New Medicare Insurance Numbers - 2018

New Medicare Insurance Numbers - 2018

I am sure you have heard about the upcoming change to Medicare Patient Insurance numbers. (If not, starting in April all of your Medicare patients will begin receiving new Medicare insurance cards with new Medicare numbers - they are finally retiring the social security number from the cards.)

Make sure you update your eTHOMAS to the most current version, then you will be prepared to go through and set up your THOMAS system - insurance and patient policies to take in and begin using the new Medicare cards.

Here is the "HOW TO" document to walk you through the process in your THOMAS system. 

New Medicare Insurance Numbers 2018

Genius 2018 Spring Billing Focus Group Seminar

Genius Solutions, Inc. is hosting a Focus Group for our Billing Services that will concentrate on new billing features to help streamline your workflow!

Download Registration Form

March 22nd @ Genius Solutions, Inc.
7177 Miller Drive
Warren, MI 48092

4-5pm Meet and Greet with Genius’ Support Staff
5-7pm New Features for Billing Presentation
$50/person beverages included
Space is limited - Register Now!

Claim Filing Limit Report - How to Video

With ever decreasing insurance filing limits, we've got a Genius Solution for you - A claim filing limit report, so you can track your claims and maintain easy control within them.


Or visit it at our YouTube channel directly. 

Shared Genius - July 2017

THOMAS... Shared Genius Practice Solutions From one genius to another. July 2017 Sending statement Files just got more secure for you and your patients! Helping you be more HIPAA compliant - When you get our latest update. The Genius THOMAS program is now going to encrypt the files you send out to get your statements printed. This makes it difficult and unlikely that if someone came across one of those "statement files" that they would ever be able to get any information from it. When a file is encrypted, it is like putting a complicated, combination lock on it. If someone intercepts the file, they don't have the combination key, so they won't be able to read the data. Only someone with the key will be able to access and read the file.

BCBS of Michigan to Require Claims to be Submitted Electronically as of June 30, 2017

BCBSM will require professional providers to submit claims electronically as of June 30, 2017

Blue Cross Blue Shield of Michigan has notified providers that it will no longer accept paper submitted professional claims from providers who have the capability to submit electronically, effective June 30, 2017. These types professional claim types must now be submitted electronically.

· Original claims
· Replacement claims
· Void or cancel claims
· Any claim that includes services for which you will submit medical records

For more information and the complete scoop, please read the BCBSM article directly and we suggest strongly that you sign up for their mailing list.

First Friday of the Month Conference Call: May 5, 2017

The next Genius Solutions First Friday of the Month Conference Call is scheduled for Friday, May 5 at 10:00 a.m. Eastern time.

Planned topics for the conference call (so far) are:

• Upcoming Focus groups
• New features in eTHOMAS - Keep your eyes out for v9.5.30
• Last worked
• Followup date
• 0.00 statements
• Statement series
• Claim filing report
• Detail prebilling
• Customize your autoposting
• Final comments

Reimbursement-Past, Present, Pres. Trump [Free Trizetto Webinar]

A Genius Solutions' Clearinghouse Partner

Setting up to use Meridian

Hopefully, you saw that you could update for the Meridian changes. Those changes have been made to eTHOMAS, but now you have to set up your eTHOMAS to be able to bill out with them. Here is a quickie set-up guide .pdf to help you do it.

2017 Meridian eTHOMAS set up

Genius Product and Services Showcase

We are always on the lookout for Genius partners, products, and services to help you and your office make more money, get more done, have more time, and make work easier.

We will be sending out an e-mail about every month or so, to showcase some of our products, partners, and services. You may not know about them, or you may now be ready to hear more about them. First up is "Getting More Money Back Into Your Office", which breaks down into a few different areas: collections, pre-checks, follow-up and follow-throughs.

Collections

Billing with Navicure just got better!

Clearing House Update! Navicure/ eTHOMAS Working together, with a click, in EDI client. Billing with Navicure just got better! Genius Solutions and Navicure work together bringing you the ease of EDI Client. Now, with just a couple clicks, you can upload your claims, download your 999, 277, and 835 reports, while automatically unloading your electronic remittance (auto posting files) into eTHOMAS. Achieve better financial results with almost zero effort!

Increase Your Revenue with Trizetto: Free Webinar

Ready to find out how to increase your revenue? Register now to attend a free webinar hosted by Genius Solutions & TriZetto Provider Solutions to learn more:

• Tuesday, April 19th, 10 a.m. Eastern Time
• Thursday, April 21th, 2 p.m. Eastern Time

Download the full infographic for more information.

Don't Live in Denial. Check Out Navicure's New 1 CEU Webinar!

Live CEU Webinar: Denial Management in a Post ICD-10 Implementation World

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As payers tighten ICD-10 claim requirements, denials may start to increase. Don't let ICD-10 denials become a revenue drain. Take the necessary steps now to maximize your reimbursement.

Learn how to update your denial management process to meet the challenges of ICD-10 by attending a complimentary webinar on Tuesday, March 22nd at 1 pm EDT/10 am PDT: Denial Management in a Post ICD-10 Implementation World.

Register now.

During this one-hour webinar, you'll hear industry expert Tammy Tipton, president of Appeal Solutions, discuss:

• Payer ICD-10 performance - requests for documentation, prompt payment issues and seeking quality claims processing performance.
• Determining if ICD-10 physician engagement is working or withering - tips on perfecting clinical documentation auditing, gap analysis and setting up clear denial management goals.
• The importance of appeals - the impact of stricter specificity requirements, pay-for-performance uncertainty and how to mitigate financial impact.

Participants can earn 1.0 Continuing Education Unit (CEU) from the AAPC and PAHCOM by attending the live webinar.*

Register for this webinar today!

Or copy and paste the link below into your browser to register.
https://webex.webcasts.com/starthere.jsp?ei=1093677&sti=8

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*This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Seminars, Webinars, and Events

Are you ready for a big dose of awesome? Then we have some Genius Solutions for you!    

New Navicure webinar Tuesday, February 16th at 1 pm EST/10 am PST:

8 Best Practices for Collecting from Patients with Deductibles

New ehrTHOMAS webinars (various dates)

New Genius Webinars (various dates)

Two New Genius Focus Groups in March 10 & 16

Is FREE Costing You Money?

Genius Presents Special Webinar: Free is NOT Always Free. Is FREE Costing You Money?

Could your clearinghouse be helping you make money?! If you are currently submitting electronic claims with Blue Cross Blue Shield EDI, you are probably spending much more time and money keeping track of claims, than you are saving with the free BlueCross submission. Let us introduce you to a new way of handling electronic claims with our partner, Navicure®. Navicure is an award-winning, electronic claims clearinghouse, with advanced electronic claims tools that can help you collect more money, in less time, with less effort. Navicure can help your office: Receive the majority of your remittance advice, including commercial insurance payers, electronically and automatically post them into eTHOMAS Identify, categorize, and automatically display your rejected claims on screen with our powerful tools, so you can work them easily and efficiently Correct and resubmit claims quickly online, reduce your A/R days, and increase your cash flow Track all of your claims, every step of the way, online, utilizing our easy-to-use Claims Dashboard Status and appeal claims directly from our on-screen Dashboard, electronically, quickly and easily. Plus, if you sign up by December 28, 2015, Navicure will waive all of their customary implementation, enrollment, and training fees- Merry Christmas and Happy New Years to YOU! Want to know more? Join us for a special 60-minute, Navicure webinar on December 10th at 2:00 PM ET. Click here to register. You will be able to see Navicure in action and ask live questions at the end of the presentation. Can't wait? Contact Navicure now at sales@navicure.com or call 1-877-NAVICURE and get started on the path of true office FREE-dom.

Are Your E-Claims Working For You?!

You can do so much more with your electronic claims than you may even know!

Still using Blue Cross Blue Shield EDI for your electronic claims submission? Let us introduce you to a new way of handling electronic claims with our partner, Navicure®. Navicure is an award-winning, electronic claims clearinghouse, with advanced electronic claims tools that can help you collect more money, in less time, and with less effort.

With Navicure you can:

• Receive the majority of your remittance advice, including commercial insurance payers, electronically and automatically post them into eTHOMAS
• Identify, categorize, and automatically display your rejected claims on screen with our powerful tools, so you can work them easily and efficiently
• Correct and resubmit claims quickly online,  reduce your A/R days, and increase your cash flow
• Track all of your claims, every step of the way, online, utilizing our easy-to-use Claims Dashboard
• Status and appeal claims directly from our on-screen Dashboard, electronically, quickly and easily.

Plus, if you sign up by December 28, 2015, Navicure will waive all of their customary implementation, enrollment, and training fees- Merry Christmas and Happy New Years to YOU!

Want to learn more?

• Join us for a special 60-minute, Navicure webinar on December 10th at 2:00 PM ET. Click here to register.
• You will be able to see Navicure in action, and ask live questions at the end of the presentation.
• You can also contact Navicure directly, now, at sales@navicure.com or call 1-877-NAVICURE.

Sincerely,

Navicure Webinar: ERA - Save Time & Money

Live Webinar Electronic Remittance Advice: Save Time & Money Thursday, October 29th | 11:00 am – 12:00 pm EDT Register Now! If you are not receiving at least 80 percent of your remittances electronically, it’s time to re-evaluate your remittance process. Manually processing paper EOBs is time consuming and costly. The good news is that it can be avoided. Learn how by attending a complimentary webinar, Electronic Remittance Advice (ERA): Save Time and Money, on Thursday, October 29th at 11 am EDT sponsored by Navicure. During this hour, you'll hear Kathleen Wrobel-Erlich, certified practice management specialist at Genius Solutions, discuss: The benefits of optimizing your remittance process, including increased staff productivity and fewer posting errors. How technology can help improve these processes. Handling ICD-10-related denials electronically vs. manually. Register for this live webinar today! About the Presenter: Kathleen Wrobel-Erlich, CPPM, has more than 25 years in medical practice management. She has managed both professional and facility based groups. Kathleen provides consulting services to provider groups of all size and all specialties. She currently works as a Practice Management Specialist for Genius Solutions, Inc, who designs Practice Management software and Electronic Medical Records Programs. Kathleen has an Associates of Applied Science in Business Management. Live Webinar ERA: Save Time and Money Thurs, Oct. 29th  11 am EDT Speaker: Kathleen Wrobel-Erlich, CPPM, Genius Solutions Inc.

Shared Genius September 2014 Edition

Shared Genius Practice Solutions From one genius to another.
September 2014 support special includes:
rejections, pre-billing errors, reconciling patient accounts, & more!

Available now!

It Takes a Billing Class to Train Some Geniuses

PR Henriksen, the character

You might not know this but here at Genius Solutions the vast majority of our software support staff and all of our trainers have worked in various healthcare settings:  offices, hospitals, support staff, billers, office managers, multiple office managers, and more.  Basically our Genius support is made up of practical medical office specialists, software geeks, and hardware tech specialists who are hardware, networking, and software geeks.  There is a lot, and quite a variety, of expert knowledge on call, for your calls.

Me? I started at Genius in support, as part of the software geek zone (with some generally nerdy hardware tendencies). 

Shared Genius: June 2014

Shared Genius Practice Solutions From one genius to another.

 June 2014:  277s, "bad address", appointments, time blocks, & more!

Available now!

Editor Addition:
In the e-mail I posted that the new date for ICD-10 was Oct 1, 2015 (after finding said information in more than three good sources).  In investigating further, we crawled through the CMS website and this is the wording posted:

"On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future with a new compliance date for the use of ICD-10 codes beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015. "

So, the current date that has been listed of Oct. 1, 2015 is really wishful/hopeful thinking by everyone.  (Although it does look like CMS is hopeful for the same thing.)  According to the above paragraph the "interim final rule" has yet to be created or released, after which there is always a 60-day comment period, and then, eventually, a final rule will be issued.  There is no date on this note on the CMS website either, so we'll all have to check back into this page to see when some movement begins to occur.  So, continue not panicking, and definitely continue to prepare for ICD-10 implementation.

Michgan Blues Claim Filing DEADline

BCBS of Michigan sent out an e-mail recently stating that the Blues will retire their local system on Oct. 31, 2014. Since they will no longer process claims on that system, all claims filed on the local system must be submitted and received by Sept. 15, 2014, in order to be processed.

If you submit a claim after the filing limits, BCBSM will not offer any special handling or filing extensions, and no payment will be due from BCBSM or the subscriber. All health care providers must follow claim-filing deadlines (as you can see, there are no exceptions here).

For more information about this change, please refer to the March 2014 Record.

Blue Cross defined the local contracts, which have been migrating to their new system and will be completely migrated mid September.
These local contracts include:

• Local and Medicare Advantage group numbers: Five digits
• MOS group numbers: Nine digits
• NASCO group numbers: Five digits, usually starting with a seven or eight
• BCN group numbers: Eight digits

Any clam submitted with one of the local contracts (listed above); whether it is a secondary, resubmission, or original needs to be received by Blue Cross no later than September 15, 2014 or it will not be processed.

Patients with local contracts should have received a new contract number to go through the new system.

You can contact Provider Inquiry at Blue Cross of Michigan for more information.

Provider Inquiry Information:

If you’re calling from this area code	Hours of operation	Use this phone number
248, 313, 586, 734, 810 or 947	8:30 a.m. to 5 p.m.	1-800-245-9092
517, 989	8:30 a.m. to 5 p.m.	1-800-272-0172
231, 269, 616, *989	8 a.m. noon, 1 p.m. to 5 p.m.	1-800-255-1878
906	8:30 a.m. to noon, 1:05 p.m. to 5 p.m.	1-866-872-5837
Outside Michigan	8:30 a.m. to 5 p.m.	1-800-482-3146
For questions about BCBSM employees only, contact our Ombudsman office.	8:30 a.m. to noon, 12:50 p.m. to 5 p.m.	1-877-258-0167 313-225-8748