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Welcome PC-ACE Pro32 Training 2008. 2 What is PC-ACE Pro32? Free software (when downloaded from the internet) IME and EDISS supported HIPAA compliant.

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Presentation on theme: "Welcome PC-ACE Pro32 Training 2008. 2 What is PC-ACE Pro32? Free software (when downloaded from the internet) IME and EDISS supported HIPAA compliant."— Presentation transcript:

1 Welcome PC-ACE Pro32 Training 2008

2 2 What is PC-ACE Pro32? Free software (when downloaded from the internet) IME and EDISS supported HIPAA compliant

3 3 Why use PC-Ace? Faster claims processing No IME keying errors No scanning issues User friendly Its free when downloaded from the internet

4 4 How to get PC-ACE Access paperwork at Download and fill out forms Noridian Administrative Services, LLC (NAS) EDI Enrollment Form 837P Professional Claim, or 837I Institutional Claim, or 837D Dental Claim Software Licensing Agreement (SLA) Forms must be signed by the provider. Fax enrollment forms to

5 5 How to get PC-ACE Download the software at Access installation and billing instructions at

6 6 The Role of EDISS EDISS (Electronic Data Interchange Support Services) is the vendor for IME EDISS processes electronic billing applications, sets up accounts with user names and passwords EDISS troubleshoots the software

7 7 The Role of IME Outreach staff at IME can train providers on the software, help providers build files and give instructions on how to install and bill Outreach staff can train providers either face-to-face or through a phone call

8 8 EDISS Contact Information Monday, Tuesday, Thursday, Friday 8-5 CST Wednesday 10-5 CST

9 9 Sign up to receive the latest EDISS news Sign up by going to: brequest/hipaasubmitter/

10 10 Once PC-ACE Pro32 is installed, the icon on the desktop will look like the one below. Double-click on the icon to open.

11 11 PC-ACE Pro32 Toolbar This is the programs main toolbar

12 12 Reference File Maintenance This is where the provider and patient files will be built.

13 13 You will be asked to enter a User ID and Password when opening the Reference File Maintenance Screen. Enter sysadmin for both.

14 14 Setting Up Your Provider Files

15 15 From the Reference File Maintenance Screen, Click on Codes/Misc

16 16 On the Codes/Misc tab, click on Submitter

17 17 Setting up Professional Provider Files

18 18 Click Professional Option

19 19 Click View/Update

20 20 On the Professional Submitted Information screen, complete the required information then click save.

21 21 From the Reference File Maintenance Screen, click on Provider (Prof). Then click new.

22 22 On the New Provider Options screen, choose the appropriate option.

23 23 On the Professional Provider Information screen, click the appropriate option.

24 24 On the Professional Provider Information screen, complete the required fields, then click on the Extended Info tab.

25 25 Professional Provider Information (extended info) Enter XX for provider ID/No Type.

26 26 Professional Provider Information (Local Fields) Enter Submitter ID given to you by EDISS, then click save.

27 27 Setting up Institutional Provider Files

28 28 From the Reference File Maintenance Screen, Click on Codes/Misc and then on Submitter.

29 29 Click the Institutional Option and then click View/Update.

30 30 On the Institutional Submitter Information screen, complete the required information, then click save.

31 31 From the Reference File Maintenance Screen, click on the Provider (Inst) tab then click New.

32 32 On the New Provider Options screen, select the appropriate choice and click OK.

33 33 From the Institutional Provider Information screen, complete the required information under General Info.

34 34 On the Extended Info tab, enter XX in the Provider ID/No Type field.

35 35 From the Local Fields tab, enter the Submitter ID number sent by EDISS, then click Save.

36 36 Setting up the Patient Files

37 37 From the main Reference File Maintenance screen, click on the patient tab as shown below, then click new.

38 38 On the General Information tab, complete the required information.

39 39 On the Primary Insured tab, complete the required information and click save. Then click close in the bottom right corner.

40 40 Creating Professional Claims Waiver and Targeted Case Management

41 41 Click on Enter Claims.

42 42 On the Patient Info & General tab, complete the required fields. Do not click save when completed.

43 43 On the Insured Information tab, the required fields should automatically populate.

44 44 On the Billing Line Items tab, complete the required information, then click save.

45 45 Creating Professional Claims CMS 1500

46 46 Click on Enter Claims

47 47 On the Patient Info & Codes tab, complete the required information.

48 48 On the Insured Information tab, All required information should automatically populate.

49 49 On the Billing Line Items tab, complete the required information and click save.

50 50 Creating Institutional Claims Nursing Facility

51 51 Click on Enter Claims

52 52 On the Patient Info & Codes screen, complete the required information. Do not click save when completed.

53 53 On the Billing Line Items tab, complete the required information. Do not click save when completed.

54 54 On the Payer Info tab, the information should already be populated.

55 55 On the Diagnosis/Procedure tab, complete the required information.

56 56 On the Extended Payer tab, complete the required information, then click save.

57 57 Preparing Claims for Transmission

58 58 Click on Prepare Claims

59 59 LOB drop-down box should say All. Click on Prepare Claims.

60 60 How to view results:

61 61 Transmission Detail Report

62 62 Contact EDISS to send a test submission claims batch. You will need to have 10 sample claims set up to test. Once this has been completed successfully, you will be moved to Production status. You will then be able to start submitting claims for payment.


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