NOTE: If you use Barnestorm Point-of-Care, you must use the assessment to create the 485. This ensures that all documentation matches for audit purposes. The process shown below is for Barnestorm Office users only.

1. Select a patient on the first Barnestorm Office screen by typing in either the first 3 digits of the patient’s chart number or the first 3 letters of their last or first name.

2. Click the patient’s name to select him or her.

3. Click the 485 button from the Main Menu. A screen will appear that shows any existing 485 records for the patient.

4. Click the New 485 button near the top of the screen. A new window will pop up.

5. Review the physician and employee. If you are entering the 485 for someone else, enter the first 3 letters of the clinician’s name in the employee name box. Or, you can enter the employee number.

6. If the dates are correct, select the appropriate certification period. If the dates are not correct, click the Advance to the Next 485 Dates button.

7. Click the OK button when the information in this window is correct. The 485 window will pop up.

8. The Main tab – ICD codes and medications:

9. The Box 12 tab – surgeries: Click the surgery on the left to add it to Box 12 of the 485.

10. The Box 14-17 tab: 

      14- DME and Supplies

15- Safety Measures

      16- Nutritional Requirements

      17- Allergies

11. Click the T button to the left of the title to add pre-written text to the box (see attached article for details on this feature). 

12. The Box 18-20 tab: 

      18- Functional Limitations

      18B- Activities Permitted

      19- Mental Status 

      20- Prognosis

13. Click any buttons that apply. Type in text boxes as needed.

14. The 21. Order tab: click the T button to the left of the text box to add pre-written text to the box, or type in any text you prefer.

15. The 22. Goals tab: click the T button to the left of the text box to add pre-written text to the box, or type in any text you prefer. If you are entering assessments, you may click the Add 60-Day Summary button to add that text to the 485.

16. The Emp / Dr / Box 23 tab: change any items as needed.

17. Click the X in the upper right corner of the screen. A window will pop up asking if you wish to save changes. Click the Yes button.

18. The 485 entry screen will disappear, taking you back to the main 485 screen.