PRS PSC Codes - Revision history

Cecswiki: /* In the Vendor File */

2023-02-09T19:12:27Z

In the Vendor File

← Older revision		Revision as of 19:12, 9 February 2023
Line 106:		Line 106:
	# Search for the vendor you wish to modify and select them from the pick list.		# Search for the vendor you wish to modify and select them from the pick list.
	# Type '''O3''' to go to screen 3.		# Type '''O3''' to go to screen 3.
	# On line 22 add '''/~~PSTxx~~''' (where xx is the code you want).		# On line 22 add '''/PST=xx''' (where xx is the code you want).

	====In the third party customer notes====		====In the third party customer notes====

Cecswiki: /* In the Vendor File */

2023-02-09T19:12:19Z

In the Vendor File

← Older revision		Revision as of 19:12, 9 February 2023
Line 45:		Line 45:
	# Search for the vendor you wish to modify and select them from the pick list.		# Search for the vendor you wish to modify and select them from the pick list.
	# Type '''O3''' to go to screen 3.		# Type '''O3''' to go to screen 3.
	# On line 22 add '''/~~PRSxx~~''' (where xx is the code you want).		# On line 22 add '''/PRS=xx''' (where xx is the code you want).

	====In the third party customer notes====		====In the third party customer notes====

Cecswiki: /* Patient Residence Code */

2021-04-22T17:20:42Z

Patient Residence Code

← Older revision		Revision as of 17:20, 22 April 2021
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	\|03\|\| Nursing Home/Facility		\|03\|\| Nursing Home/Facility
	\|-		\|-
			\|04\|\| Assisted Living
			\|-
	\|06\|\| Group Home		\|06\|\| Group Home
	\|-		\|-
Line 56:		Line 58:
	====In the SIG Lines====		====In the SIG Lines====
	Finally, you can set the Pharmacy Service Type directly in the SIG lines of the prescription. This will transmit the code ONLY on that specific prescription, and is ideal for . Values set here will override codes set anywhere else. Set the code as '''/PRSxx''' (where xx is the code you want).		Finally, you can set the Pharmacy Service Type directly in the SIG lines of the prescription. This will transmit the code ONLY on that specific prescription, and is ideal for . Values set here will override codes set anywhere else. Set the code as '''/PRSxx''' (where xx is the code you want).

	==Pharmacy Service Type==		==Pharmacy Service Type==
	This value is transmitted in field U7-147 and notes the type of service the pharmacy is providing for this prescription.		This value is transmitted in field U7-147 and notes the type of service the pharmacy is providing for this prescription.

Cecswiki at 18:10, 20 November 2015

2015-11-20T18:10:48Z

← Older revision		Revision as of 18:10, 20 November 2015
Line 1:		Line 1:
	{{DISPLAYTITLE: Patient Residence Codes & Pharmacy Service Types}}		{{DISPLAYTITLE: Patient Residence Codes & Pharmacy Service Types}}

	Certain insurance companies require that a pharmacy transmit a Patient Residence Code or Pharmacy Service type. Generally, if an insurance company wants one, they will also require the other.		Certain insurance companies require that a pharmacy transmit a Patient Residence Code or Pharmacy Service type. Generally, if an insurance company wants one, they will also require the other.

Cecswiki: Created page with "{{DISPLAYTITLE: Patient Residence Codes & Pharmacy Service Types}} Certain insurance companies require that a pharmacy transmit a Patient Residence Code or Pharmacy Service t..."

2015-11-20T18:10:21Z

Created page with "{{DISPLAYTITLE: Patient Residence Codes & Pharmacy Service Types}} Certain insurance companies require that a pharmacy transmit a Patient Residence Code or Pharmacy Service t..."

New page

{{DISPLAYTITLE: Patient Residence Codes & Pharmacy Service Types}}

Certain insurance companies require that a pharmacy transmit a Patient Residence Code or Pharmacy Service type. Generally, if an insurance company wants one, they will also require the other.

==Patient Residence Code==
This value is transmitted in field 4X-384 and notes the type of service the pharmacy is providing for this prescription.

{| border="1" cellpadding="2"
|-
|width="150pt"|'''Code'''
|width="300pt"|'''Description'''
|-
|00|| Not Specified
|-
|01|| Home
|-
|03|| Nursing Home/Facility
|-
|06|| Group Home
|-
|09|| Intermediate Care Facility
|-
|11|| Hospice
|-
|}

===Transmitting the Residence Code===
QuickSCRIP can be setup to transmit the Patient Residence Code in different ways, depending on your preferences.

====In the Business Control File====
Setting a '''/PRS''' in the Business control file will set QuickSCRIP to ALWAYS transmit a Pharmacy Service Type on every prescription. The system defaults to transmitting a value of 1. This will be overridden by codes that are placed in the Vendor File, Customer Notes, or SIG lines. This is an ideal solution for pharmacies that are frequently getting rejections for this field, and don't want to have to enter the code in all the time.

# Start at the '''Pharmacy Main Menu'''.
# Choose number 3 '''Utilities'''.
# Choose number 3 '''Business Control File'''.
# Choose screen 6 '''Additional Rx Custom Screen 3'''.
# On line 18 add a '''/PRS'''

====In the Vendor File====
You can set QuickSCRIP to only transmit the Patient Residence Code on specific insurance companies. Values set here will override codes set in the Business Control File.

# Start in the '''Rx Processing Menu'''
# Choose option 14 '''Insurance Vendor File Maint.'''
# Search for the vendor you wish to modify and select them from the pick list.
# Type '''O3''' to go to screen 3.
# On line 22 add '''/PRSxx''' (where xx is the code you want).

====In the third party customer notes====
You can also set QuickSCRIP to send a specific residence code for specific patients. This is ideal for long-term-care and nursing hope patients that stay in the same location.

# Start in the '''Rx Processing Menu'''
# Choose option 13 '''Patient File Maint.'''
# Search for the customer and select them from the pick list.
# Select the insurance that you will send the claim to.
# On lines '''12 or 13''' add '''/PRSxx''' (where xx is the code you want).

====In the SIG Lines====
Finally, you can set the Pharmacy Service Type directly in the SIG lines of the prescription. This will transmit the code ONLY on that specific prescription, and is ideal for . Values set here will override codes set anywhere else. Set the code as '''/PRSxx''' (where xx is the code you want).
==Pharmacy Service Type==
This value is transmitted in field U7-147 and notes the type of service the pharmacy is providing for this prescription.

{| border="1" cellpadding="2"
|-
|width="150pt"|'''Code'''
|width="300pt"|'''Description'''
|-
|01|| Community/Retail Pharmacy
|-
|02|| Compounding Pharmacy
|-
|03|| Home Infusion Therapy Provider
|-
|04|| Institutional Pharmacy
|-
|05|| Long Term Care Pharmacy
|-
|06|| Mail Order Pharmacy
|-
|07|| Managed Care Organization Pharmacy
|-
|08|| Specialty Care Pharmacy
|-
|99|| Other
|-
|}

===Transmitting the Service Type===
QuickSCRIP can be setup to transmit the Pharmacy Service Type in different ways, depending on your preferences.

====In the Business Control File====
Setting a '''/PST''' in the Business control file will set QuickSCRIP to ALWAYS transmit a Pharmacy Service Type on every prescription. The system defaults to transmitting a value of 1. This will be overridden by codes that are placed in the Vendor File, Customer Notes, or SIG lines. This is an ideal solution for pharmacies that are frequently getting rejections for this field, and don't want to have to enter the code in all the time.

# Start at the '''Pharmacy Main Menu'''.
# Choose number 3 '''Utilities'''.
# Choose number 3 '''Business Control File'''.
# Choose screen 6 '''Additional Rx Custom Screen 3'''.
# On line 18 add a '''/PST'''

====In the Vendor File====
You can set QuickSCRIP to only transmit the Pharmacy Service Type on specific insurance companies. Values set here will override codes set in the Business Control File.

# Start in the '''Rx Processing Menu'''
# Choose option 14 '''Insurance Vendor File Maint.'''
# Search for the vendor you wish to modify and select them from the pick list.
# Type '''O3''' to go to screen 3.
# On line 22 add '''/PSTxx''' (where xx is the code you want).

====In the third party customer notes====
You can also set QuickSCRIP to send a specific code for specific patients. This is ideal for customers that you regularly provide nursing home prescriptions for. Values set here will override codes set in the Business Control File.

# Start in the '''Rx Processing Menu'''
# Choose option 13 '''Patient File Maint.'''
# Search for the customer and select them from the pick list.
# Select the insurance that you will send the claim to.
# On lines '''12 or 13''' add '''/PSTxx''' (where xx is the code you want).

====In the SIG Lines====
Finally, you can set the Pharmacy Service Type directly in the SIG lines of the prescription. This will transmit the code ONLY on that specific prescription, and is ideal for compounds. Values set here will override codes set anywhere else. Set the code as '''/PSTxx''' (where xx is the code you want).