11/5/12
How to Make Sure You Keep More of Your Money
10/9/12
BCBSM (Michigan) Edit for MR and RRMR
Over the last couple of weeks we've been getting calls about BCBS Michigan edits regarding Medicare, RR Medicare, DMERC etc.
***********************
Per BCBSM:
"Effective 9/28/2012, Medicare implemented new front-end edits for
all Medicare Part B and Medicare DMERC professional claims. The edits are triggered by Medicare for claims reporting a Group Name in
Loop 2000B SBR04. Edits are returned on 277CAW and 277CAM reports and 277CA transactions:
A8 663 IL Entity's Group Name
A8 732 IL Information submitted inconsistent with billing guidelines"
***********************
Michigan THOMAS clients must take out what they have in plan name and group name for MR (Medicare) and RRMR (Rail Road Medicare) policies only, to comply with the Medicare guidelines.
If you have additional questions, or have done this and are still receiving these edits, please call support.
***********************
Per BCBSM:
"Effective 9/28/2012, Medicare implemented new front-end edits for
all Medicare Part B and Medicare DMERC professional claims. The edits are triggered by Medicare for claims reporting a Group Name in
Loop 2000B SBR04. Edits are returned on 277CAW and 277CAM reports and 277CA transactions:
A8 663 IL Entity's Group Name
A8 732 IL Information submitted inconsistent with billing guidelines"
***********************
Michigan THOMAS clients must take out what they have in plan name and group name for MR (Medicare) and RRMR (Rail Road Medicare) policies only, to comply with the Medicare guidelines.
If you have additional questions, or have done this and are still receiving these edits, please call support.
10/4/12
October First Friday Conference Call
There will NOT be a 10/5/2012 Genius Solutions First Friday of the Month Conference call. We hope to have one on November 2nd.
Florida Seminar Rescheduled
Due to circumstances beyond our control, we are rescheduling the Genius Solutions healthcare seminar in Pensacola, Florida From Oct 9, 2012, to Friday, February 1, 2013. All of the rest of the times, location, and information are the same. Please mark your calendar for the new date and get ready to visit with us in February. We are looking forward to visiting with you!
We will post an updated flier and send out a new e-mail as soon as the Florida seminar reschedule has gone through the final approvals.
We will post an updated flier and send out a new e-mail as soon as the Florida seminar reschedule has gone through the final approvals.
9/7/12
Genius Healthcare Office Solutions Presents: The 2012 Florida Seminar
 |
Genius Healthcare Office Solutions:
Oct 9th - Register Now! |
8/27/12
Meaningful Use Stage 2 – Yes, it is here, for better or worse
Meaningful Use Stage 2 (also known as 2014 Edition Standards & Certification Criteria (S&CC)Final Rule) is in the bag so to speak. The next stage has been officially finalized and will be hitting your computer (and your EHR programs) over the next couple of years. First off the new name (2014 edition) clues you into the first change- Stage 2 is going into effect one year later than previously decided per the original ARRA documentation.
7/11/12
URGENT: WPS J8 MAC Medicare change starts at 2:00 Thursday 7/12/2012
This is for MICHIGAN - as part of the J8 Medicare WPS for Mich Part B
BCBSM has announced they will stop taking Medicare claims
with the current payor id on Thursday July 12 at 2pm.Claims sent after 2pm will reject with P935
PAYER ID FOR MEDICARE IS INVALID.
6/28/12
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.
5/11/12
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.* |
5/3/12
May 2012- 1st Friday of the Month Call
**Don't forget to LIKE us on our new Podiatry Facebook page while you're there!
4/5/12
April 2012- 1st Friday of the Month Call
3/29/12
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:
- You read through the instructions on the Genius 5010 page
- Backup
- AutoUpdate
- Set your system to 5010
- Begin sending claims in the new format as soon as possible
- 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.
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