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News
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Feb 5
2010According to a recent Medicaid ALERT to all providers, effective March 1, 2010, all Medicaid claims must be submitted electronically unless they require attachments or Administrative Review override by Medicaid. Paper claims received after February 30 which do not require an attachment will not be processed by Medicaid.
In addition, beginning March 1, calls to Medicaid's Provider Assistance Center regarding patient eligibility will be directed to an electronic verification process or transferred to their Automated Voice Response System.
Direct electronic claims to Medicaid, electronic eligibility and electronic remittances are all available from within MediSYS PM. For more information contact us.
For details you can read the Medicaid notification RE: Cost Saving Measures to be Implemented March 1, 2010.
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Jan 19
2010MediSYS EHR Midmark Diagnostic Interface
Birmingham, AL (January 15, 2010) - MediSYS Electronic Health Records integration of Midmark Corporation's IQ diagnostic products is now operational. The MediSYS EHR initial integration of Midmark's products includes IQMark Digital ECG and IQMark EZ Holter. MIdmark, headquartered in Ohio, provides medical, dental and veterinary healthcare equipment solutions.
MidMark's ECG and holter will connect seamlessly to MediSYS EHR for efficient clinical information flow. In addition, greater efficiency is realized because the information automatically becomes a part of the patient's electronic medical record without the need to scan or enter the data.
Other clinical applications also integrate with MediSYS EHR including many external laboratories, hospitals, and other diagnostic products. For more information regarding MediSYS EHR or to explore possible integration, contact MediSYS at 205.631.5969 or ehr@medisysinc.com.
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On December 30, 2009, Centers for Medicare & Medicaid Services (CMS) published proposed requirements for the EHR Incentive Programs. Their proposed rule would be used to implement the American Recovery and Reinvestment ACT of 2009.
There are two EHR incentive programs: Medicare and Medicaid. The Medicare EHR incentive program pays incentives to eligible professionals for their meaningful use of a certified EHR. The Medicaid EHR incentive program provides incentive payment to eligible professionals for implementing or upgrading a certified EHR or for meaningful use. Eligible providers may participate in only one program and must designate which they prefer.
Meaningful use in Stage 1 of the incentive program proposal includes 25 objectives/measures for eligible professionals and 23 for eligible hospitals. Stage 1 focuses on:
- electronic capture of health information in a coded format
- using that information to track key clinical conditions
- communicating that information for care coordination
- report initiation of the quality measures & public health information
A 60-day comment period for the proposed rule has been provided by CMS. Details may be found at:
http://www.cms.hhs.gov/Recovery/11_HealthIT.asp
http://www.federalregister.gov/OFRUpload/OFRData/2009-31217_PI.pdf
- electronic capture of health information in a coded format
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According to the Centers for Medicare and Medicaid Services (CMS), approximately 99% of all claims that Medicare identifies for crossover, as cited on provider Medicare Remittance Advice, are crossed over by CMS Coordination of Benefits Contractor (COBC). The crossover failures are due HIPAA compliance issues or related data errors and the provider will receive a Medicare-generated special notification specifying the reason.
CMS is requesting that providers allow time for the Medicare Claim Crossover Process to process before attempting to balance bill their patient supplemental insurers. This crossover process takes approximately 15 work days after Medicare's reimbursement is made, as stated in MLN Matters Article SE0909 (http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0909.pdf). CMS advises to balance bill after receiving written confirmation from Medicare that claims either did not cross over, or they have received a special notification letter explaining why specified claims cannot be crossed over. According to a CMS notification, Remittance Advice Remark Codes MA18 or N89 on your Medicare Remittance Advice (MRA) represent Medicare's intention to cross your patients' claims over. Medicare will continue to issue supplemental notifications to all participating providers, physicians, and suppliers informing them if claims targeted for crossover, as evidenced by MA18 or N89 on the MRA, do not actually result in successful crossover transmissions.