The webinar will be availible for Clients and Non-Clients.

On February 16 at 1:45 PM (PT) and 4:45 PM (PT).

This webinar will go over problems and implications experienced from 5010, how to avoid these problems, and cash flow issues!

Space is filling up quick, and please RSVP with Chris. Contact Chris at cwolman@mmsofslo.com and 805.710.3306

Click MGMA letter for a letter from the MGMA to the Department of Health and Human Services, and several of the items that the MGMA has noticed!

MGMA letter

This is a real problem that needs a solution. Medical Management Strategies has found th solution to 5010! Please contact us and RSVP to this webinar so we can help you and your practice too!

January 2012 Update – 5010 Transition

Most payers are still struggling with the 5010 EDI (Electronic Data Information) transition. Again, this has effected anyone involved with electronic billing for medical claims which is pretty much everyone industry wide. Here is the most recent update to items noticed that occurred in January of this year.

(1) Noridian Medicare: (DME Billing)
Noridian Medicare has been experiencing major issues with processing 5010 claims since January 1st. Their 5010 system is experiencing intermittence outage. Noridan is working to fix the problem. You may experience delay in payment compensations.
(2) Medicare Update on 2012Payments:
a) Medicare has begun to release EOBs (Explanation of Benefits) for the beginning of January dates of service and releasing the 10 day hold.
b) Medicare is still delaying their 5010 implementation until April 1, 2012. During this 90 day non enforcement period (1-1-3-31-12), Medicare will have the systematic capability to perform up or down version conversions of incoming claim formats (either converting these to the 5010 format when necessary for cross over claims (billing secondaries) and/or leaving them in the 4010 EDI format. What has been occurring is these transitions are not always perfect and has created its own set of issues as well.
(3) Medicare and Blue Cross
Medical Management Strategies has also noticed that with all the changes going on in the industry for Electronic Data Information going to the new version 5010, there have been a number of significant issues that have occurred for Medicare and Blue Cross payers particularly. Medicare has had a number of issues to deal with this January which included revamping fee schedules, processing claims from clearinghouses in the older version since they put a hold on converting to the 5010 until April 1st, applying deductibles, etc. as well as crossover issues. Although they’ve been trying to notice everyone of how these transitions have been dealt with, there are still a number of issues particularly with clearinghouses to Medicare as well as crossover claims. Clearinghouses are reporting acknowledgements of claims going to Medicare and Medicare then stating they never received the batches.

From Medical Management Strategies Perspective…

For MMS, we’ve been monitoring all clients’ claims closely to make sure we try and minimize cash shortfalls. Not all Electronic claims are going through smoothly and what we’re finding is it is hit and miss. Many claims go through without an issue and then some don’t. As we discover this each time, we are working these through timely as best we can. A lot of this is out of our hands as this is an industry wide adjustment to claims processing in general and many of the payers are struggling with this on a daily basis. Most of us will notice a drop in cash flow during this transition. MMS will keep you updated as we learn more.

For the latest informatio please check Bob’s Blog

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Click HERE!!!

www.bobsayers.com

or read it right here!!!

SGR status update

A congressional conference committee composed of Senate and House members from both parties will convene the week of Jan. 23 to discuss legislation to prevent the 27.4 percent Medicare physician payment cut scheduled for March 1. The committee will also tackle the more controversial extension of unemployment benefits and a cut in the Social Security payroll tax for another year. Lawmakers could not reach common ground on these issues in December 2011 when they approved a 2-month extension to avoid disruptions on Jan. 1 and provide time for further negotiations on a larger legislative package.

The effective date for any participation status change during the extension remains January 1, 2012, and will be in force for the entire year.

Contractors will accept and process any participation elections or withdrawals made during the extended enrollment period that are post-marked on or before February 14, 2012.

Articles Covered:

Medicare Fee Schedule
Cen-Cal Reductions
Medicare PQRI
Medicare ePrescribe
Medicaid New Quality Measures

Read All About!

Thanks,

Medical Management Strategies

www.bobsayers.com

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www.bobsayers.com