BCBSM (MI) Trading Partner Submitter Edits

In case you missed it: 

The July 2013 edition of The Record announced that effective August 19, 2013, BCBSM will begin issuing new edits and distributing new informational 277CA reports front-end edits for professional and institutional claims.

The new 277CAX - Professional and 277CAZ – Institutional reports will return informational edits for claims submitted to BCBSM with a NPI/submitter ID combination that does not match their EDI enrollment files for you.  As a trading partner, if you get any of these edits, you must correct the problem with your submitter information by the end of 2013. Early 2014, these new “informational” (or warning) edits will become "hard edits," and your claims will be rejected.

If you have questions about the informational edits or hard edits you should check your BCBSM EDDI and web-DENIS message boards or they direct you to their EDI Helpdesk number, which they post as 1-800-542-0945.

Genius Solutions' Fall Training Schedule is now available for download.

Genius Seminars are @ Soaring Eagle Next

Be An Office Hero!

August 12

@Soaring Eagle Casino & Resort
6800 Soaring Eagle Blvd
Mt. Pleasant, MI  48858
888.732.4537

Morning Seminar Time: 9 am - 1 pm
Afternoon Seminar Time: 2 pm - 4:30 pm 

Click here for more information.
Click here to view and print the event flier with registration.

Free eTHOMAS Lite Webinars

dTHOMAS Lite is becoming eTHOMAS Lite.  Join us for a free webinar to learn more: July 9 or 11th at 11am or July 17 at 2pm (EST for all).


Sign up here:
July 9th 11am EST
July 11th 11am EST
July 17th 2pm EST

Genius Healthcare & EHR Office Solutions

Be An Office Hero!

July 11

@ Warren City Center
1 City Square
Warren, MI  48093
586-574-4520

Morning Seminar Time: 9 am - 12:30 pm
Afternoon Seminar Time: 1 pm - 3:30 pm 

Click here for more information.
Click here to view and print the event flier with registration.

Billing Provider Contact Information- In Claims

Change is Inevitable.

Beginning April 15th,2013,  new edits will be going out to BCBSM EDI users:

A3 85 127 F906 BILLING PROVIDER COMMUNICATION NUMBER IS MISSING OR INVALID.
A3 85 127 P940 BILLING PROVIDER COMMUNICATION NUMBER IS MISSING OR INVALID. 
A3 85 127  F907 BILLING PROVIDER COMMUNICATION NUMBER IS MISSING OR INVALID.
A3 85 127  P941 BILLING PROVIDER COMMUNICATION NUMBER IS MISSING OR INVALID.

All of the new edits are triggered by the incorrect reporting of billing provider contact information (phone/fax/e-mail).

Per BCBSM EDI, "Submitters may avoid receiving one or more of the edits by ensuring that they report telephone numbers and fax numbers in the correct format - 10 numeric only, without spaces or special characters."

Per BCBSM EDI, these edits will definitely apply to Medicare Advantage claims.

Why did I put this in here generally - instead of just marking it for Michigan only?  Because this is probably a trend.  You need to read your EDI bulletines regularly to know what changes are being made in your area.  There are always changes.  Also, something like this "contact info" change, is the kind of trend that you will see spreading fast.

So-

1. Check your bulletins (and feel free to send us a note about any changes in your local area- you may be saving fellow offices a lot of grief, and
2. Make sure your provider contact information is correct and accurate.

eTHOMAS v9.3 is Here!

Yep, this is pretty much what it looks like outside right now.

Well, Well – oh happy day, eTHOMAS v9.3 is here. The servers are being updated with care, as we chat here, and the update document and instructions have been lovingly gathered and prepared for you.  New version releases are often like getting a box in the mail addressed to you, full of good stuff.  Are you ready?

I threw together a quick list of some of the features I really like that might rock your world – or at least let it be a happier place.

Enhanced patient benefit viewing and use options in eTHOMAS.  There is a new system setting called BENEFITS.

• Option=1 Patient benefits are expired or non-existent? THOMAS will automatically open a box for you to add them.  
• Option=2 Patient benefits are expired or non-existent?  You can go ahead and post and not worry about seeing any annoying reminder pop-up boxes.  
• Option=3 Patient benefits are expired or non-existent and you are in the benefits list? You will be able to toggle between and choose which benefit you/they want to have active for the charge.

Now you can access and view 835 payment reports directly in eTHOMAS. This includes being able to click on a patient insurance payment and have it link you to the 835 it was autoposted from. We’re having some fun now huh?!  :D

You asked for it- wish granted!  You will now be able to add a two-line, patient specific message that will print out on your patient paper statements.

There are some new eTHOMAS group and individual security enhancements that are now available to you.  The one that caught my eye first is the ability to set effective and expiry dates for employees with access to your THOMAS system.

UB04 – if you need it and use it you know what it is.  Yes, there are enhancements in the new version for you too!

You can check for more changes listed under “what’s new” under Messages in eTHOMAS. And for the full what is and how to manual for v9.3, you can view the new features documentation at http://www.media.geniussolutions.com/

eTHOMAS v9.3- proof again that we really do care!  Ok, now go follow the best practices for updating your eTHOMAS (i.e. get everyone out of THOMAS, back THOMAS up, do the AutoUpdate, and have a cuppa something good while you wait for us to deliver new THOMAS goodness to you).

Upcoming Slushy Trainings

(Ok, so they're late winter/early spring to be technically correct.... but Slushy explained it so much quicker.  :D )

-0 degrees in Michigan Jan 2013...burrrr.

Ready to learn something new or upgrade a current skill area?  Here are some upcoming Genius training offers to set aside time for:

• March 14, eTHOMAS Auto Post Webinar
• March 11, eTHOMAS Tips & Tricks Class
• April 16, eTHOMAS Reports Class
• April 18, eTHOMAS Posting Techniques Webinar
• May 15, eTHOMAS Appointment Book Training Class
• May 16, eTHOMAS Transaction Ledger Webinars

For more information visit us.

The Genius Florida Seminar is BACK!

   

Genius Healthcare Office Solutions:
The 2013 Florida Seminar

February 1st - Register Now!
9am - 5 pm
$99.00 Per Person
@ Crowne Plaza
200 E. Gregory St.
Pensacola, FL 32501
850.433.3336

More Information
586.751.9080 or seminars@geniussolutions.com
Topics Include:

• Best Office Practices
• Office Compliance Plans
• THOMAS Tips & Tricks
• Eligibility in THOMAS
• ICD-10
• Tech Talk
• EHR
• And More!

*Registration Deadline is January 21st.*

Happy 2013!

Wishing You a Prosperous &

Happy New Year!

 

Genius will be closed Monday December 31-January 1

Genius Closed Dec 24-25, 2012

Also note that we will be closing at noon, Friday, December 21st.

Christmas Holiday Time and Lights

For most people, no matter what their religious affiliation or preference, the Christmas time holiday season is the highlight of the year.  It may have varying significance to each, but all like to celebrate.  Hanukkah is a remembrance of faith, renewal, and restoration.  Kwanzaa is all about remembrance and celebration.  And Christian Christmas (about the baby Jesus, not Santa Claus) is about a brightness of hope and faith confirmed.  (Ok, Santa does some of that too.)

Christmas and lights, they’re as inseparable as peanut butter and jelly, turkey and Thanksgiving, or Easter and decorated eggs.  Lights are a powerful symbol to religions, individuals, and daily living.  Even as regular old daily objects, lights are special, necessary, and almost impossible to live without.  Maybe that’s why they’re even more effective as symbols. 



Lights help fear go away by illuminating the way. A star on the top of a tree doesn’t just represent the star of Bethlehem that showed the way to the Christ child, it is also a beacon that calls out and gathers in family to share and bask in its glow.  Colored lights twinkling are like looking up at the night sky while wishing, and a bright silvery moon is perfect for dreaming.  Any light in a dark or unfamiliar place gives hope.  As the sun comes up each morning and we feel its warmth we feel renewed and restored.  Lights are cheerful, joyful, bright, and gay.  They warm your thoughts and prepare the best ways.

Time for a Christmas holiday challenge…

Go out.  Look at the lights.  Feel the holiday vibe.  Enjoy everyone’s joy and share in all the best traditions (especially the foods!).  Maybe you’ll even decide to add a few new traditions to your own.  Most of all suck up all of the joy and the hope.  Recharge and renew yourself with peace, love, best wishes, and goodwill to and from all mankind.  Follow the festive holiday lights into your own bright new year.  And as always, our entire crew here at Genius Solutions wishes you and yours all the best this holiday season and for the New Year.