You must be using 5010 TODAY or you WILL NOT BE PAID

Per BCBSM (MI) As of today you will begin receiving REJECTIONS FOR ANY CLAIMS NOT SENT IN THE 5010 FORMAT.

Most of you have been and are using the 5010 format already. If you have not switched over you need to visit our 5010 webpage immediately- http://www.geniussolutions.com/5010/

• Back up your THOMAS data
• Update your THOMAS

And, 

• Follow the instructions on the 5010 page, BEFORE you call, so we can best assist you.  http://www.geniussolutions.com/5010/

---

The rejections you will begin seeing IF YOU ARE NOT USING 5010 will be as follows:

Rejected v4010 claims will return on 277CA reports with the
following edits:

• A3 493 P620 PAYER NOT ACCEPTING CLAIMS IN VERSION 4010 (Professional)
• A3 493 F620 PAYER NOT ACCEPTING CLAIMS IN VERSION 4010 (Institutional)

Rejected claims will need to be resubmitted in v5010 format.

Genius Healthcare Office Solutions: The 2012 Seminar

   

Focus on 5010 and much more!

Join Genius Solutions and your fellow healthcare office-in-arms experts for a special 1-day seminar to discuss all of the current, hot healthcare office topics. Learn new THOMAS tips and tricks and learn about ways that you can protect your office better. Also, prepare to discuss upcoming and new items such as 5010, ICD-10, and how easy it can be to implement a compliance program in your office.

June 26th at the Troy Marriott in Troy, MI


9am-1pm
Only $50 (per person)

More Information?
Call us at 586-751-9080
Fax questions to us at 586-751-9230
e-mail , and fill-out-and-fax-this-form, if you would like to join us for this seminar.

 *Click Here for the brochure.*

May 2012- 1st Friday of the Month Call

Genius Solutions First Friday of the Month Conference Call is scheduled for May 4th, 2012 at 10:00 am EST More details?  http://tinyurl.com/GSpodiatryFB

**Don't forget to LIKE us on our new Podiatry Facebook page while you're there!

April 2012- 1st Friday of the Month Call

Genius Solutions First Friday of the Month Conference Call is scheduled for April 6, 2012 at 10:00 am EST More details?  http://tinyurl.com/GSpodiatryFB

5010 Extensions, Implementation, & the 1st Friday of the Month Call

First off, let me just say that here at Genius, we recommend that you send ALL of your electronic claims in the new 5010 format as soon as possible. We believe THOMAS works well with everything in 5010 and there is no reason to delay.

We received word from BCBSM yesterday that they were going to extend the dual (4010/5010) sending environment past the March 31, extension date (following an extension given my CMS recently). They did not say how long this extension would be and it DOES NOT apply to Medicaid claims that are ONLY being accepted in the 5010 format with NO EXTENSION beyond March 31.  It is also not clear to us if they will take Medicare DMERC CEDI after April 1 (two weeks ago, our Mark T was verbally told they would not).

Please visit http://www.geniussolutions.com/5010 for near daily updates to the 5010 FAQ (Frequently Asked Questions).  There is now a video, along with step-by-step instructions on the page to help you as well.

You control whether you send 4010 or 5010!  You should be sending 100% 5010 claims as soon as you can, if you are not already doing so.

We recommend the following steps:

1. You read through the instructions on the Genius 5010 page
2. Backup
3. AutoUpdate
4. Set your system to 5010
5. Begin sending claims in the new format as soon as possible
6. You need to set your 5010 indicator in THOMAS to Y

Mark hosts our regular "First Friday of the Month Conference Call" every month and is a great place to check in for current information and updates.  April 6 at 10:00 am is this month's scheduled time.    This is a great chance to talk about the latest information, your concerns,  and answer some questions. Look for an email invitation sometime next week with the call-in details.

Genius Healthcare Solutions 2012 Seminars!

We had a great time out in Mt. Pleasant on Monday with you and are looking forward to visiting with you on April 26th in Grand Rapids (if you aren't signed up yet - please do so soon- available spots are limited).

We will be adding some new dates for Florida and in Michigan- Warren, Downriver, and probably Traverse City over the next few months.   So keep checking back.

As for those of you that were in Mt. Pleasant.  I promised you some pdf materials.  I will have those up and posted later today.  Shoot me a quick e-mail about Mt.Pleasant and I'll send you the link.  Also if you needed any information on upcoming NACC seminars, EHR, etc.  let me know and I'll shoot you links for that information as well.

Penny
penny1 @ geniussolutions.com (Just pull out the spaces.)

5010 - You should be doing it now!

Since 3/31/2012 was the last deadline for mandatory 5010 electronic claims, you should be doing 100% 5010 now. Genius believes everything is working well in THOMAS including commercial claims. We have heard of few problems.  The few that are having problems are payors trying to get things set up at their end to handle 5010 claims- including Health Plus (in MI), some DME, and the occasional other insurance company (& you can do an "exception" to 5010 billing for just those insurance companies that are still requiring 4010 only for now).

5010 & ICD-10: Are They the Good Fight?

picture fun from icanhascheezburger.com

I could just have easily written this comic for what many of you might consider "unnecessary paperwork", but alas it is all a necessary evil in today's health care landscape and the best I can do is inform and inject some humor. So let's chat for a moment.

5010: Working Hard to Serve You

5010 is here!  

You may have noticed as you’ve called in over the past month that our phone lines have been really busy.  Where you were able to get straight through to support in the fall, now you are finding yourself back up at the front desk to leave a message.  As much as you are concerned about 5010, ICD-10, Medicare payments, stimulus payments etc., we are concerned about each and every one of the thousands of you.  We appreciate your patience as we all (customers, vendors, clearinghouses and payors) work to migrate claims over to the 5010 format.  We are furiously returning calls as quickly as possible.  We are working very closely with BCBSM here in Michigan and with many other clearing houses around the country to work through the many items that come up daily as everyone makes the 5010 switch.

5010 Updates for BSBSM MI & All Others

Don't forget to visit our Genius 5010 web page for all of the updates and most current information for your clearing house and state.  New information is being added, updated, and amended daily.

Genius had a conversation with BSBSM of Michigan and received these updates just this week.  Check them out to make sure that you will be able to smoothly transition your billing over the rest of this month and into the new year.

The Genius 5010 Zone

Below is the 5010 link you've been waiting for.  This is where you need go to set up your THOMAS systems for 5010.  This area is evolving check back for continued updates.  

• The Genius 5010 Zone