a. From Barnestorm Office > Codes > Program Related Codes > Payer Codes, enter your Program number
b. Payer Basic Setup tab: Type in the Program #, then click Add A New Payer
c. A listing of available/unused codes will appear. Select the code you wish to use.
d. Type in the payer name/description, you wish to assign, in the field beside the selected code#.
e. In each section, select the bullets appropriate for your new payer. Follow this Payer Code Options Guide to fill in the format and class options.
f. Answer the rest of the questions based on the type of payer you are creating and how they want the claim to generate.
Question: Why isn't the OASIS M0150 Type showing for payer?
Answer: This will only show up for payers that have OASIS Required Yes. There will be a feature in the future that will automatically answer the correct payment source on the Referral > Payers screen.
There's also a report on this page Print M0150 Details. This report option is listed at the top, left of the screen. This will print patient's and their payer types for payers that do not have this question answered yet.
NOTE: If the payer requires billing in a 30-day episode period, like Medicare, click YES for Use 30-day Episodes for PDGM. Otherwise, click NO. This option will only appear, on your screen, if the PPS option = Yes.
****NEW: EVV Required: If payer requires EVV, make sure Yes is selected.
g. Press Save once you've entered all of your selections.
h. Go to Contact Information tab – Enter the address and any Contact Information, as needed. Click Save.
i. Go to Payment Posting Setup tab – Skip for now. Once you do steps at #3 below, come back to this tab to put in those codes created.
j. Go to Electronic Claims Setup tab – Enter agency info and Save . NOTE: If you are not familiar with how to set up new payer codes, try looking at a payer code that is similar that is already set up in your system. If you need assistance, please start a chat.
2. Edit the HIPAA payer
a. From Barnestorm Office Main screen, click the Billing tab
b. Click HIPAA Transactions tab
c. Click Edit HIPAA payers
d. Choose the payer you created (on left side of screen)
e. Verify that all data has been entered (right side of screen). Fill in any missing information. Note: Items that are commonly left blank are Loop 1000A NM109, Loop 2010BB, Eligibility Payer ID and Secondary Provider ID, though you will need to fill these in if required by the payer for claims processing. You would need to verify that with your payer.
f. Save
NOTE: If the claim file needs to be created in .TXT format, click YES. Otherwise, click NO (normal).
3. Create a payment and adjustment code for the new payer
a. From Barnestorm Office main screen, click the Accounts Receivable tab
b. Click Pay/Adj Codes
c. Enter your program number
d. Click Show Available Codes
e. Choose the first available code
f. At Description, enter the payer + payment (i.e. BCBS payment)
g. Type P for payment
h. Save
i. Click Show Available Codes
j. Choose the first available code
k. At Description, enter the payer + adjustment (i.e. BCBS adjustment)
l. Type A for Adjustment
m. Save
**Once you've created the payment code and adjustment code, go back to 1i above and put in those codes.