the Yes button if you do Note If the physician is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the physician and assign new values to those fields Physician File Maintenance Window The Physician File Maintenance window appears when you add or edit a physician When you save the physician record from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below J Physician File Maintenance SE E er coc NES Dess Address 1 Address 2 sure oyster TRES ER EST ven DEEN NEC Telephone MERCE Medicare ENIM CelPhone RBE ur IHREN Fax Phone OR CES id BN m rr Total Records 13 Browse Last Accessed 10 13 2000 ov ie X Cancel fai Delete Help Physician ID An identifier that uniquely identifies this physician This identifier can be a maximum of five letters and or numbers Name The physician s full name in first name middle initial last name order Completing the first and last name fields is required Address 1 The street address for the physician Address 2 Additional street address information such as a suite number City The city portion of the physician s add
118. e a maximum of 35 characters Noble Direct uses this information to help you differentiate this patient type from all others File Maintenance 4 71 Noble Direct File Maintenance Practices The Practices tab allows you to define your primary practice and add edit or delete secondary practices if needed Items defined include the practice s mailing address default answers to many of the questions encountered when entering a claim and your printer information How to Access the Practices Tab From the File Maintenance menu in the Noble Direct main window select the Practice command or Access the File Maintenance functionality from the quick menu and then click on the Practices tab Patients Physicians CPT ICD 3 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search For Code J I Bee I gt gt B 200 ACME MEDICAL SUPPLY INC DEERFIELD BEACH FL 33441 0000 wo Select 3 Delete To add a practice l 2 3 Press the Add button Complete the fields in the Practice File Maintenance window For more information on the fields in this window see Practice File Maintenance Window Press the Save button in the Practice File Maintenance window Note When you have more than one practice defined selecting a practice and then pressing the Select button makes this practice the current practice To edit a practice 1 Select
119. e information on the fields in this window see Vendor File Maintenance Window 4 Press the Save button in the Vendors Inventory window Noble Direct automatically changes the information throughout the software Inventory 7 5 Noble Direct To delete a vendor 1 Select the vendor that you want to delete by clicking on it If you need help finding the vendor use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this vendor Press the Yes button if you do Note If the vendor is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the vendor and assign new values to those fields Vendor File Maintenance Window The Vendor File Maintenance window appears when you add or edit a vendor When you save the vendor record from this window the required fields that are incomplete are highlighted in red J endor File Maintenance Address 1 Address 2 City State Zipcode Contact Tax Id Number T DESCH c RES Email Address Shope ino a aaua I S 5 Total Records Last Accessed Each field in this window is explained below Vendor ID An identifier that uniquely identifies this vendor This identifier can be a maximum of eight letters and or numbers Name The vendor s full name Address 1
120. eat Lift EE 4 26 CMN Power Operated Vehicles DON ANEN 4 28 CMN Immunosuppressive DrU gs eset aeere ni rreeteetb sc ecte tense NEESS PEE HE eue eden aede teo SNE ESEK ERESSE SEEEN ep sete 4 30 CMN External Infusion Pumps seta hans Sei Ra DERE ERUNT EORR REESE RON LS ee LER SUE 4 32 CMN irs BSEC c 4 34 CMN Enteral Nutrition 2 e eie ie ee re ERE EH EH ATH PHENE RR ER EE ETE ERES E ven ca RN IEEE EHE HEN OEA 4 36 CMN Home Oxygen Therapy AER ERREUR RR UR ERREUR ee es 4 38 CMN User Defined POE sacre ripe REED NODE E Sk Ret Perl tre PER PEN EU A AEE E 4 40 Employer File Maintenance Windouw ENEE 442 File Maintenance MT EL 4 43 Physician File Maintenance Wrndow ENEE 4 44 File Maintenance CPT Procedure Codes sess eeeeee entente tenente tnnt nette tete ttn intr tentes Enek neS tenis Procedure Code File Maintenance WindoW ENEE File Maintenance ICD 9 Diagnosis Codes essent tete tenerent tette tenente te tenente tene ICD 9 Code Maintenance Wimdow EEN File Maintenance Insurance Companies eene tenente ettet tenente tente tenente tnter eene tentent Insurance Company File Maintenance Window File Maint nance Providers E Macro Definition File Maintenance Window Macro Detail Definition WindOw ccssssecessssseccseseseceseseseeceeseseeceeaeseccnssseeceeacseecasae
121. ect Automated Write Offs 2 Inthe Automated Write Offs window narrow down the transactions to be written off by selecting the providers insurance companies and patients for the transactions You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want to write off the transactions for all of your providers click on the All tab in the Providers section of the window To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which Utilities 6 11 Noble Direct you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion If you want to limit the transactions to be written off to a specific patient type enter the type in the Patient Type field Select the service dates for the transactions to be written off You can ente
122. ect pulmonary artery pressure measurement Question 10 Does the patient have a hemocrit greater than 56 File Maintenance 4 39 Noble Direct CMN User Defined Form The fields for the user defined form are detailed here J USER User Defined Form defaults for LUCINDA BURKE SE TYPE RX NANI Date Needed Initial A Replacement ES Date Needed Revised NEN Facility EE p Date of Last Examination o Length of Need op Date Signed o Warranty m Patient Height IT Certificate On File MEM Patient weight J CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision E Delete Help 3 Recertification H did Print LE Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an exis
123. ed transaction or by the selected transaction s date To calculate the totals on the Date tab press the Calculate button Trans Date CARTER BILL TRANSACTIONS Count Total 8743 75 Approved 10002 00 PAYMENTS Primary Ins Secondary Patient Other Total 3795 00 Write Off AMOUNT DUE Primary Ins Secondary Patient Total 6207 00 Pri 77203M01 Sec Patient l Date 03 01 95 0004 Charge Amt 41 75 ApprovedAmt 2900 00 Deductible 0 00 PAYMENTS Primary Ins 1575 00 Secondary 0 00 Patient 0 00 Other 0 00 Total 1575 00 Write Off 0 00 AMOUNT DUE Primary Ins 0 00 Secondary 0 00 Patient 1325 00 Total 1325 00 TRANSMISSIONS Pri Ins N Sec Ins 3 10 Claims Processing Pri 77203M01 Sec Patient Trans CALCULATE TRANSACTIONS Count 1 Total 61 28 Approved 12 00 PAYMENTS Primary Ins Secondary Patient Other Total Write Off AMOUNT DUE Primary Ins 0 00 Secondary 0 00 Patient 0 00 Total 0 00 Pri 77203M01 Sec The Comprehensive Remedy Setting the Transaction Defaults Besides using the transaction section of the Enter Transaction tab to enter new transactions you can use it to set the new transaction defaults You can enter defaults for both the primary and secondary transmit flags and set the service date To set the new transaction defaults from the Enter Transaction tab 1 Press the Defaults button on the Enter Transaction tab
124. ed in the transmission to a specific patient type enter the type in the Patient Type field Select the service dates to be included in the transmission You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Date area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 Enter the primary transmit flag for the transactions that you want to transmit Press the Transmit button Noble Direct checks the validity of your claims If the claims that you are transmitting don t contain any errors Noble Direct will ask you if you want to print a confirmation report If you choose Yes the Report Destination window appears allowing you to print an electronic confirmation report For more information on completing this window see Report Destination Window If there are problems with some of your claims the Report Destination window appears allowing you to generate an electronic error report If a claim contains an error the error must be corrected before the claim can be transmitted In addition the Gathering Transactions for Transmission window appears displaying the following message Warning Some claims were rejected Transmit clean claims If this is the case you have two options 1 You can transmit the error free claims clean claims now then fix and transmit the claims with errors later or 2 You
125. efore you can use Noble Direct for Windows you need to tell it about your practice To set up your practice in Noble Direct for Windows 1 From the File Maintenance menu in the Noble Direct main window select the Practice command or Access the File Maintenance functionality from the quick menu and then click on the Practices tab Press the Add button The Practice File Maintenance window appears Complete the fields in the Practice File Maintenance window For more information on the fields in this window see Practice File Maintenance Window Press the Save button in the Practice File Maintenance window The new practice is added to the list on the Practices tab You are now ready to enter claims into Noble Direct Common Features Some features are used frequently in many of the windows in the system Here are the most common Using the Search Utility Locating a Patient Locating a Transaction Quick Menu Report Destination Window Using the Search Utility To find an item using the search utility 1 In the Search By drop down list choose the criterion that you want to use to search When you choose a criterion the list of items is sorted in ascending order by that criterion and the criterion in highlighted in each item In the Search For field enter the text for which you want to search As you enter characters Noble Direct narrows in on your selection The search utility looks for the text exactly as
126. eg Print Patient Totals Only Include Zero Balances HU 9999 99 Include Trs Comments Age By Maximum 99999 99 Service Date From Payment Responsibilit Include transaction which are the responsibility of Report Order v Primary Insurance Patient v Secondary Insurance v Patient C Transmission Date Exclude Suspended Transactions those with a transmit flag of 67 X Cancel Advanced As Of Date Specifies the transactions and payments to include in the report by date The current date is entered automatically Options Check the checkboxes to indicate what you want to print Age By Your selection indicates how you want to determine the age of the transaction Minimum Age Specifies the minimum age of the transaction to include in the report Report Order Specifies the order of the report Patient lists the report information alphabetically be patient last name Primary Insurance lists the report information alphabetically by primary insurance company name Secondary Insurance lists the report information alphabetically by secondary insurance company name Minimum Balance Specifies the minimum amount of the transaction to be included in the report The default shows a value of 9999 99 This means that transactions with any balance amount will be included in the report 5 16 Special Reports The Comprehensive Remedy Responsibility Further narrows done the transactions incl
127. eight Certificate On File MEM Patient weight INN cm com om om CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision dq Delete Help 3 Recertification H did Print LE Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be
128. el Sal Delete Help Component Procedure Codes The individual procedure codes that are part of this macro You can add edit or delete individual component procedure codes To add a component procedure code 1 Pressthe Add button in the Macro Definition File Maintenance window The Macro Detail Definition window appears 2 Complete the fields in the Macro Detail Definition window For more information on the fields in this window see Macro Detail Definition Window 3 Press the Save button in the Macro Detail Definition window To edit a component procedure code 1 Inthe Macro Definition File Maintenance window select the component procedure code that you want to edit by clicking on it 2 Press the Edit button in the Macro Definition File Maintenance window if the Macro Detail Definition window does not open automatically 3 Change the information in the fields in the Macro Detail Definition window as necessary For more information on the fields in this window see Macro Detail Definition Window 4 Press the Save button in the Macro Detail Definition window To delete a component procedure code 1 Inthe Macro Definition File Maintenance window select the component procedure code that you want to delete by clicking on it 2 Ifthe Macro Definition window does not open automatically press the Delete button in the Macro Definition File Maintenance window If the Macro Detail Definition window opens automatically
129. el s Question 10b How many months prior to ordering the device did the patient have the repeat fusion Question 10c How many months prior to ordering the device did the patient have the previously failed fusion Question 11a Is the device being ordered an adjunct to recent spinal fusion surgery in a patient who has had a multi level fusion Question 11b How many months prior to ordering the device did the patient have the multi level fusion File Maintenance 4 23 Noble Direct CMN Transcutaneous Electrical Nerve Stimulator The fields for CMN 06 02 are detailed here J 06 02 Transcutaneous Electrical Nerve Stimulator defaults for LUCINDA BURKE Bisi x TYPE RX AM Date Needed Initial NE Replacement ES Date Needed Revised NEN Facit EN 2 Length of Need op Date Signed o Warranty m Certificate On File MEM fo OON OU UN mmm mp ns CERTIFICATION TYPE Enter one of the certification types 1 Initial certification default 2 Revision xe 3 Recertification ave 3 Cancel ko I2 elete Help Print H W S Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home labo
130. eld is explained below Add Condition Pat Pra ld Sample 200 X Cancel Condition Code Select the condition code from this drop down list The condition codes correspond to the fields in the file maintenance window for the type of mailing labels that you are generating Operator Choose an operator for the condition from this drop down list These are general mathematical operators Value Enter the value that completes the condition in the field A sample for the condition code that you chose appears below the field Special Reports 5 17 Noble Direct Mailing Labels Window This window appears when you are generating mailing labels using Noble Direct s Special Reports functionality The title of the window includes the type of mailing labels that you are generating Each field is explained below FALL One Range PATIENTS INCLUDE ALL PATIENTS LABEL RULES CONDITIONS Use Avery 5160 5260 Labels or Equivalent Only Print Labels For Those who Meet The Following Conditions Copies of Each Starting Label SORT ORDER Number pr S Pat Zipcode Positioning fo o Advanced ame X Cancel All One Range Tabs With each type of mailing label you can specify whether you want to generate mailing labels for all one or a range of items To select all of the items for the criterion Click on the All tab for the criterion To select one item for the criterion Click on the One
131. elow Item ID An identifier that uniquely identifies this item This identifier can be a maximum of twenty letters and or numbers Description A more complete explanation of the item CPT Code An identifier that uniquely identifies this procedure This identifier can be a maximum of five letters and or numbers The CPT Code must be a valid entry from Noble Direct s Procedure Code File You may use the magnifying glass for the CPT Choice List NDC Number The National Drug Code number Certain procedure codes and all drugs have an NDC number Dft Location The item s default location This field is currently not used Bin The warehouse location in which the item can be found ITEM INFORMATION TAB Vendor The vendor from whom the item is purchased Part Number The identifier assigned to the item Case Name This field is currently not used Items Case The number of items in each case Lead Time The anticipated number of days required for the vendor to fulfill an order for the item Inventory 7 3 Noble Direct Days Expected The anticipated number of days until the next order arrives This field is currently not used Reorder Point The volume at which the item should be reordered Economic Order Quantity The number of items that gives the best item price Qty on Hand The number of items currently in stock Qty on Order The number of items currently on order Last Ordered The date of the last ord
132. ems Window To delete an item from an existing purchase order 1 Select the purchase order that you want to change by clicking on it 2 Selectthe item that you want to edit by clicking on it 3 Press the Delete Item button 4 A dialog box confirms that you want to delete this vendor Press the Yes button if you do 7 8 Inventory The Comprehensive Remedy Purchase Orders File Maintenance Window The Purchase Orders File Maintenance window appears when you add a purchase order When you save the record from this window the required fields that are incomplete are highlighted in red Purchase Orders File Maintenance Each field in this window is explained below Order ID The Purchase Order number assigned by the system Vendor ID An identifier that uniquely identifies this vendor This identifier can be a maximum of eight letters and or numbers Shipping Method The preferred means of delivering items from this vendor Terms The type of credit given to this vendor Inventory 7 9 Noble Direct Purchase Order Items Window The Purchase Order Items window appears when you add or edit items on a purchase order When you save the record from this window the required fields that are incomplete are highlighted in red Editing Produc Each field in this window is explained below Item ID An identifier that uniquely identifies this item This identifier can be a maximum of twenty letters and or nu
133. ent Relationship to Insured Information Window This window appears when you are entering a new patient whose insurance is not in his or her own name It appears when you choose P C or O in the Relation field Patient Relationship to Insured Information Insured Name D Address 1 Address 2 City State Zipcode Phone Birth Date Employer Jo Continue Help X Cancel When you are done entering the information in this window press the Continue button If there are any required fields that are incomplete they are highlighted in red Each control is explained below Insured Name The full name of the insured person in first name middle initial last name order The First Name and Last Name fields are required fields Address 1 The street address for the insured person Address 2 Additional street address information such as a suite number City The city in which the insured person lives If you enter a zip code that you used previously in the software the city state and zip code fields are completed automatically State The two letter abbreviation for the state in which the insured person lives Zip Code The zip 4 code for the area in which the insured person lives You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance
134. ent Types The Types tab allows you to add edit or delete patient types How to Access the Types Tab From the File Maintenance menu in the Noble Direct main window select the Patient Types command or Access the File Maintenance functionality from the quick menu and then click on the Types tab Note A window that is similar to the Types tab can be accessed by pressing the Magnifying Glass button next to a field that asks for a patient type This window is called Patient Type Choice List Patients Physicians CPT ICD 3 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search For Code Reset e gt FIXME DO NOT USE THIS PATIENT UNTIL FIXED Edit kel Delete To add a patient type 1 Press the Add button Alternatively this button is called Add New in the Patient Type Choice List 2 Complete the fields in the Patient Type Maintenance window For more information on the fields in this window see Patient Type Maintenance Window 3 Press the Save button in the Patient Type Maintenance window To edit a patient type 1 Select the patient type that you want to edit by clicking on it If you need help finding the patient type use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the Patient Type Maintenance window as ne
135. ent type to be included in the report You can enter the patient type in two ways 1 by typing a patient type directly into the field or 2 by pressing the All button in the Patient Type area of the window Pressing the All button includes all of the patient types that you have defined in the report 5 Press the OK button 6 Complete the Report Destination window For more information on this window see Report Destination Window 5 20 Special Reports The Comprehensive Remedy Special Reports Birthday List The birthday list report allows you to generate a list of patient by their birth month To generate a birthday list report 1 From the Special Reports menu in the Noble Direct main window choose the Birthday List command The Patients Birthday List window appears Patient Birthday List x Month Szen 2 Select the month that you want to include in the report from the drop down list Press the OK button 4 Complete the Report Destination window For more information on this window see Report Destination Window Special Reports 5 21 Noble Direct Special Reports Additional Reports Noble Direct currently includes two additional reports Month End Report and Medicare Rebate Report As Noble House adds additional reports they will be placed in the Additional Reports sub menu To print one of the additional reports 1 From the Special Reports menu in the Noble Direct main window choose the Additi
136. ents the logon dialog Please input password x P a Select your user ID from the drop down menu enter your password and click OK After a few moments and some informational windows the Noble Direct main window appears NOTE The very first time you launch Noble Direct the system will display the screen below Please enter the registration code and click Register For help call or email Technical Support 954 418 0829 support nobledirect com Noble Direct License Registration BSE lD7A 7660 6615 6B04 om 2 2 Quickstart The Comprehensive Remedy The Noble Direct Main Window The main window appears when you start Noble Direct for Windows By selecting from the options on this screen you can access all of the functionality in the software J Noble Direct for Windows SE Claims Processing File Maintenance Special Reports Utilities Inventory Help Enter Claims 7 Repeat Biling Transmit Print HCFA W Mailbox H exit ID Number Name State El Type Recall Date Phone mnes LUCINDA BURKE 803 7 9 BILL CARTER 05 25 2001 561 418 0829 CARL CARTER 05 29 1999 803 756 8765 Seq PSRC Ee PS CPT 0001 D NN 200 DIABET ACME MEDICAL SUPPLY INC SILICONE SILICONE ELASTOMER OR HY Noble Direct is divided into five categories of functionality Claims Processing used to enter details on claims transmit claims handle repeat billings and receive and apply
137. er Last Cost The cost of the item in the last order Average Cost The cost of the item averaged across all previous orders Sales Unit Name The name of the group in which items are sold e g unit case pallet etc Items Sales Unit The number of items in each Sales Unit Taxable A Yes No indicator of whether the item is taxed Modifiers For medical billing modifiers alter or enhance the meaning of a procedure code If a modifier appears for this item it will automatically load into the modifier field when you enter a billing transaction Allow Backorders A Yes No indicator of whether the item can be backordered Pickup Comments A note identifying whether or not an item can be returned to stock Retail Price The amount at which the item typically retails Selling Price The amount at which you will sell the item SERIAL NUMBERS TAB Serialized A Yes No indicator of whether the item is tracked using serial numbers Such items are not consumed rather they can be used by one patient and then returned and used by another patient To activate select Y and click Add then change and delete as necessary Available A Yes No indicator of whether the item is available for use by a patient Committed A Yes No indicator of whether the item is already committed to a patient Date Committed The date that an item was assigned to a patient 7 4 Inventory The Comprehensive Remedy Inventory Vendors The Vendo
138. eset p D gt Ki B 00936C01 COOPERTIVA DE SEGUROS DE SAN JUAN VIVA 4 DE PUERTO RICO FR 00936 3626 000 000 0000 CRUZ AZUL DE PUERTO RICO SAN JUAN 00936C002 ATTN IVONNE MAYMI PR 00936 6068 000 000 0000 00936501 SEGUROS DE SERVICIO DE SAN JUAN 009365001 SALUD DE PR MS MARQUES PR 00936 3628 000 000 0000 01608C01 CENTRAL MASSACHUSETTS HL WORCESTER 016080001 300 MECHANICS TOWER MA 01600 0008 000 000 0000 PAUL REVERE LIFE INS CO WORCHESTER o1608P001 18 CHESTNUT ST MA 01608 1528 000 000 0000 STATE MUTUAL CO WORCHESTER 016535001 440 LINCOLN ST MA 01653 0001 000 000 0000 00936C02 01608P01 01653501 To add an insurance company Press the Add button Alternatively this button is called Add New in the Insurance Company Choice List 2 Complete the fields in the Insurance Company File Maintenance window For more information on the fields in this window see Insurance Company File Maintenance Window 3 Press the Save button in the Insurance Company File Maintenance window To edit an insurance company 1 Select the insurance company that you want to edit by clicking on it If you need help finding the insurance company use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the Insurance Company File Maintenance window as necessary For more
139. ess the Display button Noble Direct displays a message box asking if you want to exclude suspended transactions Suspended transactions are transactions that are placed on hold For more information see Suspending a Transaction After you answer Noble Direct gathers the data based on the criteria that you set and displays the Practice Snapshot window Practice Snapshot Criteria Tab The first tab summarizes the criteria you used to create the snapshot Utilities 6 5 Noble Direct Practice Snapshot Practice Snapshot Tab The second tab is the practice snapshot To print the practice snapshot press the Print button and then complete the Report Destination window that appears For more information on this window see Report Destination Window 6 6 Utilities The Comprehensive Remedy Practice Snapshot Practice Analysis Tab The third tab shows the practice analysis While this practice analysis computes its own factor values the percentage difference between the actual charge and what was actually paid it allows you to enter your own factor values in the User fields Entering your own factor values can result in a more accurate analysis To close the Practice Snapshot window press the OK button Utilities 6 7 Noble Direct Utilities Handling Your Mailbox You can access your mailbox from Noble Direct s Mailbox Handling tab How to Access the Mailbox Handling Tab From the Utilities
140. ether you want to include the charge amount or the approved amount on the HCFA 1500 form Recalculate Balances Checking this checkbox recalculates the transaction balances before printing them If you check this checkbox the HCFA forms will show the amount paid by the primary insurance company and calculate the balance If you don t check this checkbox the secondary HCFA s will look exactly like the primary HCFA s Positioning Adjusts the vertical and horizontal position of the printing 300 units per inch Print Field Alignment Boxes Checking this checkbox prints a box around the fields so that you can properly align the HCFA form 5 4 Special Reports The Comprehensive Remedy INS COMPANY INVOICES TAB HCFA Options Primary Secondary Select Primary or Secondary to print on plain paper invoices for either the primary or secondary insurers Transmit Flag Specifies the transmit flag for the claims that you want to generate The question mark symbol is used as a wildcard allowing claims with any transmit flags to be generated Positioning Adjusts the vertical and horizontal position of the printing 300 units per inch Print Field Alignment Boxes Checking this checkbox prints a box around the fields so that you can properly align the HCFA form Special Reports 5 5 Noble Direct Special Reports Patient Invoices Noble Direct allows you to produce invoices for patients who are uninsured or under
141. eviously in the software the city state and zip code fields are completed automatically State The two letter state abbreviation for the state portion of the hospital or facility s address Zip Code The zip 4 code for the zip code portion of the hospital or facility s address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window Contact The contact person for the hospital or facility Telephone The telephone number for the hospital or facility File Maintenance 4 63 Noble Direct HSP FAC The facility code is a six digit code that identifies where the services were rendered The first two digits of this number are the state code For example Florida is 10 The next four digits in this number is the assigned facility number for the hospital extended care facility dialysis center or ambulatory surgical center File Maintenance Macro Definitions By the very nature of the medical practice some tests and procedures are performed in groups or series If these procedure groups are a major part of your practice then entering them repeatedly can become tedious Noble Direct solves this tedium by offering macros A macro is a procedure code that expands into several procedure codes when it is entered onto a claim Each macro may contain any nu
142. f these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want the report to include all of your CPT codes click on the All tab in the CPT Code section of the tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion 2 Selectthe service dates to be included in the report You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Dates area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 3 Select the report options in the Report Format and Transmit Flags area of the tab Special Reports 5 11 Noble Direct Your selection from this drop down list indicates how you want
143. field does not use wildcards and in not case sensitive When the patient that you want to select is highlighted press the Select button in the Patients Choice List This patient is now the selected patient on the Enter Transaction tab Note To display all of the items again press the Reset button 2 10 Quickstart The Comprehensive Remedy Locating a Transaction To locate a transaction for a selected patient by scrolling through the transaction list To move to the first transaction in the lis t press the First L Transaction button To move to the previous transaction in the list press the Previous 4 Transaction button To move to the next transaction in the list press the Next Transaction button To move to the last transaction in the list press the Last PI Transaction button Quick Menu A toolbar that appear when you move your cursor over the status bar on the bottom of the Noble Direct main window It allows you to access the four categories of functionality You can turn the quick menu on and off by using the System Configuration Setup Options command on the Utilities menu in the main window Report Destination Window This window appears when you are generating a report using Noble Direct s Special Reports functionality Each field is explained below Report Destination EN Destination r ei Cancel Range Ge All Printer Setup C Pages From To ee
144. fields are completed automatically State The two letter state abbreviation for the state portion of the salesperson s address Zip Code The zip 4 code for the zip code portion of the salesperson s address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you 4 60 File Maintenance The Comprehensive Remedy want to add it Choosing to add the zip code displays the Zip Code File Maintenance window Telephone The salesperson s telephone number Federal Id The salesperson s social security number or federal identification number Commission The nine commission fields work together to define the salesperson s commission structure Each row contains three fields that define one commission arrangement A salesperson can have up to three commission arrangements CPT Code Type Indicates for which procedure code this salesperson receives a commission When you add a new procedure code you are given the opportunity to assign a commission type to that procedure code If you add one or more procedure codes with the same commission type then assign that commission type to a salesperson that salesperson receives a commission each time he or an associated physician sells that procedure code Commission types may be a maximum of five letters and or numbers For a procedure code commission type to match a salesperson commission type the s
145. for LUCINDA BURKE TYPE RX MAI Date Needed Initial I Replacement ES Date Needed Revised a i T Length of Need op Date Signed o Warranty RR Patient Height RN Certificate On File MEM Patient weight J oL CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision T Delete Help 3 Recertification amp Print S Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated
146. for the state portion of the company s address Zip code The zip 4 code for the company s address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window 4 42 File Maintenance The Comprehensive Remedy File Maintenance Physicians The Physicians tab allows you to add edit or delete physician records You must define each referring physician involved with your practice How to Access the Physicians Tab From the File Maintenance menu in the Noble Direct main window select the Physicians command or Access the File Maintenance functionality from the quick menu and then click on the Physicians tab Note A window that is similar to the Physicians tab can be accessed by pressing the Magnifying Glass button next to a field that asks for a physician This window is called Physician Choice List Patients Physicians cPT ICD 3 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search for P i Bes te 7 gt BELEM EMMETT BELCHER PINE VALLEY SC INTOOO 1 MEDICAL PARK 803 788 5133 m BELMA D34679 BLARO OTHO00 cooJo D43215 DOCHI D12345 FIERO D54326 MARK BELL 6932 WASHINGTON STREET ROSS BLAIR 5678 BOND STREET JOHN COOK 3912 NORTH TRIPP AVENUE MICHAEL D DOCTOR
147. formation Noble Direct stores the details into its master files so that they can be used with another claim As you use Noble Direct it learns more and more until it reaches a point when it only asks you to provide details on new patients At this point Noble Direct is said to be trained Once Noble Direct is trained the daily procedure involves three steps 1 When you start Noble Direct in the morning you go to the Enter Claims tab There you enter client and procedure details as they occur during the day 2 Ifa check from Medicare Medicaid an insurance company or a patient arrives you slip over to the Distribute Payments tab and enter it against a client s balance 3 Atthe end of the day you go to the Transmit Claim tab where you electronically submit all of the day s activity to the insurance companies as required Note The above three steps are only our suggested method of a daily routine Your practice may have a more effective procedure that may be implemented On a weekly or monthly basis you may want to generate reports and balance your submitted claims against the payments received At any time you can generate analytical or sales commission reports or take a snapshot of your practice showing the outstanding and paid claims By using Noble Direct you can automate an expensive and time consuming part of your practice management 2 8 Quickstart The Comprehensive Remedy Setting Up Your Practice B
148. formation on the fields in this window see Macro Definition File Maintenance Window 4 Press the Save button in the Macro Definition File Maintenance window Noble Direct automatically changes the information throughout the software To delete a macro 1 Select the macro that you want to delete by clicking on it If you need help finding the macro use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this macro Press the Yes button if you do Note If the macro is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the macro and assign new values to those fields Macro Definition File Maintenance Window The Macro Definition File Maintenance window is made up of two parts The upper part of the window allows you to enter a macro id and description This information is entered once for each macro no matter how many component procedure codes are contained within the macro The lower part of the window allows you to add edit or delete component procedure codes in the macro Each of the fields in this lower section of the window must be completed once for each component procedure code in the macro Therefore the process of creating a macro involves filling in the top part of the window first then adding components by repeatedly filling in t
149. from this drop down lists or type them into the fields If you type a new ICD 9 code into the field Noble Direct asks if you want to add it Choosing to add the ICD 9 code displays the ICD 9 Code Maintenance window You can also add a new ICD 9 code or choose an existing ICD 9 code from a list by pressing the Magnifying Glass button next to the ICD 9 field See File Maintenance ICD 9 Diagnosis Codes for more details on the Diagnosis Codes Choice List Completing at least one ICD 9 code is required Sex Your selection from this drop down list indicates the patient s sex using M for male and F for female Signature Your Yes Y or No N selection from this drop down list indicates whether you have a signature on file for the patient To process claims electronically you must have a signature for the patient on file Assignment Your Yes Y or No N selection from this drop down list indicates whether assignment is accepted on this claim Accident A Yes Y selection from this drop down list indicates that the claim is accident related If the claim is not accident related choose No N Coverage The patient s secondary medical insurance coverage Choose N for no coverage or if additional medical coverage does not apply G for Medigap M for Medicaid or C for complementary coverage If you choose G the Medigap Insurer s Information window appears You MUST enter the information in this window See Medigap Insurer s
150. he Delete command from the context menu 3 12 Claims Processing The Comprehensive Remedy Writing Off a Transaction If a transaction turns out to be uncollectible you can write it off To write off a transaction from the Enter Transaction tab 1 Click on the patient for the transaction For help in finding a patient see Locating a Patient Click on the transaction that you want to write off For help in finding a transaction see Locating a Transaction Right click on the selected transaction and then choose the Write Off command from the context menu When you do so a write off payment is entered on the Payments tab of the Enter Transactions window for the transaction Turning Off a Transaction Repeat When you enter a transaction you can indicate if the transaction will repeat If you set a repeat code and want to turn it off you can easily do so To turn off a transaction repeat from the Enter Transaction tab 1 Click on the patient for the transaction For help in finding a patient see Locating a Patient Click on the transaction for which you want to turn off the repeat For help in finding a transaction see Locating a Transaction Right click on the selected transaction and then choose the Write Off command from the context menu Entering a Zero Payment You can use the Enter Transaction tab to add a zero payment to a transaction quickly To enter a zero payment from the Enter Transaction ta
151. he lower part of the window Macros are a good example of the Noble Direct policy for timesaving features that are easy to use When you save the macro from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below J Macro Definition File Maintenance Macro Id foxy Description as CPT Units Modifiers Repeats Chg Amt Ben Amt 1 0 V 2 58 00 58 00 E0601 1 0 1083 01 0 00 E1401 1 0 i 0 00 Total Records CL Lal Lastaccessed 0472772000 A Save X Cancel 4 Delete Help Macro Id An identifier that uniquely identifies this macro This identifier can be a maximum of four letters and or numbers Description A general description by which you can refer to this macro The description may be a maximum of 35 File Maintenance 4 65 Noble Direct characters Noble Direct uses this information to help you differentiate this macro from all others It is printed on reports and listed in choice windows Note The macro id and description become a part of every component procedure code that is defined after their entry Therefore it is important that they be correct before you add any component procedure codes J Macro Detail Definition SE Macro ld OXY Description Oxygen Procedure Code Units Modifiers Repeat flag Charge Amount Benefit Amount Additional Doc Total Records 3 ne ne ae LastAccessed 03 20 2001 EI r S 4 Save X Canc
152. his field to N Sec XMIT The secondary transmit flag Indicates whether the transaction has been submitted for electronic processing or local printing to the secondary insurance company Y means that the transaction was transmitted or printed Typically N indicates that it was not If no secondary provider was defined for this patient this field is bypassed Note To re transmit or re print a secondary HCFA form set this field to N TRX SLS ID The salesperson identifier for the transaction You can either choose a salesperson from the drop down list or type one into the field If you type a new salesperson into the field Noble Direct asks if you want to add it Choosing to add the salesperson displays the Salesperson File Maintenance window You can also add a new salesperson or choose an existing salesperson from the master list by pressing the Magnifying Glass button next to the TRX SLS ID field See File Maintenance Salespeople for more details on the Salesman Choice List Approved The approved amount for the transaction Deductible The deductible amount for the transaction Patient Information For quick reference the information that appears in the Patient File Maintenance window for the selected patient appears on this tab For more information on the Patient File Maintenance window see Patient File Maintenance Window Payments This tab lists the payments that were made on a transaction To view or change the detail
153. ian s fax telephone number Medicare The physician s assigned Medicare ID number Medicaid The physician s assigned Medicaid ID number BCBS Id The physician s assigned Blue Cross Blue Shield number File Maintenance 4 45 Noble Direct File Maintenance CPT Procedure Codes The CPT tab allows you to add edit or delete CPT procedure codes You must define a procedure code for each procedure that you perform in your practice How to Access the CPT Tab From the File Maintenance menu in the Noble Direct main window select the CPT Procedure Codes command or Access the File Maintenance functionality from the quick menu and then click on the CPT tab Note A window that is similar to the CPT tab can be accessed by pressing the Magnifying Glass button next to a field that asks for a procedure code This window is called CPT Procedures Choice List Patients Physicians CPT co Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search for Code f Reset gt 0 A1234 HOSPITAL BED 41234 1024 1 00 A4214 STERILE SALINE OR WATER 30 CC VIAL 2 00 A4214 100 Y 1 67 A4253 PER SOSTRIPS 44 21 A4253 100 Y 36 84 ID Add A4256 NORMAL LOW AND HIGH CALIBRATOR SOL 1212 A4256 100 Y 10 10 F A4259 LANCETS PER BOX 14 63 A4259 100 Y 1219 4 Delete A4265 PARAFFIN 389 A4265 100 Y 32M Help To add a CPT procedure code 1 Press the Add button
154. ician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Comp leting this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 12 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Question 12 Is the patient highly susceptible to decubitus ulcers Question 13 Are you supervising the use of the
155. ies Configuring Your System Setup Options De rela 7 1 nsa rM 7 2 Tree Maintenance WAndOWw u tee eite cce tte deett meets te e HUE eegend cnt eet eere pe e ce yo 7 3 INVENIO funi EE 7 5 Vendor File Maintenance Window sese eese eenete entente tn tht te tnn tn sete testes ntn sa sten sensn se teste tente tns tents 7 6 Inventory Purchase Orders 4 need qeu trtecreteiti gp Ce HERREN R ERE EE RH EUH EENEG so ee pee ee ena Viae pepe 7 7 Purchase Orders File Maintenance Window esses eese entente ntn tete trente tnit tes tn eret tn trn te nnns tetteren enne 7 9 Purchase Order Items Window Inventory E EE Inventory Return to SiOCK eos omae eege Elmar DEEN Inventory Reports and Lists niee i aoad Eaa dE Inventory Options 8 SPECIALTY SITUATIONS iicreeecceheet ei cers ete 8 1 How do I handle uninsured Datentsl EEN 8 1 How do I handle DME Commission EEN 8 2 How do I perform Medicare Medigap Medicaid erosgoverg ENEE 8 2 How do I prevent the printing of secondary clams ee 8 3 How Do Handle Capped Rentals etie ttr ether te pr rebat ite tet euin EE Rer pte perpe teo eite ek Menta cia ek n 8 3 How DoD Use Word Mail Merge crecen tette n three itte tbe teh Pete Rib Pe te EE EE ROETE etes bebe tutae etate ek 8 5 The Comprehensive Remedy 1 Introduction to Noble House
156. iginally designed for diabetic suppliers Noble PreQ can be used in other industries as well Noble PreQ works directly with Noble Direct by sharing many of its master tables After an individual moves through the pre qualification process and becomes a patient his information can be immediately exported into Noble Direct thus eliminating duplicate data entry This documentation assumes that you are using Noble PreQ for pre qualifying diabetic patients If you are using Noble PreQ for another purpose you can define the five stages of processing as you see fit About Noble Tracker Noble Noble Tracker is designed to automate the tracking of Events which can be any occurrence that you wish to note or wish the system to bring to your attention For example an event can be a phone call the issuing of a CMN or the sending out of a log book Noble Tracker can also generate documents and reports related to those events Noble Tracker works directly with Noble Direct by sharing many of its master tables About Noble Labels Noble Labels is designed to automate the creation of print mailing labels work orders packing slips and related summary reports Noble Labels works directly with Noble Direct by sharing many of its master tables About Noble Security Noble Security allows you to set up a security mechanism that controls access to the features in your Noble House applications based upon the users and user profiles that you define
157. igned ae Warranty m Certificate On File E 21 PRESSURE AREA ULCER 1 2 3 saa MM NN MAX LENGTH cm NES OS OO vor um en ES ER ER CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision dq Delete Help 3 Recertification H W Print SS Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a phys
158. ile maintenance hospitals facilities 4 66 File maintenance ICD 9 Diagnosis Codes 4 53 File maintenance insurance companies 4 55 File maintenance macro definitions 4 68 File maintenance overview 4 1 File maintenance patient types 4 75 File maintenance patients 4 2 File maintenance physicians 4 44 File maintenance practices 4 77 File maintenance providers 4 58 File maintenance salespeople 4 62 File maintenance searching for item 2 9 File maintenance zip codes 4 73 Fresh start utility 6 15 2 Index H Hardware requirements 1 3 HCFA 1500 tab 5 2 HCFA Options window 5 3 HCFA 1500 forms 5 2 Help 1 5 Help menu 2 7 Home Oxygen Therapy CMN 4 39 Hospital facility 4 66 Hospital Facility File Maintenance window 4 67 Hospital facility adding 4 66 Hospital facility deleting 4 66 Hospital facility editing 4 66 Hospital Bed CMN 4 10 Hospitals tab 4 66 How Do I Handle Capped Rentals 8 3 How Do I Use Word Mail Merge 8 5 I ICD 9 Code Maintenance window 4 54 ICD 9 tab 4 53 Immunosuppressive Drugs CMN 4 31 Ins Co tab 4 55 Insurance company 4 55 Insurance Company File Maintenance window 4 56 Insurance company adding 4 55 Insurance company deleting 4 55 Insurance company editing 4 55 Introduction to Noble Direct 1 1 Inventory Items 7 2 Inventory Menu 2 6 Inventory Options 7 15 Inventory Purchase Orders 7 7 Inventory Receiving 7 11 Inventory Reports and L
159. ill not be allowed To perform the deletion you must first find the occurrences of the procedure code and assign new values to those fields Procedure Code File Maintenance Window The Procedure Code File Maintenance window appears when you add or edit a CPT procedure code When you save the procedure code information from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below J Procedure Code File Maintenance Biel x Procedure Code nENM Actual Code DES D cipion RESIN Modifier 1 MM Modifier 3 WM Modifier 2 WM Modifier 4 MN Charge Amount HET CMN Cert Form US Approved Amount ENT Factor Value 100 NDC Number EEE Commission Type ST Oral Cancer Drug DN Print Desc on HCFA nN g Noble Tracker Enteral Nutrition o NO BM O p n e Total Records 1321 Browse Last Accessed 04 16 2001 kel Delete Help Procedure Code An identifier that uniquely identifies this procedure This identifier can be a maximum of five letters and or numbers Actual Code An identifier that allows identical procedure codes with different descriptions It can be a maximum of five letters and or numbers Procedure codes that have an actual code will report this actual code when transmitting and or printing HCFA 1500 forms and patient invoices This option is of special value to our DME installations which may have more than one supplier for a particular product Use
160. indicates initial certification default 2 indicates arevis ion and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D f
161. indow select the Zip Codes command or Access the File Maintenance functionality from the quick menu and then click on the Zipcodes tab Patients Physicians CPT ICD 3 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search For ZipCode Reset jz ri 29029 0000 PINE VALLEY SC E 29702 0000 COLUMBIA SE 33428 0000 BOCA RATON FL 3 Add 33436 0000 Boynton Beach FL Edit 33441 0000 DEERFIELD BEACH FL E Delete To add a zip code 1 Press the Add button 2 Complete the fields in the Zip Code File Maintenance window For more information on the fields in this window see Zip Code File Maintenance Window 3 Press the Save button in the Zip Code File Maintenance window To edit a zip code 1 Select the zip code that you want to edit by clicking on it If you need help finding the zip code use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the Zip Code File Maintenance window as necessary For more information on the fields in this window see Zip Code File Maintenance Window 4 Press the Save button in the Zip Code File Maintenance window Noble Direct automatically changes the information throughout the software 4 68 File Maintenance The Comprehensive Remedy To delete a zip code 1 Se
162. ined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 28 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field
163. information on the fields in this window see Insurance Company File Maintenance Window 4 Press the Save button in the Insurance Company File Maintenance window Noble Direct automatically changes the information throughout the software File Maintenance 4 53 Noble Direct To delete an insurance company 1 Select the insurance company that you want to delete by clicking on it If you need help finding the insurance company use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this insurance company Press the Yes button if you do Note If the insurance company is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the insurance company and assign new values to those fields Insurance Company File Maintenance Window The Insurance Company File Maintenance window appears when you add or edit an insurance company When you save the insurance company information from this window the required fields that are incomplete are highlighted in red Each field in this window is explained here Insurance Company File Maintenance Company Name Address 1 Address 2 City State Zipcode Contact Telephone Insurance Transmit Id Transmit DR Number Medigap Id Type Pry Pin Pry Grp p a rz Total Records 586 Browse
164. ing Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion If you want the practice snapshot to include a single patient type enter the patient type in the Patient Type field Select the service dates that you want to include in the practice snapshot You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Date area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 6 4 Utilities The Comprehensive Remedy 4 Enter the primary transmit flag for the transactions that you want to include in the snapshot Entering includes all of the transactions meeting the other criteria regardless of their transmission status Entering Y only includes transmitted transactions Entering N or another code used by your practice includes non transmitted transactions using that code as the transmit flag 5 Pr
165. ing item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion If you want to limit the patients processed in the repeat billing to a specific patient type enter the type in the Patient Type field Select the service dates to be processed in the repeat billing You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Date area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 Enter the new transmit flag for the transactions that you want to process in the repeat billing This is the transmit flag that the repeat billing function will apply to the new transactions it creates This typically should be N for no but may be a different code if you use custom codes for non transmitted claims Press the Process button Noble Direct displays the transactions meeting your criteria and due for a repeat in the Repeat Billing window Repeat Billing EN The following transactions are eligible to be repeated 09 01 2001 09 30 2001 Amount Repeat Last Billed From Date To Date 14 63 M 12 10 09
166. install 3 Click OK the system reinstalls the updates to the software Utilities 6 17 Noble Direct Utilities Synchronizing Data This utility allows you to synchronize data between computers Every record in Noble Direct has a date time stamp associated with it Every time a record is added or updated the stamp is updated The DataSync utility allows you to export the records within a specified date range for importing to another computer To export records l From the Utilities menu in the Noble Direct main window choose the DataSync Import Export command From the sub menu select the DataSync Export command DataSync Export 2 Press the Setup button complete the DataSync Export Setup window and then press the OK button in this window ge DataSync Export Setup C PRG ND60 ndwdata da Copy to Floppy Disk Information in this window includes the export file name and the batch file to execute after creating the export file The Export File Name is the name of the file under which to save the extracted records Batch File to Execute includes a name for the batch file and the DOS commands to be contained in the batch file By using a batch file you can automatically copy the export file to a floppy disk 6 18 Utilities The Comprehensive Remedy DataSync is an advanced feature of Noble Direct For more information on batch files contact Noble House 3 Inthe DataSync
167. insured These invoices which are designed to print on plain white paper include all of the available information for a particular claim By setting the report criteria you can control the invoices that you generate How to Access the Patient Invoices Functionality From the Special Reports menu in the Noble Direct main window choose the Patient Invoices command or Access the Special Reports functionality from the quick menu and then click on the Pat Invoices tab Pat Recall Commissions CPT Activity Repeat Biling Master Lists A R Report AL one Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS INCLUDE ALL PATIENTS ALL One Range INSURANCE INCLUDE ALL INSURANCE 7 allCompanies 2 Service Dates HERE IESEES Patient Type MEN s SA Print To generate patient invoices 1 Narrow down the invoices to be generated by selecting the providers patients and insurance companies for which you want to generate invoices You can select all one or a range of items foreach of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want to generate invoices for all of your providers click on the All tab in the Providers section of the tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by
168. int HCFA toolbar button in the main window HCFA 1500 Pat Invoices Pat Recall Commissions CPT Activity Repeat Billing Master Lists A A Report ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS INCLUDE ALL PATIENTS ALL One Range INSU RANCE INCLUDE ALL INSURANCE 7 All Companies Service Dates 01 01 1900 T 12 31 2999 All Patient Type al To generate HCFA 1500 forms 1 Narrow down the claims to be generated by selecting the providers patients and insurance companies for which you want to generate HCFA forms You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want to print HCFA forms for all of your providers click on the All tab in the Providers section of the tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice
169. ion 7 with a Yes what are the dates that trial of the TENS unit began and ended Question 9 If you answered question 7 with a Yes what is the date that you reevaluated the patient at the end of the trial period Question 10 How often has the patient been using the TENS Enter one of the following 1 daily 2 3 to 6 days per week or 3 2 orless days per week Question 11 Do you and the patient agree that there has been a significant improvement in the pain and that long term use of a TENS is warranted Question 12 Number of TENS leads i e separate electrodes routinely needed and used by the patient at any one time Enter one of the following 2 2 leads or 4 4 leads File Maintenance 4 25 Noble Direct CMN Seat Lift Mechanisms The fields for CMN 07 02a are detailed here TYPE RX i Date Needed Initial NE Replacement ES Date Needed Revised NENNEN em Length of Need op Date Signed ae Warranty m Certificate On File E E m WW J 07 02a Seat Lift Mechanism defaults for LUCINDA BURKE CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision dq Delete Help 3 Recertification H did Print LE Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates
170. iption of each command follows Details on these commands are explained in the File Maintenance section of this documentation Menu Command Description Patients Allows you to add edit or delete patients Physicians Allows you to add edit or delete physicians CPT Procedure Codes Allows you to add edit or delete procedure codes ICD 9 Diagnosis Codes Allows you to add edit or delete diagnosis codes Insurance Company Allows you to add edit or delete insurance companies Providers Allows you to add edit or delete providers 2 4 Quickstart Salesperson Hospital Facility Macro Definition Zip Codes Patient Types Practice Additional Doc Macros Special Reports Menu The Comprehensive Remedy Allows you to add edit or delete salespeople Allows you to add edit or delete hospitals or facilities Allows you to add edit or delete macros Allows you to add edit or delete zip codes Allows you to add edit or delete patient types Allows you to add edit or delete practices Allows you to add edit or delete macros for additional documentation The Special Reports menu provides commands that allow you to generate HCFA forms patient invoices and various management reports that analyze your practice A list of the commands on the Special Reports menu and a description of each command follows Details on these commands are explained in the Special Reports section of this documentation Menu Command
171. isplays the Noble House Live Update Window This is a wizard like process that allows you to download the latest version of your software from the Noble House server 3 To download click the Next button and follow the directions in the Live Update Window Utilities 6 19 Noble Direct Utilities Offsite Backup Noble Direct for Windows allows you to backup your files offsite NOTE Noble House strongly recommends that you do your own local daily backups This feature should only be used as a last resort and is not a replacement for daily backups To backup your files offsite 1 From the Utilities menu in the Noble Direct main window choose the Offsite Backup command The system displays the Noble House Offsite Backup Window This is a wizard like process that allows you to backup your information to the Noble House server 2 To perform the backup click the Next button and follow the directions in the Offsite Backup Window Utilities Configuring Your System Noble Direct for Windows allows you to control and change several of your system options To change the system setup options e From the Utilities menu in the Noble Direct main window choose the System Configuration command and then choose command for the option that you want to use from the sub menu A description of each command follows Command Description Setup Options Allows you to change certain software options pcAnywhere Host Launches pcAnywhere for remote sup
172. ists 7 14 Inventory Return to Stock 7 12 Inventory Vendors 7 5 Invoice Options window 5 7 Item Maintenance Window 7 3 L Legal issues 1 4 Load Check Information 6 16 Lymphedema Pumps CMN 4 21 M Macro definition 4 68 Macro Definition File Maintenance window 4 69 Macro definition adding 4 68 Macro definition deleting 4 68 Macro definition editing 4 68 Macro Detail Definition window 4 71 Macros tab 4 68 Mailbox Handling tab 6 8 Mailbox handling utility 6 8 Mailing labels 5 18 Mailing Labels window 5 19 Manual Wheel Chair CMN 4 17 Master file listing 5 15 Master files 2 7 6 14 Master files about 2 7 Master files copying from one practice to another 6 14 Master Lists tab 5 15 Medigap Insurer s Information window 4 7 Menu 2 4 2 5 2 6 2 7 3 1 4 1 5 1 6 1 Menu Claims Processing 2 4 3 1 Menu File Maintenance 2 4 4 1 Menu Help 2 7 Menu Special Reports 2 5 5 1 Menu Utilities 2 6 Motorized Wheel Chair CMN 4 15 N Noble Direct 1 1 2 2 2 3 6 19 6 20 Noble Direct about 1 1 Noble Direct configuring 6 20 Noble Direct introduction 1 1 Noble Direct main window 2 3 Noble Direct starting 2 2 Noble Direct updating 6 19 Noble Tracker Tab 4 50 O Osteogenesis Stimulator CMN 4 23 Overview of Inventory 7 1 P Parenteral Nutrition CMN 4 35 Pat Invoices tab 5 6 Pat Recall tab 5 8 Patient 2 10 3 4 3 9 4 2 8 1 Patient File Maintenance window
173. itis entered from the beginning of the field and does not accept wildcards such as or For example if you were searching for the last name of White entering white would return the correct patient name Entering ite ite wh wh or ite would not In addition the Search For field is not case sensitive Note To display all of the items again press the Reset button To scroll though the list of items Press the First button to move to the first item in the list Press the Previous button to move to the previous item in the list Press the Next button to move to the next item in the list Press the Last button to move to the last item in the list A EE Quickstart 2 9 Noble Direct Locating a Patient Each transaction must be assigned to one patient only Before you can enter any details about a transaction you must assign it to a patient by either choosing an existing patient or creating a new patient The top section of the Enter Transaction tab is used for this purpose If you entered the patient you can locate him using any of the procedures below To locate a patient by scrolling through the patient list Press the First Patient button to move to the first patient in the L list Press the Previous Patient button to move to the previous patient 4 in the list Press the Next Patient button to move to the next patient in the list Press the Last Patient button to move t
174. ity The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press
175. ker to see if the patient has a valid event If the patient has a valid event i e the event hasn t expired then Noble Direct will transmit the transaction If not the transaction will error out To select an event for this CPT code click on the magnifying glass and select the event to track from the list displayed NOTE Only use this feature if you want Noble Direct to check with Noble Tracker before transmitting this CPT Code for a patient If you enter nothing in this tab transmissions from Noble Direct will not be affected by the events defined in Noble Tracker You may also identify an event to Noble Direct for a patient in the Noble Tracker tab of the Patient File Maintenance Window so that all transactions for that patient are checked against events in Noble Tracker rather than just those transactions with a specific CPT code 4 48 File Maintenance The Comprehensive Remedy Enteral Nutrition Tab The Enteral nutrition tab in the CPT Procedure Code File Maintenance was developed to automate the billing of enteral items for patients requiring enteral nutrition e g milk It allows you to set up a macro for transmitting one CPT code for different flavors of milk e g chocolate strawberry vanilla or flavors in any combination It calculates the amount needed for the patient by the calories prescribed by the doctor The Enteral feature works like this First you set up individual CPT codes for each brand or flavor of Ente
176. lds Track Events n O oo DEER o RERGRSSNSNNN MEDI PAK BCBS OF ARKANSAS LITTLE ROCK AR Seconda ee o mmm Oj NENNEN NENNEN This is the patient s primary and secondary insurance information Primary Secondary The company ID for the patient s insurance company You can either choose an insurance company from the drop down list or type one into the field If you type a new insurance company into the field Noble Direct asks if you want to add it Choosing to add the insurance company displays the Insurance Company File Maintenance window You can also add a new insurance company or choose an existing insurance company from a list by pressing the Magnifying Glass button next to the field See File Maintenance Insurance Companies for more details on the Insurance Company Choice List Policy The patient s policy number with the insurance company File Maintenance 4 5 Noble Direct Group The patient s group number with the insurance company Comments Tab Insurance Comments Custom Fields Track Events EI Delete This is an area for entering any other information about the patient Each comment appears on a separate line To add a comment press the Insert button type your text in the Add New Comment window and then press the Add button To delete a comment select the comment that you want to delete and then press the Delete button To navigate through the comments use the First Previous Next and Last butt
177. le the ICD 9 list is standard in the industry it is also extremely long Rather than burden your use of Noble Direct with thousands of diagnostic codes that do not apply to your practice Noble Direct learns which diagnostic codes apply to your practice as you enter claims If you need to add edit or delete ICD 9 diagnosis codes that are added during claims entry the ICD 9 tab allows you to do so How to Access the ICD 9 Tab From the File Maintenance menu in the Noble Direct main window select the ICD 9 Diagnosis Codes command or Access the File Maintenance functionality from the quick menu and then click on the ICD 9 tab Note A window that is similar to the ICD 9 tab can be accessed by pressing the Magnifying Glass button next to a field that asks for an ICD 9 diagnosis code This window is called Diagnosis Codes Choice List Patients Physicians CPT CD ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search for Code Reset pedore wi CHOLERA CHOLERA D T VIB CHOLERAE 0011 CHOLERA D T VIB EL TOR CHOLERA NOS TYPHOID PARATYPHOID FEV Si Delete TYPHOID FEVER To add an ICD 9 diagnosis code 1 Press the Add button Alternatively this button is called Add New in the Diagnosis Codes Choice List 2 Complete the fields in the ICD 9 Code Maintenance window For more information on the fields in this window see ICD 9 Code M
178. lect the zip code that you want to delete by clicking on it If you need help finding the zip code use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this zip code Press the Yes button if you do Note If the zip code is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the zip code and assign new values to those fields Zip Code File Maintenance Window The Zip Code File Maintenance window appears when you add or edit a zip code When you save the zip code information from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below ZipCode File Maintenance Biel x Help Zip Code The five or nine digit zip code If you enter only five digits Noble Direct automatically adds four zeros for the last four digits Note Nine digit zip codes zip 4 are very specific with many nine digit zip codes assigned to each city In densely populated cities there are so many nine digit zip codes that this feature becomes unmanageable For these situations we recommend using five digit zip codes only City The name of city for the zip code State The two letter abbreviation for the state for the zip code File Maintenance 4 69 Noble Direct File Maintenance Pati
179. lementary carriers To perform a crossover H In the Patient File Maintenance window set the fields as shown Coverage Enter G for Medigap M for Medicaid C for complementary coverage or N for none If you choose G the Medigap Insurer s Information window appears You MUST enter the information in this window Secondary Insurance Name This field on the Insurance tab must contain a valid insurance id Secondary Insurance Policy This field must contain the policy number for the appropriate insurance carrier Medicaid Medigap Complementary For more information on the Patient File Maintenance window see Patient File Maintenance Window When you enter a crossover claim Noble Direct validates the entries assuming that the setup above was handled correctly It is therefore important that your Medigap Medicaid and complementary insurance companies be set up carefully and thoroughly 8 2 Specialty Situations The Comprehensive Remedy How do I prevent the printing of secondary claims Secondary insurance forms can be printed by using the HCFA 1500 special report function When printing secondary HCFA 1500 forms Noble Direct looks for the transmit flag However there are certain situations when you may not want to print certain secondary insurance forms This can occur in the following situations When the primary insurance is Medicare which automatically crosses over to the secondary insurance
180. mands and tab names are listed below Menu Command Item Maintenance Vendor Maintenance Purchase Orders Receiving Return to Stock Physical Inventory Reports and Lists Inventory Options Tab Name Items Vendors Purchase Orders Receiving Return to Stock Physical Inventory None None Inventory 7 1 Noble Direct Inventory Items The Items tab allows you to add edit or delete the Items you wish to inventory This tab manages Item information How to Access the Item Tab From the Inventory menu in the Noble Direct main window select the Item Maintenance command Items Vendors Purchase Orders Return to Stock Physical Inventory Search By Search for AMERICAN B154 Tub Transfer Bench DU E0372 NY Y RUB 20 1 D STEELMOD Modular Ramp Steel D NONE Nein AMERICAN DU kel Delete To add an item 1 3 Press the Add button Complete the fields in the Items Inventory window For more information on the fields in this window see Item Maintenance Window Press the Save button in the Items Inventory window To edit an item 1 Select the item that you want to edit by clicking on it If you need help finding the item use the search utility at the top of the tab See Using the Search Utility for more information Press the Edit button Change the information in the fields in the Items Inventory window as necessary For more information on the fields in this
181. mber of component procedure codes each with its own modifiers and other details The Macros tab allows you to add edit and delete macros Note Unlike most of the items in Noble Direct you cannot enter macros into Noble Direct automatically while entering claims You must enter macros manually on the Macros tab How to Access the Macros Tab From the File Maintenance menu in the Noble Direct main window select the Macro Definition command or Access the File Maintenance functionality from the quick menu and then click on the Macros tab Patients Physicians CPT ICD 3 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search For Macro ID Reset gt i e 3 Delete To add a macro 1 Press the Add button 2 Complete the fields in the Macro Definition File Maintenance window For more information on the fields in this window see Macro Definition File Maintenance Window 3 Pressthe Save button in the Macro Definition File Maintenance window To edit a macro 1 Select the macro that you want to edit by clicking on it If you need help finding the macro use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 4 64 File Maintenance The Comprehensive Remedy 3 Change the information in the fields in the Macro Definition File Maintenance window as necessary For more in
182. mbers Quantity The amount of the item ordered Cost The cost of the item ordered Expected Date The date this item should arrive from the vendor Bin The warehouse location in which the item can be found Comments Any notes related to this item 7 10 Inventory The Comprehensive Remedy Inventory Receiving The Purchase Orders tab allows you to receive inventory previously ordered on a Purchase Order You can also use it to add edit or cancel delete the Purchase Orders used to acquire the Items you wish to inventory How to Access the Purchase Orders Tab From the Inventory menu in the Noble Direct main window select the Receiving command To receive items from a purchase order 1 Select the purchase order you wish to receive by clicking on it 2 Press the Receive Stock button Stock Form Purchase Order No 2 1 Modular Ramp Steel 2 00 y past RECETAS ee EAEE ET E EE EH p 3 Ifall the items on the PO arrive at the same time and quantities and costs are accurate you may note the entire PO as received at once To do so click the bottom red arrow to move all the items to the right of the dialog box and click the Update Inventory button 4 To individually select the items being received click on an item and click the right pointing red arrow Add Item to Receive 5 Enter the quantity received verify the unit cost and click OK If the item is serialized
183. months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 34 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date
184. n window Enter Transaction Create Edit List Transmit Claim Daily Confirmation Distribute Pmts Payment Register ALL One Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS Patient Type INCLUDE ALL PATIENTS REINES ALL One Range INS INCLUDE ALL INSURANCE All Companies Service Date SEU 06 20 2001 New Transmit Flag A Process To handle a repeat billing 1 Narrow down the information to be processed by selecting the providers insurance companies and patients to be included in the repeat billing You can select all one or a range of items for each of these criterion It is highly recommended that you run a repeat billing for all of your providers insurance companies and patients at one time to avoid missed entries To select all of the items for the criterion Click on the All tab for the criterion For example if you want the repeat billing to include all of your providers click on the All tab in the Providers section of the Repeat Billing tab To select one item for the criterion Click on the One tab for the criterion and then select your one item 3 22 Claims Processing The Comprehensive Remedy choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the end
185. nd dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 26 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Question 1 Does the patient have severe arthritis of the hip or knee Question 2 Does the patient have a severe neuromuscular disease Question 3 Is the patient completely incapable of standing up from a regular armchair or ANY chair in his her home Question 4 Once standing does the patient have the ability to ambulate Question 5 Have all appropriate therapeutic modalities to enable the patient to transfer from a chair to a standing position e g medication physical therapy been tried and failed If YES this must be documented in the patient s records File Maintenance 4 27 Noble Direct CMN Power Operated Vehicles POV The fields for CMN 07
186. ndition which prevents 90 degree flexion of the knee or does the patient have significant edema of the lower extremities that requires an elevating legrest or is a reclining back ordered Question 4 Does the patient have a need for arm height different than that available using non adjustable arms Question 5 How many hours per day does the patient usually spend in the wheelchair The number that you enter should be rounded up to the next hour For example if the patient is in the wheelchair for 3 1 2 hours per day enter 4 The valid range for this field is 1 to 24 Question 6 Does the patient have severe weakness of the upper extremities due to a neurologic muscular or cardiopulmonary disease condition Question 7 Is the patient unable to operate any type of manual wheelchair File Maintenance 4 15 Noble Direct CMN Manual Wheel Chairs The fields for CMN 02 03b are detailed here J 02 03b Manual Wheel Chairs defaults for LUCINDA BURKE TYPE RX i Date Needed Initial A Replacement ES Date Needed Revised a em MEN 1 Length of Need op Date Signed o Warranty m Patient Height Certificate On File MEMO Patient weight EN RW OM OO DW CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision dq Delete Help 3 Recertification H W Print an Setup Type RX Indicates whether this is the first CMN prepared
187. ne One of the practice s voice telephone numbers Next Patient Id The ID number of the next patient to be added to the system Noble Direct can automatically assign a sequential patient ID using this field However we recommend that you use the patient s social security number for the patient ID If you choose to assign patient IDs automatically this number will be added to the greatest patient ID number to generate a new patient ID number Account Number This number which will be provided to you by Noble House identifies your practice when electronically processing claim information Please do not alter this value after you enter it as it informs the main computer systems at Noble House under which account to process your transactions Altering this value will delay processing of your transactions and can lead to a total loss of transactions SYSTEM DEFAULTS Note The following fields provide system defaults in that they are the values that are used throughout Noble Direct unless you override the value with another value It is not necessary to have values in any of the default fields Type of Service Your most common type of service cod Used as the default type of service throughout the system Place of Service Your most commonly used place of service code Usually 11 for services rendered in the office Used as the default place of service throughout the system ICD 9 Your most commonly used ICD 9 code Used as the default di
188. necessity To quickly clear this date 4 22 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Patient Height The patient s height in inches Patient Weight The patient s weight in pounds Question 6a Does the patient have a nonunion of a long bone fracture Question 6b How many months prior to ordering the device did the patient sustain the fracture Question 7a Does the patient have a failed fusion of a joint OTHER THAN THE SPINE Question 7b How many months prior to ordering the device did the patient have the fusion Question 8 Does the patient have a congenital pseudoarthrosis Question 9a Is the device being ordered as a treatment of a failed spinal fusion in a patient who has not had a recent repeat fusion Question 9b How many months prior to ordering the device did the patient have the fusion Question 10a Is the device being ordered as an adjunct to repeat spinal fusion surgery in a patient with a previously failed spinal fusion at the same lev
189. ning of the medical or surgical description The use of modifiers should be limited to procedures or conditions that require additional information for payment Under these services a modifier is required ambulance DME anesthesia outside lab and purchased diagnostic tests For oxygen contents and surgical supplies DO NOT use a modifier Note Modifiers must be used to manage the Medicare mandated requirements of Capped Rentals For more information see How Do I Handle Capped Rentals Days Units The total number of days or units of treatment Note Because of Medicare s rules different mo nths may not be grouped together If you are grouping similar procedures performed on consecutive days the Days Units field must be equal to or greater than the number of days between Date From and Date To Charge Amt The amount charged for the service provided This amount should be the total amount to be paid Calculate the number of units treatments times the amount per unit Patient Paid The amount paid by the beneficiary for services Lab Tests The charge for purchased diagnostic test services Anesthesia The total minutes of anesthesia if the service was anesthesia PRO Auth The unique authorization number assigned by PRO when it approves the procedure Facility The identifier for the facility where services were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facilit
190. nsurance direct payments and uncollectible write offs Noble Direct gathers and organizes this chaos into a clear and manageable patient billing solution Fully multi company and multi practice capable When your practice grows or diversifies Noble Direct evolves with your needs Through its open expandable design Noble Direct can learn new ICD 9 and CPT codes as needed Bringing on a new partner or salesperson is just as easy as adding a new patient This system has been carefully designed to allow for the inevitable expansion of your practice or service Introduction 1 1 Noble Direct Ability to streamline recurrent tasks Noble Direct allows you to add Macros and Repeat Billings By using these advanced features you can reduce common recurrent tasks into single keystrokes This allows you to do much more work in much less time Online editing and validation routines As you enter data into each of the master files Noble Direct performs editing routines to verify that the information you entered is correct As rejects are received from Medicare Medicaid and other insurance carriers the technical staff of Noble House continues to tighten the validation routines to prevent those rejects from reoccurring in the future About Noble PreQ Noble PreQ which stands for Pre Qualifying is designed to track the information and paperwork required for pre qualifying an individual to receive diabetic supplies and equipment While or
191. nsurance company electronically N if you want to print HCFA 1500 forms locally or I if you want to prepare an invoice Noble Direct processes these invoice transactions using third party billing routines Note You will not be able to print the HCFA 1500 forms if you set the transmit field to Y Likewise if you set this field to N you will not be able to transmit the claims Insurance Transmit Id Number Noble House will assign you a number for each insurance company that is entered into your software for electronic claims submission Please contact Noble House for the proper number to enter into this field Incorrect account numbers will delay the processing of your claims Type Your selection from this drop down list indicates the type of insurance Possible entries include Medicare Medicaid private other group health plan and others File Maintenance 4 55 Noble Direct File Maintenance Providers The Providers tab allows you to add edit or delete the care providers used in your practice recording details that will be included on the HCFA forms as appropriate How to Access the Providers Tab From the File Maintenance menu in the Noble Direct main window select the Providers command or Access the File Maintenance functionality from the quick menu and then click on the Providers tab Note A window that is similar to the Providers tab can be accessed by pressing the Magnifying Glass button next to a field
192. nt of the transaction to which the payment applies Note An individual payment may be split and applied to more than one transaction See step 5 below 4 Complete the Enter Transaction Payment Amounts window that appears and then press the Save button For more information on this window see Enter Transaction Payment Amounts Window Repeat steps 3 and 4 if the payment includes an amount for an additional transaction 6 When you are done associating the payment with the transactions to which it belongs press the Distribute button The payment is distributed and applied to the patient transactions that you specified Enter Transaction Payment Amounts Window This window appears when you are applying a payment to a transaction from the Distribute Pmts tab Each field in this window is explained below Approved Amount The dollar amount approved for the transaction by the payee Deductible The dollar amount of the deductible for the transaction Payment Amount The amount of the payment that applies to this transaction Claims Processing 3 19 Noble Direct Claims Processing Generating a Payment Register Noble Direct allows you to generate a payment register using its Payment Register tab This is used as a daily cash receipts register How to Access the Payment Register Tab From the Claims Processing menu in the Noble Direct main window select the Payment Register command or Access the Claims Processing functionalit
193. o add a new provider or choose an existing provider from a list by pressing the Magnifying Glass button next to the Provider field See File Maintenance Providers for more details on the Provider Choice List Physician The physician ID for the patient s physician You can either choose a physician from the drop down list or type one into the field If you type a new physician into the field Noble Direct asks if you want to add it Choosing to add the physician displays the Physician File Maintenance window You can also add a new physician or choose an existing physician from a list by pressing the Magnifying Glass button next to the Physician field See File Maintenance Physicians for more details on the Physician Choice List Salesman The salesperson ID You can either choose a salesperson from the drop down list or type one into the field If you type a new salesperson into the field Noble Direct asks if you want to add it Choosing to add the salesperson displays the Salesperson File Maintenance window You can also add a new salesperson or choose an existing salesperson from a list by pressing the Magnifying Glass button next to the Salesman field See File Maintenance Salespeople for more details on the Salesman Choice List User This field can be used for any user defined information that you want to include You can change the label if you wish see Utilities Configuring Your System Insurance Tab Insurance Comments Custom Fie
194. o enter a diagnosis code other than the patient s default ICD 9 codes Enter an in the first field and then choose the new ICD 9 code from the drop down list Claims Processing 3 5 Noble Direct CPT The CPT 4 or HCPCS code for this transaction You can either choose a procedure code from the drop down list or type one into the field If you type a new procedure code into the field Noble Direct asks if you want to add it Choosing to add the procedure code displays the Procedure Code Maintenance window You can also add a new procedure code or choose an existing procedure code from the procedure code master file by pressing the Magnifying Glass button next to the CPT field See File Maintenance CPT Procedure Codes for more details on the CPT Procedures Choice List If you need to enter a procedure that is not classified into a procedure code Press the small button next to the Magnifying Glass button Doing so displays a dialog box into which you can enter a description for the procedure If you want to use a macro for the procedure code Enter an and then the macro ID If you type a new macro code into the field including the asterisk Noble Direct asks if you want to add it Choosing to add the macro code displays the Macro Definition File Maintenance window When the macro is activated all of the procedure codes defined within it are automatically entered into the transaction Modifier Two digit modifier codes used to alter the mea
195. o the last patient in the Ki list To locate a patient using the search utility 1 Choose the criterion that you want to use to find the patient from the drop down list When you choose a criterion the list of items is sorted in ascending order by that criterion and the criterion in highlighted in each item Enter the text for which you want to search in the field As you enter characters Noble Direct narrows in on your selection The search utility looks for the text exactly as it is entered from the beginning of the field and does not accept wildcards such as or For example if you were searching for the last name of White entering whi would return the correct patient name Entering Dite ite wh wh or ite would not In addition the search field is not case sensitive Note To display all of the items again press the Reset button To locate a patient using the choice list 1 Press the Magnifying Glass button The Patients Choice List appears For more information on this window see File Maintenance Patients In the Search By drop down list choose the criterion that you want to use to find the patient When you choose a criterion the list of items is sorted in ascending order by that criterion and the criterion in highlighted in each item Enter the text for which you want to search in the Search For field As you enter characters Noble Direct narrows in on your selection Again this
196. on and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must make a selection for each criterion with which you are presented 2 Press the Print button 3 Complete the Report Destination window 5 14 Special Reports The Comprehensive Remedy Special Reports Accounts Receivable The accounts receivable report also called the aged receivables report summarizes your patient balances and splits the charges that created these balances into aging categories This allows you to identify delinquent accounts and open receivables By setting the report criteria you can control the information shown in the report How to Access the Accounts Receivable Report Functionality From the Special Reports menu in the Noble Direct main window choose the Accounts Receivable command or Access the Special Reports functionality from the quick menu and then click on the A R Report tab HCFA 1500 Pat Invoices Pat
197. on click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion 2 Select whether you want to reset the transit flags for the primary or secondary insurance company from the Insurance Type drop down list 3 If you want to reset the transmit flags for a single patient type enter the patient type in the Patient Type field 4 Select the dates for which you want to reset the transmit flags You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Transmit Dates area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 5 Enter the appropriate transmit flags in the two Change Flag fields For example to change the transmit flag for your selected transactions from Y transmitted to N not transmitted enter Y in the first field and N in the second field 6 Press the Reset Flags button 7 Inthe Reset Transmit Flags window that appears verify that the settings are correct and then press the Reset Flags button Note You can also reset the transmit flag for a transaction from the Enter Transaction tab See Toggling the Transmit Flag for more information Utilities 6 3 Noble Direct Utilities Taking a Practice Snapshot Although Noble Direct s primary purpose is to handle claims and payments it gathers
198. onal Reports command and then click on the report that you want to print in the sub menu 2 Forthe Month End Report select the practice and the Activity Dates Month End Summary 3 Forthe Medicare Credit Request Form select all one or a range of CPT codes enter the Service Dates verify the Primary Transmit Flag and click OK 06 01 2001 o o 06 21 2001 Pees 5 22 Special Reports The Comprehensive Remedy 6 Utilities Noble Direct offers a variety of utilities that provide additional Noble Direct functionality These include functions that repair the system when broken or control other non standard advanced features You can access the utilities functionality in one of two ways 1 From the Utilities menu in the Noble Direct main window 2 Using the Utilities button on the quick menu All of the utilities with their corresponding menu commands and tab names are listed below Menu Command Tab Name Reset Transmit Flags Reset Flags Practice Snapshot Practice Snapshot Mailbox Handling Mailbox Handling Autopost Payments Autopost Payments Reprint Last Xmit None Doctor Noble Doctor Noble Special Utilities None DataSync Import Export None Live Update None Offsite Backup None System Configuration None Utilities 6 1 Noble Direct Utilities Resetting the Transmit Flags Noble Direct s primary purpose is to facilitate claims collection by transmitting claims to a clearing house for t
199. ondition window For more details on this window see Add Condition Window To delete an existing condition click on the condition that you want to delete and then press the Minus Sign button Sort Order Specifies the order of the labels to be generated These are the same codes used in the Add Condition window 5 18 Special Reports The Comprehensive Remedy Special Reports Blank CMN Forms Noble Direct provides built in functionality for printing blank CMN forms The CMNs are duplex printed printed on both sides using Microsoft Word Note If you do not have a duplex printer you will have to feed the paper to print the back of the CMN manually To generate blank CMN forms 1 From the Special Reports menu in the Noble Direct main window choose the Blank CMN Forms command and then click on the type of form that you want to generate from the sub menu 2 Click Print in the dialog box Mail Merge xa Printer 3 Select the transactions to be included in the report and click Print Select Transactions to be included on the CHN 4 Complete the Report Destination window For more information on this window see Report Destination Window Special Reports 5 19 Noble Direct Special Reports Patients Of Reports The patients of report functionality allows you to generate reports of the patients of a physician primary insurer secondary insurer provider or salesperson By setting the repo
200. ons 7 16 Inventory Options EN v Automatically Increment P O Numbers Last P O Number Used Shipping Methods Terms of Payment FEDERAL EXPRESS UPS US POST OFFICE SPECIAL DELIVERY PICKUP D Add Y Delete D Add Y Delete Click the Purchasing tab Click the checkbox to tell the system to automatically assign incremental numbers to each new PO You may also control the next number the system assigns by changing the number of the last PO number used Add shipping methods as necessary by clicking the Add button under the Shipping Methods list entering the description in the dialog box and clicking OK You may also delete a shipping method by clicking on it and clicking the Delete button To change an existing shipping method delete it and add it as new Add terms of payment as necessary by clicking the Add button under the Terms of Payment list entering the description in the dialog box and clicking OK You may also delete a term of payment by clicking on it and clicking the Delete button To change an existing term of payment delete it and add it as new Inventory The Comprehensive Remedy 8 Specialty Situations How Dol Handle Uninsured Patients Handle DME Commissions Perform Medicare Medigap Medicaid Crossovers Prevent the Printing of Secondary Claims Handle Capped Rentals Use Word Mail Merge For additional help see Getting Help How do I handle uninsured patients
201. ons You may also print comments Custom Fields Tab Insurance Comments Custom Fields Track Events User Defined 1 User Defined 3 User Defined 5 User Defined 2 User Defined 4 If you had previously set up any user defined fields for your patients in the System Configuration Setup Options portion of Utilities you may enter information into those fields here Track Events Tab Insurance Comments Custom Fields Track Events Event 1 EE o Event 2 EN o You can control whether Noble Direct transmits a transaction for a patient based upon whether the patient has a valid event defined in Noble Tracker If you identify an event to Noble Direct in the Track Events Tab when the system is about to transmit a transaction for this patient it will first check with Noble Tracker to see if this patient has a valid event If the patient has a valid event Oe the event hasn t expired then Noble Direct will transmit the transaction If not the transaction will error out To select an event for this patient click on the magnifying glass and select the event to track from the list displayed NOTE Only use this feature if you want Noble Direct to check with Noble Tracker before transmitting for this patient If you enter nothing in this tab transmissions from Noble Direct will not be affected by the events defined in Noble Tracker You may also identify an event to Noble Direct for a specific CPT Code in the Noble Tracker tab of
202. or does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 18 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Question 12 How many episodes of apnea lasting greater than 10 seconds does the patient have during 6 7 hours of recorded sleep Enter the number of episodes Question 14 Does the patient have obstructive sleep apnea File Maintenance 4 19 Noble Direct CMN Lymphedema Pumps The fields for CMN 04 03b are detailed here Pa 04 03b Lymphedema Pumps defaults for LUCINDA BURKE TYPE RX i Date Needed Initial A Replacement ES Date Needed Revised a em Length of Need op Date Signed o Warranty m Patient H
203. ort and then press the Print button These options allow you to choose if you want to include the additional documentation or CMNs in your confirmation report 8 Complete the Report Destination window to generate the Repeat Billing Report For more information on this window see Report Destination Window When you complete this entire procedure Noble Direct creates the repeat transactions 3 24 Claims Processing The Comprehensive Remedy Claims Processing Generating a Daily Confirmation Report The Daily Confirmation Report is useful for reviewing the transactions have been transmitted You can generate a daily confirmation report from Noble Direct s Daily Confirmation tab How to Access the Daily Confirmation Tab From the Claims Processing menu in the Noble Direct main window select the Daily Confirmation Report command or Access the Claims Processing functionality from the quick menu and then click on the Daily Confirmation tab Enter Transaction Repeat Billing Create Edit List Transmit Claim f Distribute Prts Payment Register AL ome Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS patient Type INCLUDE ALL PATIENTS Ir ALL One Range INS insurance Type INCLUDE ALL INSURANCE 7 All Companies Transmit Dates Ile deu 06 20 2001 ALL Primary Transmit Flag D A Print To create a daily confirmation report
204. our one item choice from the drop down list To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion Select the payment dates to be included in the report You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Payment Dates area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 Select the report options in the Options area of the tab Your selection from this drop down list indicates how you want to categorize items on the report Summary shows a total for each salesperson Patient Totals shows the result by patient CPT Code Totals shows the results by procedure code Full Transaction Details shows each paid claim that justifies the commission Checking the Include House checkbox indicates whether you want to print house accounts House accounts are claims that produce commissions but do not have a salesperson Pres
205. patient have significant edema of the lower extremities that requires an elevating legrest or is a reclining back ordered Question 4 Does the patient have a need for arm height different than that available using non adjustable arms Question 5 How many hours per day does the patient usually spend in the wheelchair The number that you enter should be rounded up to the next hour For example if the patient is in the wheelchair for 3 1 2 hours per day enter 4 The valid range for this field is 1 to 24 Question 8 Is the patient able to adequately self propel without being pushed in a standard weight manual wheelchair Question 9 If the answer to Question 8 is No would the patient be able to adequately self propel without being pushed in the wheelchair which has been ordered File Maintenance 4 17 Noble Direct CMN Continuous Positive Airway Pressure The fields for CMN 03 02 are detailed here TYPE RX MANI Date Needed Initial IE Replacement Ia Date Needed Revised a em Length of Need op Date Signed o Warranty m Certificate On File MEM Pa 03 02 Continuous Positive Airway Pressure CPAP defaults for LUCINDA BURKE CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision dq Delete Help 3 Recertification H tr Print LE Setup Type RX Indicates whether this is the first CMN prepared 1
206. pelling of both types must be identical For more information on assigning a commission type to a procedure code see Procedure Code File Maintenance Window Fixed Percent Choose F if the salesperson s commission is a fixed amount or P if the salesperson s commission is a percentage Amount The amount of the salesperson s commission In the case of a percentage commission 25 00 equals twenty five percent one fourth In the case of a fixed commission 25 00 equals twenty five dollars File Maintenance 4 61 Noble Direct File Maintenance Hospitals Facilities The Hospitals tab allows you to add edit or delete the hospitals and facilities at which your patients receive care Howto Access the Hospitals Tab From the File Maintenance menu in the Noble Direct main window select the Hospital Facility command or Access the File Maintenance functionality from the quick menu and then click on the Hospitals tab Note A window that is similar to the Hospitals tab can be accessed by pressing the Magnifying Glass button next to a field that asks for a hospital or facility This window is called Hospital Choice List Patients Physicians CPT ICD 9 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search For Hospital ID Reset eii Ea E L 01 PATIENT HOME BALTIMORE 1452 MAPLE ST MD HAPPY HAPPY VALLEY MANOR PINE VALLEY 000 000 0000 PLEASANT VALLEY
207. port To be used under the direction of Noble House Language Allows you to choose English or Spanish Note With the exception of the first command you probably do not want to change these options without the guidance of Noble House 6 20 Utilities The Comprehensive Remedy Utilities Configuring Your System Setup Options Noble Direct for Windows allows you to control and change several of your system options To change the system setup options From the Utilities menu in the Noble Direct main window choose the System Configuration command and then choose Setup Options The system displays the Setup Options dialog box which contains six tabs A description of each tab follows Setup Options a1 You can enable certain system options by checking the appropriate check box You can Cause the system to request a user ID before starting the software Show or hide the quick menu Control the order of the transactions on the Enter Transaction tab Print reports with shaded bar graphs Shading on reports may create long print times or cause problems with some older printers If this is the case just clear the checkbox Place the software in debug mode Enable the use of the procedure code state rate table The state rate table gives you the ability to specify a particular Charge Amount by insurance company and by state This would be useful if you charge different amounts to the same insurance company fo
208. prehensive Remedy You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion 2 Select the recall dates to be included in the report You can enter the dates in three ways 1 by clicking on the All tab to include all recall dates and blanks 2 by clicking on the Range tab and either typing dates into the fields or pressing the button Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 3 by clicking on the Blank Only tab to include only blank recall dates 3 Select the patient type for the report You can enter the patient type in two ways 1 by typing a patient type directly into the field or 2 by pressing the All button in the Patient Type area of the tab Pressing the button generates a report that includes all of the patient types that you have defined 4 Press the Print button 5 Complete the Report Destination window For more information on this window see Report Destination Window Special Reports Salesperson Commission Noble Direct calculates salesperson commissions using user defined commission types Since commissions are calculated on durable medical equipment this report is of primary use to
209. press the Delete button in the Macro Detail Definition window A dialog box confirms that you want to delete this component procedure code Press the Yes buttonif you do 4 66 File Maintenance The Comprehensive Remedy Macro Detail Definition Window This window appears when you are adding or editing a component procedure code in the Macro Definition File Maintenance window When you are done entering the information in this window press the Save button If there are any required fields that are incomplete they are highlighted in red Each field is explained below Procedure Code The identifier for the component procedure code to be included in the macro You can either choose a procedure code from the drop down list or type one into the field If you type a new procedure code into the field Noble Direct asks if you want to add it Choosing to add the procedure code displays the Procedure Code File Maintenance window You can also add a new procedure code or choose an existing code from a list by pressing the Magnifying Glass button next to the Procedure Code field See File Maintenance CPT Procedures Codes for more details on the CPT Procedures Choice List Units The number of units of this procedure code that are provided when this macro is used Modifiers Up to four procedure code modifiers for this procedure code Repeat Flag Your selection indicates whether the procedure will repeat itself and if so the frequency with which
210. pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion 2 Select the service dates for the invoices that you want to generate You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Dates area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 3 Select the patient type for the invoices that you want to generate 5 6 Special Reports The Comprehensive Remedy You can enter the patient type in two ways 1 by typing a patient type directly into the field or 2 by pressing the All button in the Patient Type area of the tab Pressing the button generates invoices for all of the patient types that you have defined 4 Press the Print button 5 Complete the Invoice Options window by filling in the necessary fields and pressing the OK button For more information on this window
211. r patients in different states Cause the system to transmit data over the Internet via TCP IP and enter the transmission password If you have Internet access check this option Utilities 6 21 Noble Direct Batch Files Link toWord Comment CPT Custom ids Tracker right click for menu of predefined batches BTRBOX95 NDDELAY 800 BDOSSTUB If your data communication is via the Internet do not worry about this tab If not please consult with Noble House technical support before making any changes Link to Word Not needed if using OLE E C My Documents PS If Word does not automatically launch when you print a CMN this tab allows you to get around the problem Clear the checkbox and then click the browse button to locate Word The location of the datasource directory should always be C My Documents This is where the datasource is created to do the mail merge with Word 6 22 Utilities The Comprehensive Remedy Comment CPT You can select certain CPT Activity Codes which will be automatically be flagged as transmitted When you do this the CPT Activity Codes will not be transmitted and you can use them to record comments in your patient accounts To select a CPT Activity Code click the Plus button and select the CPT code from the list To delete a CPT Activity Code select it and click the Minus button Custom Fields User Defined 1 User Defined 2
212. r the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Date area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 Press the Write Off button The Automatic Write Offs window appears showing you a list of the transactions meeting your criteria Do the following To remove a transaction from the list and thus not write off the balance select the transaction s that you want to remove and then press the Remove Item s button To select multiple items hold down either the Shift key to select contiguous items or the Ctrl key to select non contiguous items while clicking on the transactions that you want to remove from the list To print the list of write offs press the Print button Noble House suggests that you print a list of the write offs before actually writing them off When you have only the transactions that you want to write off appearing in the list press the Post W O s button Batch Changing a CPT Code Noble Direct allows you to easily change all of the occurrences of one CPT code to another CPT code throughout the system using the criteria you set get2cpt EN Existing CPT Code 234 yel New CPT Code yel To change a CPT code throughout the Noble Direct system 1 From the Utilities menu in the Noble Direct main window choose the Special Utilities command From the sub menu
213. r your result in this page ll Chg Freeze List Taken Sheet Save Changes Variance Post Taken NOTE At any time you can click Chg Freeze List to change the items you have frozen 3 Click Taken Sheet to print the Physical Inventory Taking Sheet which you can use to count and record your physical inventory 4 After counting your items enter the counts for each item in the Physical Inventory tab and click Save Changes 5 You may print a variance report showing the difference between physical and system inventory and the estimated cost of the difference 6 Click Post Taken to update inventory with the counts you have taken these counts will now become each item s Quantity on Hand Inventory Reports and Lists Noble Direct allows you to print numerous inventory reports and lists to help manage your inventory To generate inventory reports 1 From the Inventory menu in the Noble Direct main window choose the Reports and Lists command and then select the type of report of list that you want to generate from the sub menu or sub menus presented 2 Narrow down the information to be included in the inventory report Each type of inventory report has its own criteria For most criterion that you are given you can select all one or a range of items In other cases you may be able to enter a value To select all of the items for the criterion Click on the All tab for the criterion For example if you want the report to
214. ral item for which you bill Then you set up one generic CPT code that contains the actual code that will be sent to Medicare When the transactions are billed the system sums the charge amounts from the individual Enteral CPT codes and sends only one actual CPT code to Medicare with the total amount Procedure Code File Maintenance SE Procedure Code ls Actual Code RE Description EE Ni is Modifier 1 MM Modifier 3 MM Modifier 2 MN Modifier 4 NN Charge Amount oe CMN Cert Form a Approved Amount osl Factor Value 100 NDC Number EE Commission Tyre SE Oral Cancer Drug N B Print Desc on HCFA y M Noble Tracker Enteral Nutrition Reverse Macro y M Reverse CPT Baso O Li Enteral yM Calories Units EZ Cans Case mx Total Records 1331 Last Accessed 11 02 2001 3 Delete Help 1 Enter the CPT procedure code that will be your generic Enteral item The Procedure Code can be anything you want it to be However the Actual Code must be the CPT code that Medicare wants you to use for enteral items 2 Enter all of your Enteral items using a different Procedure Code for each item The Actual Code does not matter because it will not be individually billed to Medicare 3 Foreach Enteral procedure code that you enter Select Y for the Reverse Macro field to specify that it is an Enteral item Select Y for the Enteral field For the Reverse CPT field select the generic CPT Code you had previously setup Spe
215. ransmittal to Medicare and various private insurance companies For this process to work a claim must be sent just one time If a claim is not sent it cannot be collected If a claim is sent more than once a double collection may occur leading to hassles and paperwork to avoid fraud charges and straighten out the situation To avoid these problems Noble Direct uses transmit flags When a claim is first created it is eligible for transmission and its transmit flag is set to N for no After the claim is transmitted or printed its transmit flag is set to Y for yes so that it is not transmitted again However there are rare occasions when you need to transmit a claim more than once Under the processing center s direction you can reset the claim s transmit flag so that it can be transmitted a second time Resetting the transmit flag is handled using Noble Direct s Reset Flags tab Warning Do not use this function without first consulting Noble House at 954 418 0829 Inappropriate use of this function will lead to double claims which will complicate and delay your collection process How to Access the Reset Flags Tab From the Utilities menu in the Noble Direct main window choose the Reset Transmit Flags command or Access the Utilities functionality from the quick menu and then click on the Reset Flags tab Practice Snapshot Mailbox Handling Autopost Payments Doctor Noble ALL One Range PROVIDERS INCLUDE ALL P
216. ratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initi
217. required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 20 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Patient Height The patient s height in inches Patient Weight The patient s weight in pounds Question 1 Does the patient have weakness or deformity of the foot and ankle which requires stabiliza
218. ress If you enter a zip code that you used previously in the software the city state and zip code fields are completed automatically State The two letter state abbreviation for the state portion of the physician s address Zip The zip 4 code for the zip code portion of the physician s address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window UPIN The physician s Universal Physician Identification Number 4 44 File Maintenance The Comprehensive Remedy Salesperson If Noble Direct is tracking commissions for you there may be an established relationship between an attending physician and a particular salesperson Enter the salesperson ID for the salesperson associated with this physician if any You can either choose a salesperson from the drop down list or type one into the field If you type a new Salesperson into the field Noble Direct asks if you want to add it Choosing to add the salesperson displays the Salesperson File Maintenance window You can also add a new salesperson or choose an existing salesperson from a list by pressing the Magnifying Glass button next to the Salesman field See File Maintenance Salespeople for more details on the Salesman Choice List Telephone The physician s telephone number Fax Phone The physic
219. rs tab allows you to add edit or delete the Vendors from whom you acquire the Items you wish to inventory This tab manages Vendor information How to Access the Vendors Tab From the Inventory menu in the Noble Direct main window select the Vendors Maintenance command Items Vendors Purchase Orders Retum to Stock Physical Inventory Search By Search for Vendor Id Reset gt a AMERICAN American Ramp Baltimore 21209 0000 INVA Invacare 410 54 8587 Pine Valley SC 29029 0000 imi RUB Rubbermaid 410 56 3 69 Covington St 29702 0000 ole Edit 4 Delete Note A window that is similar to the Vendors tab can be accessed by pressing the Magnifying Glass button next to a field that asks for a Vendor This window is called Vendor Choice List To add a vendor 1 Press the Add button Alternatively this button is called Add New in the Vendor Choice List 2 Complete the fields in the Vendors Inventory window For more information on the fields in this window see Vendor File Maintenance Window 3 Press the Save button in the Vendors Inventory window To edit a vendor 1 Select the vendor that you want to edit by clicking on it If you need help finding the vendor use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Edit button 3 Change the information in the fields in the Vendors Inventory window as necessary For mor
220. rstName 10 Format your letter adding appropriate text as necessary as well as the merge fields September 17 2001 FirstName LastName Street City State Zipcode Dear FirstName To Perform the Merge 11 Return to the Mail Merge Helper Dialog by selecting Mail Merge from the Tools Menu ay eg Query options Specialty Situations 8 7 Noble Direct 12 Click the Merge button The system displays the Merge Dialog Merge document 13 Choose the Merge destination In this example we ll create a new document 14 Click Merge the system creates a new document with one form letter for each record in your original data file September 17 2001 Joe Smith 100 Main Chicago IL 60646 Dear Joe You may view modify and print this file as needed 8 8 Specialty Situations The Comprehensive Remedy INDEX A A R Reports tab 5 16 Accounts receivable report 5 16 Add Condition window 5 18 Adding 3 4 3 9 4 2 4 44 4 47 4 53 4 55 4 58 4 62 4 66 4 68 4 73 4 75 4 77 4 81 Adding additional doc macro 4 81 Adding diagnosis code 4 53 Adding hospital facility 4 66 Adding insurance company 4 55 Adding macro definition 4 68 Adding patient 3 4 4 2 Adding patient type 4 75 Adding payment 3 9 Adding physician 4 44 Adding practice 4 77 Adding procedure code 4 47 Adding provider 4 58 Adding salesperson 4
221. rt criteria you can control the information included in the report To generate a patient of report 1 From the Special Reports menu in the Noble Direct main window choose the Patients Of Reports command The Patients Of Report window appears 2 Select the report type that you want to prepare from the drop down list 3 Narrow down the information to be included in the report You can select all one or a range of items for each of the criterion shown Patients of Report Report Type INCLUDE ALL PHYSICIANS ALL Jone Range PATIENTS INCLUDE ALL PATIENTS Patient Type i al X Cancel To select all of the items for the criterion Click on the AII tab for the criterion To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion shown 4 Selectthe pati
222. rtification Print GEI Setup Cert Type Enter the type of certification being billed 1 indicates initial certification default 2 indicates a revised certification and 3 indicates a renewal re certification Type System Enter the type of oxygen system used from one of the following Y Yes ordering portable oxygen and patient is mobile within the home or N No ordering portable oxygen and patient is NOT mobile within the home Facility The ID for the hospital nursing home laboratory or other facility where the arterial blood gas or oximetry tests were performed You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the oxygen therapy as defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Date Needed Initial The beginning date of this
223. s macros zip codes patient types or practices By setting the report criteria for the master list you can control the information shown in the report How to Access the Master File Listing Functionality From the Special Reports menu in the Noble Direct main window choose the Master File Listing command and then select the type of master list that you want to generate from the sub menu or Access the Special Reports functionality from the quick menu click on the Master Lists tab and then click on the sub tab that corresponds to the master list that you want to generate HCFA 1500 Pat Invoices Pat Recall Commissions CPT Activity Repeat Biling Master Lists A R Report Patients CPT ICD 3 Ins Co Providers Salesmen Practices Macros Hospitals Types Zipcode ALL One Range PHYSICIANS INCLUDE ALL PHYSICIANS To generate a master file listing 1 Narrow down the information to be included in the master file listing Each type of master listing has its own criteria For most criterion that you are given you can select all one or a range of items In other cases you may be able to enter a value To select all of the items for the criterion Click on the All tab for the criterion For example if you want the report to include all of your providers click on the All tab in the Providers section of the tab To select one item for the criterion Click on the One tab for the criteri
224. s on a listed transaction double click on the transaction to open the Payment Entry window For more information on this window see Payment Entry window Patient Comments A place for comments about the patient Each comment appears on a separate line To add a comment press the Plus sign button type your text in the Add New Comment window and then press the Add button To delete a comment select the comment that you want to delete and then press the Minus Sign button To navigate through the comments use the First Previous Next and Last buttons Transaction Comments A place for comments about the transaction Each comment appears on a separate line To add a comment press the Plus sign button and then type your text To delete a comment select the comment that you want to delete and then press the Minus Sign button To navigate through the comments use the First Previous Next and Last buttons Claims Processing 3 7 Noble Direct Payment Entry Window This window appears when you are applying a payment to a transaction from the Enter Transaction tab Each field in this window is explained below PATIENT 01 02 TRANSACTION SEQ NUMBER 0004 123121234 4 BILL CARTER DATE SERVICE DATE MODIFIER AMIT PRINTED FIRST LAST CPT ber Meer ee 03 01 1335 03 01 1335 A4214 RR KJ DOCTOR SUPPLIER AMOUNT PROVIDER CHARGED REFERRING ICD 3 PHYSICIAN PAID BY BENEFICIARY 2383 BELEM CARE 41 75 0 00
225. s the Print button Complete the Report Destination window For more information on this window see Report Destination Window 5 10 Special Reports The Comprehensive Remedy Special Reports CPT Activity The CPT activity report calculates the activity for each procedure code in your system This allows you to determine the demand and profitability for each aspect of your practice By setting the report criteria you can control the information shown in the report How to Access the CPT Activity Report Functionality From the Special Reports menu in the Noble Direct main window choose the CPT Activity command or Access the Special Reports functionality from the quick menu and then click on the CPT Activity tab HCFA 1500 Pat Invoices Pat Recall Commissions Repeat Billing Master Lists A R Report ALL Jose Range CPT CODES INCLUDE ALL CPT PROCEDURE CODES ALL One Range PATIENTS INCLUDE ALL PATIENTS ALL One Range PHYSICIANS INCLUDE ALL PHYSICIANS ALL Jone Range INSURANCE INCLUDE ALL INSURANCE 7 Al Companies 2 Service Dates Report Format and Transmit Flags 01 01 1900 fm 12 9 ail Summary Bi af Print To generate a CPT activity report 1 Narrow down the information by selecting the CPT codes patients physicians and insurance companies to be included in the report You can select all one or a range of items for each o
226. secceaseecesasaeeceaeaeeceeaeseeceeaeseeceeataceeeas Pile Mamtenance Zip Codes ettet sese cos ess reset ise tee Ele dys decet Hye tte tte ee e DEUM S epp dp eiie RRIS Zip Code File Maintenance Window Fil Maintenance ZUISIUMAITTI P ESEE Patient Type Maintenance Window tenente tenente tenen tenente tenen tente tette teen e ente ten tenente en File Maintenance Practices e Practice Fil Maintenance Wind OW ee EENEG File Maintenance Additional Doc Macros 9 SPECIAL REPORTS oe aed aaa ad ncaa paateiad cake mun nee hast tiu cis ua dx n radia ense dat 5 1 Special Reports HCFA 1500 Forms lecce teen dte cie gene Du cb eri det sepe re Ra ER y ca ecce onde dee eret 5 2 HCFA Options Window Special Reports Patient Invoices Invoice Options E E Special Reports Patient Recall eee eee p a pO im GE ocala ie ER edes Special Reports Salesperson Commission 5 9 Special Reports CPT Activity Special Reports Repeat Billing Special Reports Master File Listin p eret Herr Etk depos pss Sept spe te e HE IRE Eire pt EE UE Hera ge 5 14 Special Reports Accounts Receivable sse entente treten eene tenente enne tente tenente tenen tenente 5 15 Additional A R Report Criteria Window EEN 5 16 Special Reports Mailing Labels su i n e Add Come ition Window e Mailing Labels Windows C Spe
227. see Invoice Options Window 6 Complete the Report Destination window For more information on this window see Report Destination Window Invoice Options Window This window appears when you are generating patient invoices using Noble Direct s Special Reports functionality Each field is explained below P Invoice Options SE IT Print Deductible Transactions Only Seperate Invoice foreach Age Activity based on Insurance Criteria on previous screen is for Patient d Date of Service Primary Insurance Include on Invoice Include Activity which is the responsibility of v Payment Details v the Primary Insurance Company Patient Type v the Secondary Insurance Company Recall Date v the Patient v Comment to print at the bottom of each invoice v Dunning Messages to print at bottom of invoice when appropriate 30 Days 60 Days 90 Days 120 Days AA Font IL vox Cancel Print Zero Balance Invoices Checking this checkbox generates an invoice even if no money is owed Leaving this checkbox blank only generates invoices with a positive balance Print a Separate Invoice for Each Your selection from this drop down list controls how invoices are categorized Age Activity Based On Your selection from this drop down list indicates whether you want the aging of invoices 30 days 60 days 90 days 120 days to be determined by the date of service or the date of transmission printing Print Payment Details
228. select Batch Change CPT Code In the window that appears choose the CPT code that you want to change from the first drop down list and the CPT code to which you want to change from the second drop down list To select the CPT code from either entry from a list instead press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Press the OK button In the Batch Change CPT Codes window that appears narrow down the transactions to be changed by selecting the providers insurance companies and patients for the transactions You can select all one or a range of items for each of these criterion 6 12 Utilities The Comprehensive Remedy To select all of the items for the criterion Click on the All tab for the criterion For example if you want to change the CPT code for all of your providers click on the All tab in the Providers section of the window To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a
229. so add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more 4 10 File Maintenance The Comprehensive Remedy details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or
230. ss the Select button Note You must select all one or range for each criterion 2 Selectthe service dates to be included in the report You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Dates area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 3 Select the patient type to be included in the report You can enter the patient type in two ways 1 by typing a patient type directly into the field or 2 by pressing Special Reports 5 15 Noble Direct the All button in the Patient Type area of the tab Pressing the All button includes all of the patient types that you have defined in the report 4 Press the Print button 5 Complete the Additional A R Report Criteria window by filling in the necessary fields and pressing the OK button For more information on this window see Additional A R Report Criteria Window 6 Complete the Report Destination window For more information on this window see Report Destination Window Additional A R Report Criteria Window This window appears when you are generating an accounts receivable report using Noble Direct s Special Reports functionality Each field is explained below As Of Date Include transactions and payment create on or before Report Options Include Transactions as old or Print Total Page Only tee E
231. sting update the approved deductible amount and or print an error list after autoposting 3 Press the Auto Post button Utilities 6 9 Noble Direct Utilities Reprinting the Last Transmission When you transmit your claims Noble House returns a report to you titled Electronic Claim Summary If you need to reprint another copy of the last report sent to you Noble Direct allows you to do To reprint another copy of the last Electronic Claim Summary 1 From the Utilities menu in the Noble Direct main window choose the Reprint Last Xmit command 2 Complete the Report Destination window For more information on this window see Report Destination Window Utilities Working With Doctor Noble Doctor Noble is a utility that confirms the integrity of the information stored in Noble Direct You can access Doctor Noble using the Doctor Noble tab Reset Flags Practice Snapshot Mailbox Handling Autopost Payments Doctor Noble File Pra Patient Key Trx Seq Pmt Seq Description Field Value v Only examine the current practice Print Doctors ordes 1 From the Utilities menu in the Noble Direct main window choose the Doctor Noble command or Access the Utilities functionality from the quick menu and then click on the Doctor Noble tab To use Doctor Noble 2 Be sure that the checkbox is checked if you want to examine only the current practice If you want to examine all of your practices at one time uncheck the checkbox
232. t by either choosing an existing patient or adding a new patient The top section of the Enter Transaction tab is used for this purpose To add a patient from the Enter Transaction tab 1 Press the Add Patient button or Right click on the list of patients on the Enter Transaction tab and then choose the Add Patient command from the context menu The Patient File Maintenance window appears 2 Complete the fields in the window For more information on this window see Patient File Maintenance Window 3 Press the Save button in the Patient File Maintenance window 3 4 Claims Processing The Comprehensive Remedy Enter Transactions Window This window appears when you add a transaction on the Enter Transaction tab If you press the Save button without completing all of the required fields the incomplete fields are highlighted in red Each field in this window is explained below J Enter Transactions EN PATIENT 01 02 123121234 4 BILL CARTER SEQUENCE NO 0005 MODIFIER DD cur BR DATE FROM pavs uNiTS MEE PFM PPV B O DATE ro MAAN chance AMT ET enc DES r os A PATIENT PAID EES DME CMN 7 0 5 MEI Lap TESTS EN aL voc DN ma ET O anesthesia E rm D cl Au PT RE O Proauty mg TRA SLS ID n 4 Patient Information Payments Patient Comments ER Transaction Comments Seq Src Pmt Date AmountPaid Check No Check Date New Payment RE lr iL noe B Insert te Edit 3 Delete
233. t drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion Select the service dates to be included in the report You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Dates area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 Select the maximum remaining repeats Entering 9999 show all of the transactions with any number of repeats remaining By specifying a maximum number of repeats you can limit the report to contain only those repeat transactions that are going to occur within a specific time Press the Print button Complete the Report Destination window For more information on this window see Report Destination Window Special Reports 5 13 Noble Direct Special Reports Master File Listing The master file listing shows the details that you have set up in your system You can generate master listings of your patients physicians CPT procedure codes ICD 9 diagnosis codes insurance companies providers salespeople hospitals facilitie
234. t you used previously in the software the city state and zip code fields are completed automatically State The two letter state abbreviation for the state portion of the provider s address File Maintenance 4 57 Noble Direct Zip Code The zip 4 code for the zip code portion of the provider s address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window Telephone The provider s telephone number Signature The provider s name as it should appear on the HCFA forms Provider Acct The main account number assigned to this provider by the insurance company UPIN The provider s UPIN number Medicaid ID The provider s Medicaid identifying number Medicaid Type This two character identifier applies to Florida Medicaid only Federal Id The provider s federal ID number SSN EIN This field designates the type of number being used for the Federal ID number Enter S if the Federal ID is a social security number Enter E if the Federal ID is an employer identification number CLIA Number The provider s CLIA number as assigned by Florida Medicare Sub Id An identifier assigned by Noble House Used for tracking multiple providers when submitting private claims electronically Print Name If you plan to print your own HCFA forms and
235. tate in which the patient lives Zip Code The zip 4 code for the area in which the patient lives You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window SSN The patient s social security number Birthdate The patient s birthday in MM DD YYYY format That is two digits for the month and day and four digits for the year Onset The date on which the illness was diagnosed in MM DD YYYY format That is two digits for the month and day and four digits for the year Telephone The patient s telephone number Type The type code for the patient You can either choose a patient type from the drop down list or type one into the field If you type a new patient type into the field Noble Direct asks if you want to add it Choosing to add the patient type displays the Patient Type Maintenance window You can also add a new patient type or choose an existing type from a list by pressing the Magnifying Glass button next to the Type field See File Maintenance Patient Types for more details on the Patient Type Choice List Claim No The patient s claim ID number from the insurance company This field is normally the worker s compensation number as assigned by the insurance company ICD 9 The patient s diagnostic code s You can either choose ICD 9 codes
236. tem Defaults Type of Service Eu Letter Head Place of Service Pg Break on Confirm Apt Primary Insurance SAIMA 3 Ico MEME Pg Break on Edit List Provider EH O cr MEN DME Labels Tx Pim Pry MER O Modifiers em mi pi Calc Balances Trs Facility Ems Diabetic KS Z EM Browse e4 Total Records 1 mean vie X cance ze Heb LastAccessed 09 28 2000 Id Three letters or numbers that differentiate this practice from other practices entered in the Noble Direct software on this computer Although it is unusual to have more than one practice operating out of a single computer Noble Direct fully supports this option There are no rules about this identifier except that each ID code must be unique for each practice on the computer Name The name of this practice as you want it to appear on all reports Address 1 The street address where mail to this practice is sent Address 2 Additional street address information such as a suite number City The city portion of the practice s address State The two letter state abbreviation for the state portion of the practice s address Zip Code The zip 4 portion of the practice s address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing File Maintenance 4 73 Noble Direct to add the zip code displays the Zip Code File Maintenance window Telepho
237. the Procedure Code File Maintenance Window so that only those transactions with a specific CPT code are checked against events in Noble Tracker rather than all transactions for that patient 4 6 File Maintenance The Comprehensive Remedy Alternative Ship To Address Window This window appears when you are entering a new patient who has an alternative ship to address It appears when you choose Y in the Ship To field J Alternative Ship To Address Name et Adressa BSS NENNEN EE REN Address 2 City State Zipcode Telephone as Cate Fon E ate To EN A Continue Help X Cancel When you are done entering the information in this window press the Continue button If there are any required fields that are incomplete they are highlighted in red Each field is explained below Name The name for the alternate address Address 1 The street address for the alternate address Address 2 Additional street address information such as a suite number City The city portion of the alternate address If you enter a zip code that you used previously in the software the city state and zip code fields are completed automatically State The two letter abbreviation for the state portion of the alternate address Zip code The zip 4 code portion of the alternate address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if
238. the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field 4 30 File Maintenance The Comprehensive Remedy Question 1 What are the drug s prescribed and the dosage and frequency of administration of each Enter the drugs Question 2 What are the drug s prescribed and the dosage and frequency of administration of each Enter the MG dosage Question 3 What are the drug s prescribed and the dosage and frequency of administration of each Enter the times per day Question 4 Has the patient had an organ transplant that was covered by Medicare Question 5 Which organ organs have been transplanted Enter up to three of the following numeric codes 1 heart 2 liver 3 kidney 4 bone marrow or 5 lung Question 8 Enter the facility identifier where the transplant was performed You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Question 9 and 10 the facility s
239. the system will ask you for the serial number and optional comments enter the information and click Update 6 When you are done receiving items individually click the Update Inventory button The system updates the inventory Inventory 7 11 Noble Direct Inventory Return to Stock The Return to Stock tab allows you manage serialized items Serialized items are not consumed rather they can be used by one patient and then returned and used by another patient Items are identified as serialized in the Item Maintenance Window How to Access the Return to Stock Tab From the Inventory menu in the Noble Direct main window select the Return to Stock command Search By Search for Patient Name OI Reset r Se gt gt ID Number Name State Provider Type Recall Date Phone Number LUCINDA BURKE SC CARE DIABET 06 26 1999 803 756 3795 01 02 BILL CARTER ER CARE 05 25 2001 561 418 0829 01 20 CARL CARTER Sc CARE 05 29 1999 803 756 8765 lel ITEMS DELIVERED TO LUCINDA BURKE ITEMS TO BE RETURN Item Number Serial Number Oty Delivered Item Number Oty X Lear Return items to stock 1 Select the patient from whom the item is being returned by clicking on the patient 2 Select the item in the list on the left that you wish to return to stock by clicking on it then click the red right pointing arrow the system moves the item to the box on the left When you have moved
240. the transaction has not been transmitted or printed However your organization may use custom transmit flags to indicate different sources or statuses of non transmitted non Y transactions Please contact Noble House Technical Support for advice if you wish to implement custom transmit flags When using the Transmit Flag to include patients or transactions in various reports entering a value of will cause the system to include ALL non transmitted transactions regardless of the value of the individual transmit flags Claims Processing 3 11 Noble Direct Suspending a Transaction Besides using the transaction section of the Enter Transaction tab to enter new transactions you can use it to suspend a transaction Suspended transactions are transactions that are put on hold and are not included in transmissions or Noble Direct reports Suspending a transaction changes the value of the primary transmit flag to S To suspend a transaction from the Enter Transaction tab 1 Click on the patient for the transaction For help in finding a patient see Locating a Patient 2 Click on the transaction that you d like to suspend For help in finding a transaction see Locating a Transaction 3 Right click on the transaction that you want to suspend and then choose the Suspend Primary command from the context menu To return the transaction to an unsuspended state you can toggle the transmit flag For more information see Toggling
241. those forms come pre printed with the provider s name on them set this field to N for no When this field is set to Y for yes the software prints the provider s name on the HCFA forms Print Date Setting this field to Y for yes prints the date on the HCFA 1500 form in box 31 If you don t want to print the date select N for no Print SOF Your Yes Y or No N selection from this drop down list indicates whether you want to print the text that appears in the Signature field on the HCFA forms for this provider 4 58 File Maintenance The Comprehensive Remedy File Maintenance Salespeople The Salesmen tab allows you to add edit or delete the salespeople listed in your software and the details of their commission arrangements How to Access the Salesmen Tab From the File Maintenance menu in the Noble Direct main window select the Salesperson command or Access the File Maintenance functionality from the quick menu and then click on the Salesmen tab Note A window that is similar to the Salesmen tab can be accessed by pressing the Magnifying Glass button next to a field that asks for a salesperson This window is called Salesman Choice List Patients Physicians CPT ICD 3 Ins Co Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search For Salesperson Id Reset gt gt i HET T ERVILLE 8TH AVENUE 0000 E RMM RICHARD M MEHAN BALTIMO
242. tient s social security number physician primary insurance company primary insurance policy number or secondary insurance company TRANSACTION SECTION The bottom section of this tab lists the transactions for the selected patient You use it to enter new or edit existing transactions The information listed about the transaction corresponds to the information entered in the Enter Transactions window For more details about this window see Enter Transactions Window Seq The sequence number for the transaction P Yes or no code indicating whether the transaction has been submitted to the primary insurance company Right clicking on a transaction and choosing the Toggle Primary command from the context menu changes the code Claims Processing 3 3 Noble Direct between Y to N S Yes or no code indicating whether the transaction has been submitted to the secondary insurance company Right clicking on a transaction and choosing the Toggle Secondary command from the context menu changes the code between Y to N This command is only available if there is a secondary insurance company listed for the patient R The repeat code for the transaction To quickly turn off the repeat right click on the transaction that you want to change and then choose the Turn Off Repeat command from the context menu C Yes or no code indicating if there is a Certificate of Medical Necessity CMN for the transaction Svc Date The
243. tification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Question 1 Which pump has been prescribed Enter one of the following 1 ambulatory infusion pump 2 stationary infusion pump 3 implantable infusion pump or 4 disposable infusion pump e g elastomeric Question 2 Provide the HCPCS code for the drug that requires the use of the pump Question 3 If a non specific code was used to answer question 2 provide the name of the drug Question 4 What is the route of administration Enter one of the following 1 intravenous 2 intra arterial 3 epidural or 4 subcutaneous Question 5 What is the method of administration Enter one of the following 1 continuous 2 intermittent or 3 bolus Question 6 What is the total duration of drug infusion per 24 hours Enter the number of hours 1 24 Question 7 Does the patient have intractable cancer pain which has failed to respond to an adequate oral transdermal narcotic analgesic regimen or is the patient unable to tolerate oral transdermal narcotics File Maintenance 4 33 Noble Direct CMN Parenteral Nutrition The fields for CMN 10 02a are detailed here
244. time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 36 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provided by the ordering physician To quickly clear this date press the button next to the field Date Signed The date on which the paper CMN was completed and signed by the ordering physician To quickly clear this date press the button next to the field Patient Height The patient s height in inches
245. ting 4 58 Provider editing 4 58 Providers tab 4 58 Purchase Order Items Window 7 10 Purchase Orders 7 7 Purchase Orders File Maintenance Window 7 9 Purge 6 17 Q Quick menu 2 11 Quick menu defined 2 11 R Reinstall Updates 6 17 Repeat billing 3 22 Repeat billing report 5 13 Repeat Billing tab 3 22 5 13 Repeat billing handling 3 22 Report Destination window 2 11 Reports 5 1 5 2 5 6 5 8 5 9 5 12 5 13 5 15 5 16 5 18 5 20 5 21 5 22 5 23 Reports accounts receivable 5 16 Reports birthday list 5 22 Reports blank CMNs 5 20 Reports CPT activity 5 12 Reports HCFA 1500 forms 5 2 Reports mailing labels 5 18 Reports master file listing 5 15 Reports overview 5 1 Reports patient invoices 5 6 Reports patient recall 5 8 Reports patients of 5 21 Reports repeat billing 5 13 Reports salesperson commission 5 9 Reports using additional 5 23 Reprinting last transmission report 6 10 Reset Flags tab 6 2 Reset Transmit Flag utility 6 2 Index 3 Noble Direct Salesmen tab 4 62 Salesperson 4 62 Salesperson commission report 5 9 Salesperson File Maintenance window 4 64 Salesperson adding 4 62 Salesperson deleting 4 62 Salesperson editing 4 62 Searching 2 10 2 11 Searching for patient 2 10 Searching for transaction 2 11 Seat Lift Mechanism CMN 4 27 Secondary claims 8 3 Setting up 2 9 3 11 Setting up practice 2 9 Special Reports Menu 2 5 5
246. ting facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 40 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re certification you must enter an effective date of the revision or re certification This must be provide
247. tion to achieve functional benefit Question 2 Does the patient have weakness or deformity of the knee which requires stabilization to achieve functional benefit Question 3 Is the condition expected to exist for more than 6 months Question 4 Is the patient unable to be fitted with a custom fitted orthosis Question 5 Is there a need to control the knee ankle or foot in more than one plane File Maintenance 4 21 Noble Direct CMN Osteogenesis Stimulator The fields for CMN 04 03c are detailed here J 04 03c Osteogenesis Stimulator defaults for LUCINDA BURKE TYPE RX MAE Date Needed Initial A Replacement Ia Date Needed Revised a Facit FT 2 Length of Need op Date Signed o Warranty m Patient Height Certificate On File MEM Patient weight J SEEN NO GEN ON BR SEEN 10a com o E Aa co CN CERTIFICATION TYPE Enter one of the certification types Save X Cancel 1 Initial certification default 2 Revision E Delete Help 3 Recertification E Print LE Setup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the cl
248. to limit the patients shown in the transaction edit list to a specific patient type enter the type in the Patient Type field 3 Select the service dates to be included in the transaction edit list 3 14 Claims Processing The Comprehensive Remedy You can enter the dates in two ways 1 by typing the dates directly into the fields or 2 by pressing the button in the Service Date area of the tab Pressing the button toggles between entering today s date and entering All dates 01 01 1900 to 12 31 2999 Enter the primary transmit flag for the transactions that you want selected for the transaction edit list N is the typical value for transactions that have not been transmitted You may also enter which will include all non transmitted transactions Press the Print button In the Transaction Edit List window that appears check the print options that you want to include and then press the Print button These options allow you to choose if you want to include the additional documentation or CMNs in your transaction edit list Complete the Report Destination window For more information on this window see Report Destination Window If you find any transactions that need to be changed you can simply edit the transaction See Viewing or Editing a Transaction for more information on editing transactions Claims Processing 3 15 Noble Direct Claims Processing Transmitting Claims After you enter all of your trans
249. top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this provider Press the Yes button if you do Note If the provider is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the provider and assign new values to those fields Provider File Maintenance Window The Provider File Maintenance window appears when you add or edit a provider When you save the provider information from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below Provider File Maintenance Provider ld 0 13 Name acess SSCS Address 2 Ciy State Zincode FILET ER EEN Telephone SES Signature Provider Acct DES uN Ma Medicaid d EB Medicaid Type EE Federal ld BESSE c EJ CLIA Number EE Cou D suo MEME Pint Date EI Print SOF EN sd el Le p Total Records 1 Browse Last Accessed 08 24 2000 ov im X Cancel Xa Delete 7 Help Provider Id An identifier that uniquely identifies this provider This identifier can be a maximum of five letters and or numbers Name The name of the provider Address 1 The street address for the provider Address 2 Additional street address information such as a suite number City The city portion of the provider s address If you enter a zip code tha
250. trical nerve stimulator 4 25 Certificate of Medical Necessity user defined form 4 41 Claim 3 2 3 16 Claim entering 3 2 Claim transmitting 3 16 Claims processing 3 1 3 2 3 14 3 16 3 18 3 20 3 22 3 25 3 26 Claims Processing menu 2 4 Claims processing applying payments 3 18 Claims processing creating edit list 3 14 Claims processing entering transaction 3 2 Claims processing generating daily confirmation report 3 25 Claims processing generating payment register 3 20 Claims processing handling repeat billings 3 22 Claims processing overview 3 1 Claims processing transmitting claims 3 16 Closing Noble Direct 3 26 CMN forms 5 20 CMN forms printing blank 5 20 Commissions 8 2 Commissions tab 5 9 Common Features 2 9 Continuous Positive Airway Pressure CMN 4 19 Copy Practice Tables utility 6 14 CPT activity report 5 12 CPT Activity tab 5 12 CPT code 6 12 CPT code batch changing 6 12 CPT tab 4 47 Create Edit List tab 3 14 Crossovers 8 2 D Daily confirmation report 3 25 Daily confirmation report generating 3 25 Daily Confirmation tab 3 25 Daily procedures 2 8 DataSync Import Export utility 6 18 Deleting 3 12 4 2 4 44 4 47 4 53 4 55 4 58 4 62 4 66 4 68 4 73 4 75 4 77 Deleting diagnosis code 4 53 Deleting hospital facility 4 66 Deleting insurance company 4 55 Deleting macro definition 4 68 Deleting patient 4 2 Deleting patient type
251. tup Type RX Indicates whether this is the first CMN prepared 1 indicates initial certification default 2 indicates a revision and 3 indicates a re certification Replacement Y Indicates that the item in this CMN is replacing a previously purchased item N indicates that it isn t Facility The ID for the hospital nursing home laboratory or other facility where services submitted on the claim were rendered You can either choose a facility from the drop down list or type one into the field If you type a new facility into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is require
252. ty that allows you to purge old transaction information from the system WARNING This utility can delete large amounts of data and should be used with great care To purge old transaction information From the Utilities menu in the Noble Direct main window choose the Special Utilities command From the sub menu select the Purge command Transactions Purge Utility As Of Date T Ignore Balance Delete Inactive Patients IV Create Report X Close 1 Verify the date Transactions prior to this date will be deleted 2 Ifyou check Ignore Balance transactions will be deleted even though they contain a balance due if Ignore Balance is not checked the system will retain any transactions that contain a balance If you check Delete Inactive Patients the system will delete patients with no activity since the As Of date 4 Ifyou check Create Report the system will generate a listing of the purged transactions Reinstall Updates Noble Direct provides you with a utility that allows you reinstall live updates that you have received online To Reinstall Updates 1 From the Utilities menu in the Noble Direct main window choose the Special Utilities command From the sub menu select the Reinstall Updates command The system asks you to confirm that you want to shut down Noble Direct and reinstall live updates 2 Click Yes to continue The system asks you to reconfirm that Noble Direct is not running and that you want to re
253. uded in the report by responsibility Using these checkboxes you can generate a report just showing your account receivables for the primary insurance companies Advanced Button Allows you to select a predefined patient list from a file Special Reports Mailing Labels Noble Direct provides built in functionality for generating mailing labels You can generate mailing labels for your patients physicians insurance companies providers salespeople hospitals facilities or practices By setting the mailing label criteria you can control the labels printed To generate mailing labels 1 From the Special Reports menu in the Noble Direct main window choose the Mailing Labels command and then select the type of mailing labels that you want to generate from the sub menu A window appears to allow you to narrow down the labels to be generated 2 Complete the fields in the Mailing Label window and then press the OK button For more details on this window see Mailing Labels Window 3 Complete the Report Destination window For more information on this window see Report Destination Window Add Condition Window This window appears when you are adding conditions to be used when generating mailing labels To build a condition you need to enter a condition code operator and value When you are done entering the elements to form the condition press the OK button to add the condition to the list in the Mailing Labels window Each fi
254. use the search utility at the top of the tab See Using the Search Utility for more information 2 Press the Delete button A dialog box confirms that you want to delete this hospital or facility Press the Yes button if you do Note If the hospital or facility is still in use somewhere in the software the deletion will not be allowed To perform the deletion you must first find the occurrences of the hospital or facility and assign new values to those fields Hospital Facility File Maintenance Window The Hospital Facility File Maintenance window appears when you add or edit a hospital or facility When you save the hospital or facility information from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below J Hospital 7 Facility File Maintenance Usu 07 Address 2 as Ciw Stete Ziocode BEER DR EET Cona Lounen EE ver a MENHENE py m rz Total Records 4 Browse Last Accessed 09 28 2000 v Save X Cancel Delete 7 Help Id An identifier that uniquely identifies this hospital or facility This identifier can be a maximum of six letters and or numbers Name The name of the hospital or facility Address 1 The street address for the hospital or facility Address 2 Additional street address information such as a suite number City The city portion of the hospital or facility s address If you enter a zip code that you used pr
255. utpatient OR within two days prior to discharge from an inpatient facility to home Question 3 Enter the one number for the condition of the test in Question 1 1 at rest 2 during exercise or 3 during sleep Question 4 Physician provider performing the test in Question 1 and if applicable Question 7 You can either choose an answer from the drop down list or type one into the field Pressing the Magnifying Glass button displays the Hospital Choice List Question 5 If you are ordering portable oxygen is the patient mobile within the home If you are not ordering portable oxygen enter D Question 6 Enter the highest oxygen flow rate ordered for the patient in liters per minute Ipm If less than 1 Ipm enter X Question 7a If greater than 4 Ipm is prescribed enter the results of the most recent test taken on 4 Ipm Enter arterial blood gas PO2 here Question 7b If greater than 4 lpm is prescribed enter the results of the most recent test taken on 4 lpm Enter oxygen saturation test with patient in a chronic stable state here Question 7c If greater than 4 lpm is prescribed enter the results of the most recent test taken on 4 Ipm Enter the date of the test here Question 8 Does the patient have dependent edema due to congestive heart failure Question 9 Does the patient have cor pulmonale or pulmonary hypertension documented by P pulmonale on an EKG or by an echocardiogram gated blood poll scan or dir
256. v Collate Destination Select Printer or Screen depending on where you d like to see the report If you select the Printer option the report prints on the printer that you have set up If you select the Screen option the report is shown in the Viewer window From the Viewer window you can print one or more of the pages of the report on your printer Range Click the option button to indicate the pages of the report that you want to print to your chosen destination If you choose the Pages option enter the range of pages that you want to print in the From and To fields Print Button Prints the report to your chosen destination Cancel Button Cancels the report printing Printer Setup Button Displays the Print Setup window which you can use to select the printer to use and other printing options Copies Specifies the number of copies that you want to print Collate Organizes the numbered pages when you print multiple copies of a report Checking this checkbox prints a complete copy of the report before the next copy is printed Quickstart 2 11 3 Claims Processing The Comprehensive Remedy Noble Direct is designed to automate the processing of industry standard HCFA 1500 forms and associated Certificate of Medical Necessity CMN documentation This automation is handled by Noble Direct s claims processing functionality You can access Noble Direct s claims processing functionality in one of two ways
257. window Phone The insured person s telephone number Sex Your selection from the drop down list indicates the insured person s sex using M for male and F for female Birth Date The insured person s birthday in MM DD Y YYY format That is two digits for the month and day and four digits for the year Employer The insured person s employer 4 8 File Maintenance The Comprehensive Remedy Certificate of Medical Necessity Window This window appears when you enter Y in the DME CMN field in the Patient File Maintenance or Enter Transactions window to indicate that a certificate of medical necessary CMN is required Certificate of Medical Necessity Biel EZ 01 02a Hospital Beds Support Surfaces Motorized Wheel Chairs Manual Wheel Chairs Continuous Positive Airway Pressure CPAP Lymphedema Pumps Osteogenesis Stimulator Transcutaneous Electrical Nerve Stimulator Seat Lift Mechanism Power Operated Vehicle POV Immunosuppressive Drugs External Infusion Pump Parenteral Nutrition Enteral Nutrition Home Oxygen Therapy User Defined Form wi DE X coca 2 Hep To complete a certificate of medical necessity 1 2 3 Select the CMN that you need from the list in the Certificate of Medical Necessity window Press the Edit button in the Certificate of Medical Necessity window Enter the required information in the CMN entry window that appears see below If you are completing the CMN from
258. y Transmit Flac fl EI To create a transaction edit list 1 Narrow down the information to be shown in the transaction edit list by selecting the providers insurance companies and patients to be included You can select all one or a range of items for each of these criterion When you transmit claims you will be offered the same criteria Because of this you can use the transaction edit list to predict the results of a transmis sion before the transmission even occurs To select all of the items for the criterion Click on the All tab for the criterion For example if you want your edit list to show all of your providers click on the All tab in the Providers section of the Create Edit List tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your choice in the window that appears and then press the Select button Note You must select all one or range for each criterion 2 If you want
259. y from the quick menu and then click on the Payment Register tab AL ome Range PROVIDERS INCLUDE ALL PROVIDERS ALL One Range PATIENTS Patient Type INCLUDE ALL PATIENTS ALL ne Range INS Insurance Type INCLUDE ALL INSURANCE 7 All Companies Payment Dates DEER EE a Payment Batch Id MR Report Layout TTT w Print To generate a payment register 1 Narrow down the information to be shown in the report by selecting the providers insurance companies and patients to be included You can select all one or a range of items for each of these criterion To select all of the items for the criterion Click on the All tab for the criterion For example if you want your payment register to show all of your providers click on the All tab in the Providers section of the Payment Register tab To select one item for the criterion Click on the One tab for the criterion and then select your one item choice from the drop down list or by pressing the Magnifying Glass button To select a range of items for the criterion Click on the Range tab for the criterion Enter the beginning item for the range from the first drop down list and the ending item for the range from the second drop down list You can also select the starting or ending item using the Magnifying Glass button Click in the field for which you want to make a choice press the Magnifying Glass button click on your
260. y generate a maintenance transaction every six months thereafter A capped rental transaction is identified to Noble Direct by the use of Modifiers in the Enter Transactions Window itis any transaction which has a KH KI or KJ modifier KH 1 month KI 2 and 3 month KJ 4 thru 15 month When the initial transaction is entered into Noble Direct with a KH modifier that transaction is tracked as the first month of a potential 15 month cycle This initial transaction should be entered with the repeat billing flag set to MONTHLY with at least 14 remaining cycles When repeat billing is executed for each subsequent month Noble Direct will automatically update the modifier In the event that a transaction is entered into Noble Direct that is NOT the first month rental i e a KH modifier Noble Direct will prompt the user for the correct rental month of the transaction NOTE It is VERY important that the repeat billing cycles is set to at least 14 Remaining cycles Otherwise it is possible that the transaction could stop prior to the expected 15 months of a Capped Rental Repeat Billing Capped Rentals Creating monthly transactions for Capped Rentals is handled by performing the Claims Processing Handling Repeat Billing feature of Noble Direct Once the selection criteria screen has been filled out Noble Direct will scan all transactions in the system that have been setup for repeat billing This may include
261. y into the field Noble Direct asks if you want to add it Choosing to add the facility displays the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from the master file by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Pfm Prv The provider ID for the performing provider when the billing provider is a PA Group You can either choose a provider from the drop down list or type one into the field If you type a new provider into the field Noble Direct asks if you want to add it Choosing to add the provider displays the Provider File Maintenance window You can also add a new provider or choose an existing provider from the master file by pressing the Magnifying Glass button next to the Pfm Prv field See File Maintenance Providers for more details on the Provider Choice List Repeat Your selection indicates whether the transaction will repeat itself and if so the frequency with which it will occur You can choose None Weekly Monthly Oth Month every other month Quarterly or Semi Annual Completing this field allows you to use Noble Direct s Repeat Billing functionality which simplifies billing for a recurring transaction Cycles If you selected one of the repeating options in the Repeat field the number that you enter in the Cycles field indicates the number of
262. you save the ICD 9 code information from this window the required fields that are incomplete are highlighted in red Each field in this window is explained below ICD 9 Code Maintenance 001 Cm Diagnosis Code The identifier that uniquely identifies this diagnosis It can be a maximum of five letters and or numbers Description The ICD 9 description Noble Direct does not check to make sure that your entry matches the ICD 9 text but for clarity and correctness you should enter the exact wording 4 52 File Maintenance The Comprehensive Remedy File Maintenance Insurance Companies The Ins Co tab allows you to add edit or delete the insurance companies to which your system can file claims This tab defines the insurance company and tells Noble Direct how to communicate with the insurance company when filing claims How to Access the Ins Co Tab From the File Maintenance menu in the Noble Direct main window select the Insurance Company command or Access the File Maintenance functionality from the quick menu and then click on the Ins Co tab Note A window that is similar to the Ins Co tab can be accessed by pressing the Magnifying Glass button next to a field that asks for an insurance company This window is called Insurance Company Choice List Patients Physicians CPT ICD 8 InsCo Providers Salesmen Hospitals Macros Zipcodes Types Practices Search By Search for Insurance ID z R
263. you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window Medigap Insurer s Information Window This window appears when you are entering a new patient who has Medigap insurance It appears when you choose G in the Coverage field Medigap Insurer s Information PEM DEES en DEER Ci Stote Zpcode IN a ER w Continue Load Patient Help X Cancel When you are done entering the information in this window press the Continue button If there are any required fields that are incomplete they are highlighted in red Each control is explained below Name The name of the Medigap insurer Address 1 The street address for the Medigap insurer File Maintenance 4 7 Noble Direct City The city portion of the Medigap insurer s address If you enter a zip code that you used previously in the software the city state and zip code fields are completed automatically State The two letter abbreviation for the state portion of the Medigap insurer s address Zip Code The zip 4 code portion of the Medigap insurer s address You can either choose a zip code from the drop down list or type one into the field If you type a new zip code into the field Noble Direct asks if you want to add it Choosing to add the zip code displays the Zip Code File Maintenance window Load Patient Button Automatically enters the name and address information from the Patient File Maintenance window Pati
264. ys the Hospital Facility File Maintenance window You can also add a new facility or choose an existing facility from a list by pressing the Magnifying Glass button next to the Facility field See File Maintenance Hospitals Facilities for more details on the Hospital Choice List Length of Need The number of months that the items or services defined by this CMN will be required The designated time should be rounded up to the nearest month must be certified by a physician and can be in the range of 1 to 99 months If the item or service will be required for the lifetime of the patient enter 99 in this field Using 99 is equivalent to checking the lifetime box in Section B of the DMERC CMN form Warranty Indicates whether the item defined by this CMN is covered by a warranty Completing this field is required only for purchased equipment Enter Y for yes N for no or D for does not apply Certificate on File To electronically transmit CMNs you must maintain a copy of the paper certification signed and dated by the physician Enter Y to indicate that certification is on file or N to indicate that certification is not on file Date Needed Initial The beginning date of this certified period of medical necessity To quickly clear this date 4 32 File Maintenance The Comprehensive Remedy press the button next to the field Date Needed Revised If you indicated that this certificate was a revision or a re cer

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