BCBS Error Messages

We would like to remind our offices to check their BCBSM broadcast messages. These messages give you news and updates on claims submissions. The error reports you receive in Claims Central are not always user error. There are times where it could be an erroneous edit from BCBS EDI. Especially, if you see a large number of claims coming back with the same front end edit. These are usually system wide rejections/erroneous edits. Please take a look at these, as they will help clear up many issues. The most recent error being the “A022″ which reads “BLUE SHIELD PROVIDER CODE IS MISSING”.  If you see this edit, do not resend your claims as they will be reprocessed. If you would like to read the BCBS Message on this edit in its entirety, please follow these steps: In eMedicalnotes go under:

1. Billing

2. Connections (drop down menu)

3. BCBS Messages

Also, if you have a user id and password for the BCBS secured online tool (web denis), you can log in to view them there.

 

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New Feature: Local Labs

Hello, we have added a new feature called Local Labs. Local Labs are something we created for offices that do their own lab work inside of their office. (For example, if a patient needs blood work, they have it done inside your office as opposed to going out to the lab to have it done.) I am going to explain how to setup & use Local Labs.

To setup Local Labs, go to Misc –> 13. Manage Local Labs (on the right hand side, under Program Settings).

Once you click on Manage Local Labs, it will take you to the configuration screen. Here is where we will be adding the labs that are performed on site, such as blood work. Go ahead and fill in the Lab, Unit, NMLVALUE & Active field. The NMLVALUE field is the range of the lab work, for example, 25-60 for say a certain type of blood work. The other fields are pretty self-explanatory. For now, the LOINC field does not need to be filled out & there is no need to use it at this point in time.

After the Local Labs have been created & entered, go to a Patient’s Chart –> Nurses –> Local Labs. On this screen, select the Local Labs that you are going to perform for that patient & the provider who ordered the lab work. Fill out the values once you have the results & click on Submit. These results will show up in the patients HL7 Labs area. To see them, go to the Patient’s Chart –> HL7 Labs (under the Paper Chart area).

You will know which tests were the local labs because under Facility, it will have your office ID instead of the name of a lab.

That’s it! Easy enough, right? If you have any questions please do not hesitate to give me a call or leave a comment below. Thank You!

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EMedicalnotes Earns Surescripts White Coat of Quality award

For Immediate release:

? The Surescripts White Coat of Quality is a critical part of Surescripts overall quality program.
? The White Coat recognizes organizations that uphold the highest standards of quality in
e-prescribing.

? The criteria for earning a White Coat requires the applicant to:
1. Provide a signed commitment from company leadership affirming their organization’s
commitment to quality.   2. Measure quality metrics as specified in the published industry guidelines and report those
metrics each month to Surescripts.
3. Implement changes to software that address issues identified in quality reporting. Take
steps to eliminate any issues measured in #2 above.
4. Raise prescriber awareness through training.
? “As the use of e-prescribing continues to grow, electronic health record and e-prescribing
technology vendors continue to benefit from the knowledge that comes from Surescripts’ pharmacists, clinicians, technologists and quality experts conducting clinical quality reviews on millions of electronic prescription messages — all while protecting the privacy of personal health information,” said David Yakimischak, chief quality officer at Surescripts. “Surescripts White Coat of Quality recognizes those vendors that have embraced that knowledge and are using it to improve their technology and train their prescribers. These vendors are not simply replacing handwritten prescriptions with e-prescriptions, they are seizing the opportunity to learn and apply continuous improvements to prescription accuracy, completeness and safety.”
Confidential and Proprietary Information of Surescripts, LLC — Not for Public Disclosure
Boilerplate
About Surescripts’ Quality Program
E-prescribing saves lives, improves efficiency and reduces the cost of healthcare for all.  Surescripts’ industry-wide quality program ensures that these benefits are fully realized. The  program is made possible by a nationwide network that enables Surescripts to measure  prescription safety, accuracy and completeness in a way that is simply not possible with other forms of prescribing. This uniquely enables Surescripts to collaborate with EHR vendors,  pharmacies and PBMs on continuous improvements to the e-prescribing process — from the time a prescription is first considered by the prescriber to the time the medication is dispensed, and at all points in between. For more information, contact the Surescripts Quality Office  (quality@surescripts.com) and visit our blog at www.surescripts.com/eprescribingquality.

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Network and Routers

I see more and more people get comcast as there internet provider. Some important facts that I have found if have a linksys router behind your new comcast highspeed internet you will not get the bandwidth that you are paying for because these home linksys routers are more of a bottleneck than a security aide. It is also important that if you are in the new comcast service areas that offer the new higher speed your router that they provide you is a gigabit router not 10/100, so if you have a router behind make sure that it can handle docsis 3.0 throughput. When you do anything in your network it may adversely effect your production so please make sure you are using quality equipment to save yourself in the long run. With more and more outside connections and interfaces it is important that you keep your network and the equipment in it up to date.

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Want more information about the EHR Incentive Programs?

 Make sure to visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.

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Changing Chart Status

Have you had a patient that has left your practice and you no longer want that them shown as an active patient?
If you have Admin access, you can go into a patients chart in the blue bar-under the Admin tab and click on “Change Chart Status” to one of these choices; Active, Inactive, Duplicate, Moved, Discharged, Deceased, Records Transferred, Account Marked for Review.  A large red bar will appear with what you selected at the top of the patients chart.
This is great if you want to make sure the staff does not make an appointment for a patient that has a large unpaid balance or if a patient is deceased.

Hope this is helpful!

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2011 EHR Attestation Deadline

We would like to remind our offices about the EHR Attestation Deadline for a reporting period in 2011, which is only 2 weeks away. The last day to register and attest for 2011 is February 29, 2011. If you do not attest for 2011, you can still attest in 2012 for any consecutive 90 day period. If you need help getting started, please refer to the Medicare EHR website.

http://www.cms.gov/EHRIncentivePrograms/

https://ehrincentives.cms.gov/hitech/login.action

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EMN Update

Hello, below is a summary of the changes that are included in the newest update. Please read through them carefully and let us know if you have any questions or concerns. Thank You.

On a side note, we are still working on implementing the new password requirements and hope to roll that update out soon.

Features:

1. A Coumadin Log has been added. This will allow the provider to record and follow PT/INR and changes in the Coumadin dose. The Coumadin Log can be accessed by going into the Patients Chart -> Nurses -> Coumadin Log. IMPORTANT!!!! Please continue to enter the PT/INR values for the patients on the patients Vitals screen. This log is not searchable and is just a log to follow Coumadin changes. The providers will have to enter the PT/INR values on the vitals screen and in the Coumadin Log.

2. Hepatitis B and Hepatitis A were added to the Wellcentive interface. These values will now go over to Wellcentive if entered.

3. A new format for how the ‘PMH, SHx, Med & Allergies’ box looks has been added. There are now 3 different formats to pick from. You can view and pick the one you like by going to Admin -> Program Configuration –> History –> In Chart Format.

4. A new search method was added to the upper right corner Search box. You now have the option to search by Last Visit.

5. In the Patient Lists 2 Report (Misc -> EMR Reports -> Patient Lists 2), Labs (Local) and vitals were added as criteria to check for.

6. In the claim screen, the LMP field will show if the patient is female.

7. Added the ability to read the 999 and 997 (Acknowledgement Files) to look for reasons for a rejected claim file. For more information please refer to this blog post http://www.emedicalnotes.com/blog/?p=341

8. In the claim payment voucher, a new row was added to show the insured and the contract # as it comes in the voucher.

9. The PCP field was added to the preliminary X-Ray Report printout.

10. We have added a new Appointments Reports that includes the patient’s insurance type and policy number. You can access this report by going to Misc -> EMR Reports -> Appointments Report.

Changes:

1. There have been some changes in the “Charts that need to be finished” tab in the Today Patients screen. Before, in a multi provider office, once you clicked on this tab, it would show you the deficient charts for all providers. Now, if you select Multi Providers on Today’s Patients and then click on that tab, it will show you the deficient charts for the selected providers only. Clicking on it will also take you to the selected provider’s document signing screen.

2. In the Superbill screen, now you will be able to delete a CPT code if you have already posted for the same CPT code. The delete and Add links will be removed. If you need to do that you have to go into the posting for the case and delete all posting related to that CPT code. This has caused issues in some offices where a patient payment has disappeared because the CPT code was deleted after posting.

3. There have been some changes made to the scripts screen. For printed or faxed scripts only, we have added the spelled out words next to numbers. For example, ‘Dispense 60’, will now will have the word sixty next to the number, example ‘Dispense 60 sixty’. This was added because pharmacies are required to have the words next to the numbers for scheduled medications.

Bug Fixes:

Misc. bug fixes.

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MORE NEWS ABOUT HIPAA 5010 COMPLIANCE DATE

Despite the announcement from the Centers for Medicare & Medicaid Services that CMS is delaying “enforcement” of the 5010 standards, physicians still must begin transmitting claims using the new HIPAA 5010. COMPLIANCE IS STILL NECESSARY for claim transactions. If you don’t submit claims using this format, you risk not having claims paid by private/commercial insurers as well as Medicare and Medicaid.

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Deleting CPT Codes

There is a new feature in the superbill for deleting CPT codes. When a CPT code has payments or balances posted to it, the delete button will not be available. This will cut down on misplacement of patient payments, insurance payments, allowed amounts etc. If you need to delete a code, you must delete the posting out of the ledger (posting) details first. This will enable the delete option in the superbill.

Thank You,

Billing Support

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