









                                      CHIRO
                   
                                Patient Data Base
                                       and
                              Claim Form Processing





                                  PROGRAM GUIDE





                             C & C Computer Support
                             RR#3, Box 3700
                             Factoryville, PA 18419
                             (717) 945-5753



































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          System Requirements
                                   
          IBM Personal Computer(tm) or compatible
          Minimum 512K of random access memory (RAM)
          Minimum 20 meg. Hard Disk Drive
          80 column monitor (MONO, CGA, EGA, VGA or XGA)
          PC-DOS or MS-DOS, version 3.0 or higher
          Epson(tm) or compatible Dot Matrix Printer
          Claim Forms (HCFA-1500)



          
          Explanation of files
                                 
          CHIRO.EXE                - Main program
          CLAIM.DAT                - Patient Record file
          INDEXREC.DAT             - Index records for System use
          INSTALL.EXE              - Program for Hard Drive installation
          CARRIER.DAT              - Insurance Company Information
          SURGPROC.DAT             - Procedure Codes (CPT)
          DIAG.DAT                 - Diagnosis Codes (ICD9)
          DOCUMENT.HLP             - System HELP File



          Start DOS
                            
          Follow the procedures outlined in the computer's Operating
          Manual for the version of DOS installed in your system to
          obtain a DOS prompt. On a hard drive system the prompt is
          usually C>.























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          Running CHIRO

          At the C> or the directory prompt (eg. C:\CHIRO>) type
          "CHIRO" AFTER you have entered the date and time. Always
          enter the correct date and time when running the program. If
          your system contains a clock/calendar option simply type
          "CHIRO" to start the program.

          The system is designed to automatically adjust itself for any
          type of monitor (CGA, EGA, VGA, XGA or monochrome).



          GENERAL INFORMATION
                      
          All functions are selected through the MAIN MENU.

          The main function of the program is to print Claim Forms
          HCFA-1500, and to maintain a data base of all of the forms
          submitted, with related accounting. In addition, the system
          provides the convenience of a Patient appointment scheduler
          and a versatile Statement facility which can be used for billing,
          receipts, memorandums, and letters.

          The data base will contain a permanent record of Office Visits,
          Diagnosis History, Procedure Codes, Charges, and all Patient
          and Insurance Company information. Patient records can be
          created, displayed, modified, and deleted. As new records are
          created, the system will automatically sort the records in
          alphabetical order.

          All system functions, such as searching for a particular record,
          bringing up HELP screens, printing a Claim Form, etc., can be
          activated at various sub menus or screens. Simply follow the
          Function keys always displayed on the bottom of the screen. 


















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          MAIN MENU
          
          The following describes the design of the MAIN MENU screen.
          
          On the center of the screen, just below the menu items, the
          name and title of the principal user of the system will be
          displayed. This is part of the personal information provided
          during the one time INSTALLATION procedure, and will appear
          on each HCFA-1500 Form and Statement when printed.

          On the bottom right of the screen is the current time. If this
          is incorrect, please exit to DOS and reset the system to the
          correct time.

          The bottom left displays the current day of the week, and the
          full current date. If this is incorrect, you SHOULD exit the
          program and reset the system to the correct date. There are
          many functions within the CHIRO program dependent on the
          correct date such as, aging reports, dating of the claim form,
          and daysheet processing. 

          The [F1] Function key is displayed directly below the menu and
          you may press this key at any time to display the HELP
          window. Scrolling through the window will provide you with
          online HELP for each main system function. The HELP window
          is available throughout the system at various screens. This
          function is context sensitive which means that the system will
          recognize where you are and will pop up the appropriate HELP
          window needed.                     
          
          The [F8] Function key displayed directly below the menu on the
          right hand side will allow you to change the background screen
          color. Although CHIRO has been designed to display pleasing
          color combinations, the user may desire a different background.
          This is sometimes needed during long computer sessions.
          Pressing the [F8] function key will change the background color
          to black, and leave the foreground colors intact.
























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          LEARNING THE SYSTEM

          The following pages will provide you with detailed information
          on each MAIN MENU item and screen. It is recommended that
          you go through each item and screen, one at a time, to become
          familiar with all of the system functions and features.
          

          There are many features within each screen that will add to the
          enjoyment of using a computer system and it will be well worth
          your time to learn and use them. You will do no harm and if
          you attempt try to perform an illegal or incorrect operation the
          system will recognize it, and will warn you accordingly. 


          The first item to become familiar with is Item #9. This feature
          will save you a great deal of typing and calculations. Once you
          establish your base of Diagnostic and Procedure codes with
          fees, you can always return to edit or add to the number of
          entries. The names and addresses of Insurance Carriers,
          although not needed on the HCFA-1500, will print on the upper
          right hand corner of the form. This is provided as a
          convenience to you, for referencing and mailing purposes.


          At this point you should create a few sample records. Simply
          select Item #1 and follow the system prompts. You will notice
          that all of the information asked for on each screen is pertinent
          to maintaining a detailed Patient data base. 


          All Function keys (eg. F1 - F10) displayed at the bottom of
          each screen are very important. They will allow you to execute
          many major system functions. Please be aware of the changing
          display of the function keys as they will guide you through the
          workings of the CHIRO system.  
























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          1 - CREATE NEW PATIENT RECORD
                                          
          After you type in the full name of the new Patient the system
          will perform a syntax check to make certain that the name is
          acceptable.
          
          If the name must be re-typed simply hit the [F7] Function key
          to refresh the input screen. If the name is acceptable, the
          system will activate the Function key [F6] to save the new
          record.

          You will then be presented with the first of three (3) screens
          which will be used for all data base functions such as new
          record creation, editing, browsing, billing, etc.

          Screen 1 contains all basic information regarding the Patient.

          Screen 2 is designed as a facsimile of Claim Form HCFA-1500
          and contains all Visit information and charges.

          Screen 3 contains all information relating to the Insured,
          Other Insured and Carriers.
          
                    ALL THREE SCREENS ARE DESCRIBED IN
                       DETAIL ON THE FOLLOWING PAGES.

          Within all 3 screens you will be prompted by a highlighted bar 
          for typing data in each field. The highlighted area actually
          illustrates in graphic form, the length of the field. 

          All NUMERIC fields, including DATE fields are automatically
          adjusted to provide proper alignment. When editing a DATE
          field the entire date must be retyped.

          EDITING functions are provided for all fields. For instance, you
          may insert, type-over, delete, use the Home and End keys or
          change any character entered in any field displayed.























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          2 - DISPLAY OR EDIT PATIENT RECORD
                                               
          Selecting this item will allow you to scan the entire data base
          index file to select an existing Patient record. You may type in
          the first initial of the Patient's last name to jump to the group
          of Patients starting with the initial selected. A pop-up window
          will prompt you accordingly.


          When the Patient record is found all 3 screens described below
          will become available to you for browsing or editing.


          All displayed fields can be changed with the exception of Total
          Charges. Total Charges are automatically calculated during 
          creation of a new record or modification of an existing record. 
         
          The NumLock key must be OFF to use the cursor keys.


          Movement from field to field is accomplished by using the Up
          and Down cursor keys. Use the TAB key to move to the right
          and use the TAB key in combination with the SHIFT key to
          move to the left.

          
          Use the PgUp and PgDn keys, located on the Numeric keypad,
          to rapidly display all three screens.


          As you move from field to field within each screen there will
          be a changing message or prompt at the bottom of the screen.
          This is provided to assist you in using the correct format for
          typing in the data, and in many cases will display the related
          item number or position on the HCFA-1500 Form. These
          messages are important and should be followed carefully.
























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          SCREEN 1 (Display or Edit Patient Record) 


          FUNCTION KEY ASSIGNMENTS

          F1 - Displays context sensitive HELP Window


          F2 - Returns to display the MAIN MENU


          F4 - When displayed at any one of the four diagnosis fields will
               produce a window illustrating all of the codes and the
               verbiage as originally established by you via Item 9 in the
               Main Menu. 

          
          F7 - Displays a Payment Summary window illustrating the
               aging of charges and payment control. The information in
               this window is automatically calculated by the system.
               As you enter charges, payments, and dates the system
               keeps track of everything for subsequent printing of
               reports and Claim forms. Insurance payments and Patient
               payments are recorded via Daysheet entries made in
               Screen 2.
 

          F9 - Prints a HCFA-1500 form for the displayed record only.


 
          This screen also provides the function to remove a Patient
          record from the data base. Type the word "DELETE" in the first
          six positions at the Patient's Name prompt. You will be asked
          to confirm this choice before any action is taken. The record
          will be "marked" for deletion but will not be physically removed
          from the Patient database until you run a Purge via Item #6 on
          the Main Menu. 




















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          SCREEN 2 (Display or Edit Patient Record)

 
          FUNCTION KEY ASSIGNMENTS

          F1 - Displays context sensitive HELP window

          F2 - Returns to display the MAIN MENU
          
          F3 - Daysheet entries can be made when this Function key
               assignment is displayed under the Charges column. After
               you enter the charge or fee, hit the [F3] key to bring up
               the Daysheet window. You will be prompted to input the
               amount paid and the type of payment. The system will
               calculate the balance due.

               The bottom line of Function key assignments changes
               when the Daysheet window is activated. Use the [F5] key
               to record the entry, the [F9] key to print the entire
               Daysheet, or the [F10] key to re-activate Screen 2 entries.

               When you hit the [F5] Function key to record the entry,
               the amount paid will be applied to the balance due and will
               be reflected in either the Patient Payments or Insurance
               Payments, depending on the payment type you selected.
               If you wish to see a summary of all payments made and
               a breakdown of how they were applied hit the [F7]
               Function key on Screen 1. 

               Daysheet entries are generally made on a daily basis and
               overlay the prior day's entries. It is therefore necessary to
               print the Daysheet Report during the current session. You
               will have several opportunities to print the Report. It can
               be printed at the Daysheet window on Screen 2 or from
               the Main Menu via Item #5. If you create Daysheet entries
               and fail to print a report, CHIRO will recognize this and will
               issue a warning when exiting the System.























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          SCREEN 2 (Display or Edit Patient Record)

          FUNCTION KEY ASSIGNMENTS (Cont.)

          F4 - When displayed at any one of the procedure code fields
               will produce a window illustrating the codes, verbiage,
               and fees entered by you via Item 9 on the Main Menu.

          F5 - Hitting this key will bring up a message entry item which
               will print on the extreme bottom of the HCFA-1500 Form.
               This is sometimes required when you want to inform the
               Carrier of a duplicate bill or X-ray dates.

          F6 - A Pop-Up calculator is available to assist in determining
               charges of visits and procedures versus number of units.

          F8 - Many Patient records will require more than the 12 Visit
               slots provided on this screen. When additional entries are
               needed for the same Patient, you may either create a new
               additional record or clear out the visit data by hitting this
               Function Key. If you decide to clear out the present data
               it will be permanently deleted, therefore, you should
               maintain a printed copy of the present record contents.

          F9 - Prints a HCFA-1500 Form for the displayed record only.

          F10  A special feature on this screen is the private Pop-up
               memo which becomes a permanent part of the Patient 
               record and is not available for display elsewhere. This is
               your personal electronic note pad to be used as desired.


               Placing an "X" in the position of any line displayed will   
               select the line for printing on the HCFA-1500 and the        
               Statement. Removing the "X" with the space bar will reverse 
               the action. This is helpful when you want to maintain ALL 
               office visits and print only certain ones.

               Typing a "D" will delete the entire visit line. Each of the
               four visit entry sets are viewed by hitting the F7 key.



















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          SCREEN 3 (Display or Edit Patient Record)

          FUNCTION KEY ASSIGNMENTS

          F1 - Displays context sensitive HELP window


          F2 - Returns to display the MAIN MENU


          F4 - When displayed at the Insurance Company Name field it
               will produce a window illustrating all of the Carrier names
               and addresses as established by you via Item #9 on the
               Main Menu. Although this information is not required on
               the HCFA-1500 Form, it is provided as a convenience to
               you. The Name and Address of the Insurance Company
               will print on the upper right portion of the Form.

               When you choose the Name of the Carrier, the system will
               extract the Name as well as the address and bring them
               forward into the appropriate fields on Screen 3.


          The Message area on the lower left side of this screen will
          provide you with important information as to where on the
          claim form the related field will be inserted. It will also indicate
          when necessary, the format of the field. Certain fields,
          although entered in lower case characters will be automatically
          raised to upper case by the System (eg. SEX and STATE
          entries).      

          For signature entries (Items 12 and 13), the System will allow
          you to enter one of three choices as indicated by the pop-up
          window displayed, when this field is highlighted. This will
          eliminate the need of you obtaining the signature of the Patient
          before mailing the Claim Form.
























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          3 - BROWSE AND PRINT PATIENT FILE
                           
          Selection of this Menu item will allow you to quickly browse
          through the entire Patient file to review the name, address,
          date of birth, and several other important fields of each Patient
          on file. Use the Up and Down arrow keys or the PgUp and
          PgDn keys to browse through the file. As you browse through
          the file you may print the basic information displayed on the
          screen. For example, if you are searching for old Last Visit
          Dates or upcoming Birthdays, simply hit the [F7] key to print
          the Patient record for telephone follow up or mailing of cards.

          FUNCTION KEY ASSIGNMENTS

          F2 - Returns to display the MAIN MENU

          F5 - Hitting this key will print standard size mailing labels
               (3 1/2" x 1"), either in Zip Code or Alphabetical order.
               If you wish you may use regular computer paper, and the
               output will be a listing of all Patient records on file.

          F7 - Will print out the currently displayed Patient record.

          F9 - Will print ALL Patient names, addresses, and birth dates.
               
          F10  This allows you to create a DOS text file named
               "PATIENT.TXT" which can be input to any Word
               Processor. If your Word Processor is in a directory named
               "WP", the DOS command to issue at the C:\CHIRO
               prompt would be "COPY PATIENT.TXT C:\WP". A copy
               of the file containing all Patient names, addresses, and
               birth dates will be placed in the directory specified.

          This screen also displays whether or not a Claim Form has been
          sent. If you change any Visit item on Screen 2, the System will
          recognize it and will change the indicator back to "NO", even
          though a form was previously sent. This is useful when trying
          to determine if any Visits have not yet been billed.




















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          4 - PATIENT STATEMENT & BILLING
                                              
          This item will allow you to create and print a statement as
          designed by you on standard size printer paper (8 1/2" x 11").
          Visit information for the Patient selected will be displayed on
          the screen and can be overwritten or edited.

          Monetary fields can be blanked out and edited and will not
          affect the amounts stored on the Patient Data Base. All
          changes, including monetary ones, are for the Statement only.

          The first displayed screen represents the upper part of the form
          and the second screen represents the lower part of the form.
          Up to twelve lines of information may be entered on the lower
          portion of the statement. This versatile feature can also be
          used to produce small letters memorandums or notes, as well
          as being used for receipts for walk-in Patients and billing.


          5 - PRINT OR DISPLAY REPORTS
                                     
          Selection of Item #1 will print a report of claim forms
          submitted for the specified time period or display the report on
          the screen. Type in the beginning and ending dates of the time
          frame required. The system will search through the Patient file
          and select all records falling within the dates entered by you.
          The report will include the Patient's name, date of the Claim
          Form, monetary control items and aging data. Signature date
          entries (HCFA-1500 Item 12), must be entered for this function
          to operate properly. If you select (S) for screen, the report can
          be reviewed and scrolled on the monitor.

          Selection of Item #2 will produce the daily Daysheet report on
          the screen and can also be printed. Please refer to the [F3]
          Function Key assignment on page 10 of this manual for details
          on Daysheet entries. The entries cannot be edited or changed.
          If changes are required the adjustment facility within the
          Daysheet window will allow you to correct or adjust any entry.

          Selecting #3 will display the 10 most frequently used Procedure
          codes in a colorful graphical format. The graph will not be       
          created if there are less than 10 different Procedure codes on
          the Patient data base.

          Selecting #5 at the Main Menu and then #4 at the sub-menu will
          provide you full Word Processing features to create Narrative
          reports, letters and memos. The CHIRO online Help System will
          furnish you with basic key functions and additional information
          on this feature.











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          6 - PATIENT FILE UTILITIES
                                          
          Selecting this item will produce a window providing a choice
          of either purging deleted records, backing up Patient files or
          restoring Patient files. The following explains all choices.

          (1 - PURGE DELETED RECORDS) This sub-menu selection is
          used to remove Patient records that are no longer needed. The
          only records that will be erased will be the ones that you
          previously marked for deletion. This is accomplished on Screen
          1 by typing "DELETE" in the first 6 characters of the Patient's
          name entry. The system is designed to physically maintain all
          records whether or not you mark them for deletion and will
          only be removed with this function.

          The purge function should be used with CAUTION, as the 
          deleted records cannot be recovered. It is recommended that
          this function be used when the data base grows very large, or
          when disk space is needed.

          If no records are marked for deletion the purge function will
          rewrite each Patient record intact, and will report the results
          of the activity. A new index file is created after the purge.
     
          (2 - BACKUP PATIENT FILES) The system will automatically
          backup the Patient file by placing a duplicate copy of the file
          on the hard disk after each session. It is up to you to determine
          when a physical backup should be made of the files on a floppy
          diskette, for extra security. It is recommended that this task be
          activated at least ONCE PER DAY. Before selecting this item
          make certain that several FORMATTED diskettes are available
          for immediate use.

          (3 - RESTORE PATIENT FILES) In the event of a disaster (eg.
          hard disk crash caused by power failure), the floppy disk
          backups can be used to restore all Patient data. 
























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          7 - PRINT FORM HCFA-1500
                                   
          In addition to printing Form HCFA-1500 directly from Screen
          1 or Screen 2, you may print forms from this Menu Item which
          provides you with several batching selections described below.
          
          (1 - SELECT BY PATIENT NAMES) This allows you to queu or
          batch to 10 forms for 10 different Patients. The Pop-up menu
          windows will guide you through the process and display the
          activity that takes place for the Patients selected.

          (2 - ALL OPEN ACCOUNTS) The System will scan the Patient
          file and print HCFA-1500 forms for all records with open
          balances.

          (3 - MEDICARE OPEN ACCOUNTS) The System will scan the
          Patient file and print HCFA-1500 forms for all records with
          open balances and Medicare Program Blocks.

          (4 - OTHER OPEN ACCOUNTS) A sub-menu will appear to
          allow you to select a specific Program Block for the System to
          use as a selection criteria. Once selected the System will scan
          the entire file and print HCFA-1500 forms on all records
          containing open balances for the Program Block you selected. 

  
          All Patient data including the Kind of Form (Program Block)
          must be entered on all 3 screens before printing, as this
          information is required on Claim Form HCFA-1500.

          Form HCFA-1500 must be set up correctly in the printer to
          ascertain all fields are properly positioned. To do so, align the
          top of the form with the printer head and print a few samples.
          Once you have determined that the alignment of all fields is
          correct, it is recommended that you mark a blank claim form
          for future reference. It is also recommended that you purchase
          perforated continuous forms of HCFA-1500 through your usual
          supply channels.



















16

  

          8 - APPOINTMENT CALENDAR
                                     
          If an appointment file does not yet exist or is outdated, you will
          be asked to create one. When the calendar is scrolled beyond
          the last day on file, the system will automatically generate
          additional days, depending on how many days you select. The
          oldest days will be deleted so that the file does not grow to
          enormous proportions. If you wish to scroll more than one day
          please hold down the CTRL key while pressing PgUp or PgDn.
          Hitting the [F6] key will toggle a convenient pop-up calendar. 

     
          9 - CARRIER & CODE TABLES
                                           
          This function will save you a great deal of typing once the
          verbiage, codes, and fees are established. You should complete
          as much as possible before using the System.
          Three separate tables of codes and verbiage are created and
          permanently stored becoming available to the system.

          Entries for the first category "PROCEDURE CODES (CPT)" are
          used in Screen 2 under Procedure code. If desired you may
          overwrite and edit the verbiage or blank it out. Entries for
          "CARRIER NAMES & ADDRESSES"  will be used in Screen 3
          to select the name of the Insurance Company. Entries for
          "DIAGNOSTIC CODES (ICD9)" are used in Screen 1 within any
          one of the four diagnosis entries.

          X - QUIT PROGRAM & EXIT TO DOS
                                         
          It is absolutely necessary to exit the program properly to trigger
          automatic backup of the Patient File. If the machine is turned
          off without properly exiting the program through the MAIN
          MENU, or if a power failure occurs, file integrity will be in
          question, and may require emergency restore measures.
 
 ----------------------------------------------------------------------------
 
 PLEASE COMPLETE THE FOLLOWING AND SEND WITH YOUR REMITTANCE OF $249 TO
 RECEIVE THE LATEST VERSION OF CHIRO AND A PRINTED MANUAL. YOU WILL ALSO
 BECOME A REGISTERED USER AND WILL BE ENTITLED TO FULL PROGRAM SUPPORT
 AND AUTOMATIC UPDATE NOTIFICATIONS AT REDUCED PRICES.


         NAME_________________________________________________

      ADDRESS_________________________________________________

             _________________________________________________

    TELEPHONE_________________________________________________

             DISKETTE SIZE    5 1/4____           3 1/2____

 MAIL TO: C & C COMPUTER SUPPORT
          RR 3, BOX 3700
          FACTORYVILLE, PA 18419


 THANK YOU FOR SUPPORTING SHAREWARE!                              1992

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