Procedure Edit

The procedure edit dialog provides the mechanisms for adding one or more procedures and their details to an encounter. The different parts of this dialog are documented in the following sections:

Procedure Edit

The procedure edit dialog is divided into three vertical sections:

• The Left-side titled "Current Information" displays all of the details of the procedure in three non-editable sections.
• The Middle-section titled "Enter Procedure Detail" contains the edit fields for the selected procedure details.
• The Right-side contains the dialog control buttons

Each of these sections are documented below:

Current Procedure

The Current Information" displays all of the details of a procedure in three non-editable groups of information. These three groups are the same three groups found in the Procedure Details dialog.

This part of the dialog serves two purposes. First, it presents all of the current information about the procedure. Second, it is one of the navigation mechanisms for selecting the information that is to be edited.

Each of group of information is selectable with the mouse. When a group is selected it turns a darker gray and the middle section of the dialog changes its fields to match the selected procedure information.

Dialog Buttons

The four dialog buttons do the following:

• Next-> - Next button is another mechanism for navigating through the different groups of procedure details found in the Current Information. When button Next is selected the information in the fields of the middle section are used to update the Current Information of the procedure and the next group of information is selected in the Current Information and the middle sections editable fields change to match that selection.
• Prev-> - Previous button is similar to the actions of the Next button but when selected the previous group of information is selected in the Current Information and the middle sections editable fields change to match that selection.
• Save - Save button selection will update the Current Information with the changes made in the middle section of the dialog then write all of the Current Information for the procedure to the database. Before a Save can be completed successfully both a procedure code and an ICD-9 code must be selected.

  On completion of the save to the database, the edit dialog clears all fields and allows you to enter a new procedure. If you are finished entering procedures for this encounter, select the Cancel button.

• Cancel - Cancel button selection will close the dialog. If there were any changes to the edit fields in the middle section those changes will be lost.

The middle section of the dialog is used to edit the procedure details. The editing of the details is broken up into three groups each defined below.

Edit Fields Group 1

If the first group of procedure details is selected under the Current Information, shown in gray at the right, then the edit fields of the Procedure Detail section match the selection. (shown at the far right)

All of the fields are selectable fields called popup fields. The list of available selections can be long. If you know something about the desired selection, there is a quick selection mechanism. Select the popup. This causes the list to appear. Type some characters and/or numbers that might match the desired selection. The first match appears when you select the "return" on the keyboard. Each successive "return" will bring up the next match. Keep hitting "return" until your desired selection appears.

Note: the search is case sensitive which means capitalized letters will not match lower case letters. To simplify what you have to remember for creating the search string, you could make all configured data capitalized then you only have to type capitalized letters for search patterns.

There are four parts to this group of fields:

• Procedure Code is the list of procedure code that you have entered when you configured TFM for your practice.
• Quantity is the number of these procedures that you wish to apply.
• Modifiers is a list of up to three modifiers for the procedure
• ICD-9 Code is the list of diagnostic codes that you have entered when you configured TFM for your practice. Five different diagnostic codes may be selected for this procedure.

Edit Fields Group 2

If the second group of procedure details is selected under the Current Information, shown in gray at the right, then the edit fields of the Procedure Detail section match the selection. (shown at the far right)

The optional information that can be entered in this section is:

• Part Disability
• From Date - the first date of the disability
• To Date - the end date of the disability
• Paid in Full Date - date the procedure was paid
• Facility - a popup list of configured facilities identifying the locations where the practice has encounters
• CLIA# - is the CLIA number for the practice
• Provider - is a popup list of configured providers

Edit Fields Group 3

If the third group of procedure details is selected under the Current Information, shown in gray at the right, then the edit fields of the Procedure Detail section match the selection. (shown at the far right)

The optional information that can be entered in this section is:

• Medigap Part - identify the Medigap information
• Place of Service - a popup list of configured locations of Services. This is a required field for HCFA 1500 form.
• Type of Service - a popup list of configured types of service. This is a required field for HCFA 1500 form.
• Physical Injury - a check box indicating the reason for the procedure
• Prev Symptoms - a check box that indicates there were previous symptoms
• Should Be Covered - a check box indicating that this procedure should be a payer covered procedure.
• Waiver - a check box indicating the file is on record
• Durable Medical Equipment (DME)
• DME Duration - indicate the length of time the equipment is needed
• DME To - indicate location of the DME
• DME Cost - indicate how much the equipment will cost