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News
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Oct 26
2009National Government Services, one of the largest Medicare contractors in the country, released the following information to avoid unnecessary claim rejections. They will reject claims when lower case characters are submitted in the ordering/referring provider field. See their notice below for details:
Ordering/Referring Provider Case Sensitive Edits
CEDI has front end edits in place to validate the data submitted conforms to HIPAA and Medicare requirements. As part of these edits, the Common Electronic Data Interchange (CEDI) utilizes external code sources to validate the data on inbound transactions. The Provider Enrollment, Chain and Ownership System (PECOS) file used to verify eligibility for ordering/referring providers is one of the external data code sources utilized by CEDI.
The information from PECOS is provided to CEDI using only upper case characters. The alpha character data on the claim for the ordering/referring provider must be in upper case in order to validate the name against the PECOS file.
CEDI will reject inbound transactions submitted with lower case characters where the external code source used to perform the edits is only provided in upper case. If a lower case character is submitted in the ordering/referring provider field, the claim will be rejected.
CEDI strongly encourages submitting all alpha characters in upper case to avoid this type of issue.
For more information and questions, please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or at 866-311-9184.
Thank you,
National Government Services, Inc.
Corporate Communications -
Oct 13
2009Providers can now view what their estimated impact will be with the December 1, 2009 Blue Cross Blue Shield of Alabama new payment method. Login to Provider Access at https://www.bcbsal.org/providers/index.cfm then select Provider Functions, Physician Profile Reports, View Your Fee Schedule Impact.
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Oct 13
2009MediSYS will be participating in the 3rd Annual Cardiovascular Update on November 7, 2009. The 2009 Cardiovascular Update is being offered through The CVA Medical Education Foundation. This continuing medical education meeting is designed to provide physicians and other healthcare staff with an overview of important developments in the care of patients with cardiovascular disease. The conference will be held in Birmingham at The Cahaba Grand Conference Center. For more information or to register go to http://www.cvupdate.org/ or 205-585-4000 info@cvupdate.org. -
Oct 12
2009Below is a recent publication from Surescripts regarding CMS e-Prescribing / MIPPA Incentive Program.
http://www.surescripts.com/downloads/MIPPA%20summary%20sheet.pdf
For 2010, the incentive is slated to be 2% of the total allowed charges for covered professional services (Part B charges).
If you are interested in an on-line demonstration of MediSYS ePrescribe (which typically takes less than 30 minutes), please contact us at eprescribe@medisysinc.com