That Magical Day - May 23, 2008
Today is the day that NPI’s are required for all “covered entities”
under HIPAA; meaning providers, insurance companies and
clearinghouses. What does that mean for healthcare providers? You
need to submit NPI numbers is boxes 17B, 24J, 32A and 33A on the
CMS-1500 if the field is applicable. What’s more important than the
NPI number is to pay attention to what the contract payers are stating
they want in regards to the legacy (old) provider numbers in boxes;
17A, 24J, 32B and 33B. Some still want the numbers and some don’t.
Make a list of your contracted payers; i.e. Medicare, Medicaid, BCBS,
and review the mailings and/or websites for their specific directives.
What is still ahead? June 2007 the State of Minnesota
passed a law requiring all healthcare providers in the state to send
all transactions (claims, eligibility, claim status and electronic
remittance) electronically by 2009. Many providers still are under
the fallacy that small healthcare providers are excempt. That is not
true because the state law has superseded the federal law. The
frightening part of this law is many providers have not even sent
claims electronically and now they will be required to send all the
transactions electronically as well. Thereby causing some to have to
run a marathon before learning to walk. If anyone wants a copy of the
Minnesota law, just email me at bonnie@softouchsoftware.com.
Happy Memorial Day Weekend!
under HIPAA; meaning providers, insurance companies and
clearinghouses. What does that mean for healthcare providers? You
need to submit NPI numbers is boxes 17B, 24J, 32A and 33A on the
CMS-1500 if the field is applicable. What’s more important than the
NPI number is to pay attention to what the contract payers are stating
they want in regards to the legacy (old) provider numbers in boxes;
17A, 24J, 32B and 33B. Some still want the numbers and some don’t.
Make a list of your contracted payers; i.e. Medicare, Medicaid, BCBS,
and review the mailings and/or websites for their specific directives.
What is still ahead? June 2007 the State of Minnesota
passed a law requiring all healthcare providers in the state to send
all transactions (claims, eligibility, claim status and electronic
remittance) electronically by 2009. Many providers still are under
the fallacy that small healthcare providers are excempt. That is not
true because the state law has superseded the federal law. The
frightening part of this law is many providers have not even sent
claims electronically and now they will be required to send all the
transactions electronically as well. Thereby causing some to have to
run a marathon before learning to walk. If anyone wants a copy of the
Minnesota law, just email me at bonnie@softouchsoftware.com.
Happy Memorial Day Weekend!
I am using version 10. Several of my accounts show a payment was made several months ago, and it was applied. Now it is showing red, as if it is unapplied. I don't know how many people I have not charged because I thought they had a credit balance. How can I correct this? I noticed this about a month ago so have been watching closely. When I hit "applied" by the payment, it does not show in "this payment" column what was applied, but the "payor total" does have a figure in it but so does every other transaction that has a payment applied to it. If I delete the payment, nothing on top shows there is anything due. If I re-enter the payment and apply, then it will be yellow on top, showing an overpayment. However, I don't know if I'm applying this payment to the same transaction as the original payment that is now red! When I run an aging report, sometimes it will show an amount more than 90 days due and an unapplied amount of the same $ amount. Sometimes, not. With a few, I have deleted the charge and re-entered the charge and all the insurance payments/pt payments that go with it and that has corrected the problem. But on several, I can't figure what charges the payment is applied to. I hope someone has had this problem in the past and can tell me what to do. Thanks for your help. Marge
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