Add or Modify CMN Information for an Encounter Insurance
You can enter CMN information for a patient's encounter insurance.
- Open the CMN Information window for the desired patient, encounter, and insurance.
The Patient and Insured fields cannot be modified.
- Select a different encounter insurance in the Insurance field, if needed.
Note: If you change the insurance, a message appears stating that this will delete all data associated with this CMN form for this encounter and payer. Are you sure you want to delete this data?
- Select CMN Form, and then select the desired form. Forms are listed with the following information:
- Form Number
- Form Name
- Service Item Code
Note: If you change the CMN form, a message appears stating that if the CMN form is changed, all data entered on the existing CMN form will be lost.
- Select Certification Type, and then select one of the following:
- Initial
- Revised
- Recertification
- Select Certification Date, and then enter a date for the selected certification type.
- Select Height, and then enter the patient's height in inches.
Note: Height enters the 2300 loop MEA*TR segment on electronic 837P (1500) claims.
- Select Weight, and then enter the patient's weight in pounds.
- Select Estimated Length of Need, and then enter the number of months the patient may need the DME device.
- Select Questions and Answers section, and then answer each question on the form using one of the following formats:
- Yes or No
- Yes, No, or N/A
- Text
- Date (MM/DD/YYYY)
- Percent %
Note: The questions and the format for each answer are defined in the CMN Information master file.
- Select Ordering Provider, and then select the provider that ordered the DME device for the patient.
- Select Signature Date, and then enter the date the provider ordered the DME device for the patient.
- To save changes and close the window, select OK.
- To clear, or remove, the form from the selected encounter payer, select Clear.
Note: If the CMN form is cleared, a message appears stating that this will delete all data associated with this CMN form for this encounter and payer. Are you sure you want to delete this data?