INSTRUCTIONS FOR CALIBRATING THE CMS 1500 FORM:
1) REPORTS SETUP / Printer
a) From the Top Navigational Menu, select ‘System’, then ‘Reports
Setup’.
b) Assign the ‘Default Printer’: choose it from the drop down menu.
c) Assign the ‘Default Paper’ in the same manner.
2) REPORTS SETUP / Reports / YEAR TO DATE
Complete the ‘Year to Date’ field with the first month/date/year to
reflect on your reports (i.e.: 01/01/07 for year-to-date totals for
2007).
3) REPORTS SETUP / Printer / PRINTER CALIBRATION
a) Place a fresh HCFA 1500 claim form in the default printer.
b) Click ‘Print Calibrating Page’
c) Click ‘Ok’ – (T) marks will print across the top of the page from
left
to right, and down the left margin of the page.
d) Click ‘Add’ (the ‘Edit New Report Settings’ box will now open).
e) In the ‘Report Name’ field, enter the name of the form or printer
(i.e.:
Epson back office, or 1500 form/hp laser, etc).
f) Across the top of the calibrating page, locate the number beneath the
(T) mark that is just inside the outermost red line of the claim. Enter
this (positive or negative) as the vertical displacement. (Do not
change the numbers in the vertical extension field).
g) Down the left hand side of the calibrating page, locate the number
beneath the (T) mark just inside the leftmost red line of the claim.
Enter this (positive or negative) as the horizontal displacement. (Do
not change the numbers in the horizontal extension field).
NOTE: You must print a claim in order to see whether the form prints
correctly. You may have to adjust these numbers slightly once or twice.
CONT . . .
II.
PROGRAM SETUP ...................3-18
4).
COMPANY INFORMATION
5).
PATIENT ACCOUNT NUMBERS (PAN)
6).
DATES VALIDATION
7).
DIAGNOSIS SITES FIELDS
8).
NPI FORMATTING
9).
CALIBRATING YOUR PRINTER
10).
SECURITY
11).
PROVIDERS
12).
FACILITY
13).
INSURANCES
14).
ICD-9 DIAGNOSIS CODES
15).
CPT PROCEDURE CODES
16).
MODIFIERS
17).
CLEARINGHOUSE
18).
REFERRING PHYSICIANS