                                                     
                  CHIRO HELP WINDOW                  
                                                     
       Use the PgUp and PgDn keys located on         
       the numeric keypad to navigate between        
       major topics, menu items and features.        
                                                     
        C & C COMPUTER SUPPORT (717) 945-5753        
                                                     
                                                     
 1 - CREATE NEW PATIENT RECORD (Main Menu)           
 Select # 1 on the Main Menu to create a new patient 
 record. The initial screen only requires typing in  
 the full name of the Patient. Duplicate names will  
 be accepted to allow for multiple Patient records.  
 Hit the F6 key to tell the system to accept the new 
 name. You will then be presented with the first of  
 three screens to fill in the balance of the Patient 
 data. Follow the prompts carefully for all entries. 
                                                     
 2 - DISPLAY AND EDIT RECORDS (Main Menu)            
 Select #2 on the Main Menu to display and edit all  
 fields on a Patient record. The initial screen will 
 allow you to select a Patient record by scrolling   
 through a list. To change the displayed listing     
 simply type in the first letter of the Patient's    
 last name. When the record is displayed you will be 
 able to scroll through all three screens of fields  
 which can be edited, except for the Total Charges.  
                                                     
 3 - BROWSE AND PRINT PATIENT FILE (Main Menu)       
 This selection will provide you with the ability to 
 quickly browse through the entire Patient file to   
 review names, addresses, and birthdays. In addition 
 you can print standard size Mailing Labels and a    
 list of all Patient records on file. The browse     
 window will also display information relating to    
 Billing, such as whether or not Form HCFA-1500 has  
 been sent, the date sent, and the Program Block.    
                                                     
 4 - PATIENT STATEMENT AND BILLING (Main Menu)       
 This is a versatile facility which will allow you   
 to print Patient statements, receipts, short memos  
 or letters. After you select the Patient name, all  
 Procedure information will automatically be brought 
 into the statement. You can edit any information    
 displayed on the screen. You may clear all lines of 
 data, and type in what you wish. Printing will be   
 aligned for standard computer paper (8 1/2" x 11"). 
                                                     
 5 - PRINT OR DISPLAY REPORTS (Main Menu)            
 Selecting this item will pop up a sub-menu of three 
 different reports to display on the screen. The Day 
 Sheet and Form HCFA-1500 reports should also be     
 printed, providing you with permanent hard copies.  
 Day Sheet report entries are made via Screen 2 when 
 you select the F3 Key within the Charge column. The 
 HCFA-1500 report will display all claims submitted  
 and age them based on Item #12 (Signature Dates).   
                                                     
 6 - PATIENT FILE UTILITIES (Main Menu)              
 Selecting this item will bring up subsequent menus  
 and instructions to perform each utility. The Purge 
 facility should only be used on a periodic basis to 
 physically remove all records marked for deletion.  
 Although the system Backs Up your Patient records   
 on the hard drive, you should also back them up on  
 floppy diskettes, on a DAILY basis. The Restore     
 Item should only be used when absolutely necessary. 
                                                     
 7 - PRINT FORM HCFA-1500 (Main Menu)                
 When you are ready to perform insurance billing the 
 system will allow you to select various options to  
 accommodate you. This menu item will provide you    
 with several options to choose from. Prior to the   
 printing of Forms HCFA-1500, you should make sure   
 that all required information has been recorded on  
 all Patient records. More HELP, fully explaining    
 each option, is available upon selecting this item. 
                                                     
 8 - APPOINTMENT CALENDAR (Main Menu)                
 The system is designed to request the creation of a 
 an appointment file when necessary. When you first  
 select this item you will be asked to determine the 
 size of the appointment file. It is recommended     
 that you accept the default of 365 days to simplify 
 this feature. The displayed time slots are large    
 enough to type in more than one Patient name. A pop 
 up calendar is also included for your benefit.      
                                                     
 9 - MAINTAIN CODES/CARRIERS (Main Menu)             
 If properly maintained this function will eliminate 
 the need for much of the typing and calculations    
 needed when creating and updating Patient records.  
 All diagnosis and procedure verbiage with related   
 charges and codes can be placed in this permanent   
 table. Each entry can also be edited as required.   
 Information pertaining to Insurance Companies and   
 Co-Payment percentages is also maintained here.     
                                                     
 X - QUIT PROGRAM AND BACKUP (Main Menu)             
 It is absolutely necessary to exit CHIRO properly   
 to enable automatic backup of the Patient files. If 
 a power failure occurs or if the computer is turned 
 off without exiting the program from the Main Menu, 
 the integrity of the file may be in question, and   
 may require emergency measures. The System backs up 
 to the hard drive. For additional backup to floppy  
 diskettes, select Item #6 on the Main Menu.         
                                                     
 BASIC KEYBOARD INFORMATION (All Screens)            
 There are basic keyboard functions used throughout  
 the System, regardless of the screen displayed. All 
 Function keys better known as F keys (eg. F1-F10),  
 are active only when displayed on the bottom of the 
 screen to execute System actions. Use the Up and    
 Down arrow keys to move vertically. Use the TAB key 
 to move horizontally to the RIGHT, and the SHFT-TAB 
 key combination to move horizontally to the LEFT.   
                                                     
 SCREEN 1 (Display of Patient Record)                
 This screen contains basic Patient information, and 
 should be filled out in entirety. It is important   
 to specify a date for Item #12 (Signature), as this 
 is used for payment aging processing. Hitting the   
 F4 Function Key at any of the Diagnosis fields will 
 produce a window illustrating all of the codes and  
 verbiage established via Item #9 on the Main Menu.  
 Hit F7 key to review Payment Summary information.   
                                                     
 SCREEN 2 (Display of Patient Record)                
 Hit the F7 key to review and edit all FOUR sets of  
 visit lines. Hitting the F4 key under Procedures    
 will display a table of procedure codes and fees    
 to select. All Day Sheet processing takes place by  
 hitting the F3 key within any field displayed. Hit  
 the F5 key to establish a message to print on the   
 bottom of Form HCFA-1500. Hit the F8 key to either  
 clear all visits or create a new Patient record.    
                                                     
 SCREEN 3 (Display of Patient Record)                
 Hit the F4 key at the Insurance Company Name to see 
 the name and address table created under Item #9 at 
 the Main Menu. Many of the fields displayed on this 
 screen could be considered optional and should only 
 be completed as required for the particular patient 
 record. Please note that there are several fields   
 with identical names. Follow the system prompts on  
 the bottom of the screen when typing in the data.   
                                                     
 BATCH PRINTING OF FORM HCFA-1500 (Main Menu #7)     
 Press #1 to select and print Form HCFA-1500 for any 
 Patient on file, regardless of whether or not there 
 is an open balance. Press #2 if you wish to print   
 Form HCFA-1500 for ALL Patient records with OPEN    
 balances, regardless of the Program Block. Press #3 
 to print Form HCFA-1500 for all Medicare Patient    
 records with OPEN balances. Press #4 to select all  
 other Claim Types on Patients with OPEN balances.   
                                                     
 SELECT VISIT ENTRIES FOR PRINTING (Screen 2)        
 There are FOUR pages of visit entries which can be  
 input, edited and reviewed with the F7 key. You     
 can select and include up to 12 entry lines on the  
 HCFA-1500 Form or the Statement. Total charges for  
 the selected lines are automatically calculated.    
 Place an "X" in the leftmost field of the line      
 to SELECT the line. Hit the SPACE BAR to deselect   
 the line. Typing a "D" will delete the line entry.  
                                                     
 CLEAR ENTRIES / CREATE ADDITIONAL RECORD (Screen 2) 
 Selecting #1 will clear all service entries on this 
 record, and will set all monetary fields back to    
 zero, including payments. This is useful when you   
 want to maintain only one Patient record, however,  
 you will no longer have a record of these entries.  
 (You should make a printed copy). Selecting #2 will 
 save the record as is and will create an additional 
 record for the same Patient with basic information. 
                                                     
 DAYSHEET PROCESSING (Screen 2)                      
 At the Entry prompt type in either the amount of    
 the payment or the amount of adjustment. The amount 
 entered will be subtracted from the Total Charges   
 thereby adjusting the Total Account Balance. If the 
 type of entry selected is ADJUSTMENT(+), the amount 
 entered will be ADDED to the Total Account Balance, 
 which will be helpful when an erroneous payment was 
 entered and you wish to reverse the action.         
                                                     
 NARRATIVE or WORD PROCESSING (Main Menu #5)         
 This selection will allow you to create a document  
 of up to 4 pages for narrative reports or letters.  
 PgUp/PgDn - Display prior or next screen page       
 TAB - Tabs four spaces to the right                 
 HOME - Moves cursor to the left of the current line 
 END - Moves cursor to the right of the current line 
 CTRL/HOME - Moves cursor to the upper left corner   
 CTRL/END  - Moves cursor to bottom of current page  
                                                     
