Genius Healthcare Solutions 2012 Seminars!

We had a great time out in Mt. Pleasant on Monday with you and are looking forward to visiting with you on April 26th in Grand Rapids (if you aren't signed up yet - please do so soon- available spots are limited).

We will be adding some new dates for Florida and in Michigan- Warren, Downriver, and probably Traverse City over the next few months.   So keep checking back.

As for those of you that were in Mt. Pleasant.  I promised you some pdf materials.  I will have those up and posted later today.  Shoot me a quick e-mail about Mt.Pleasant and I'll send you the link.  Also if you needed any information on upcoming NACC seminars, EHR, etc.  let me know and I'll shoot you links for that information as well.

Penny
penny1 @ geniussolutions.com (Just pull out the spaces.)

5010 Extensions, Implementation, & the 1st Friday of the Month Call

First off, let me just say that here at Genius, we recommend that you send ALL of your electronic claims in the new 5010 format as soon as possible. We believe THOMAS works well with everything in 5010 and there is no reason to delay.

We received word from BCBSM yesterday that they were going to extend the dual (4010/5010) sending environment past the March 31, extension date (following an extension given my CMS recently). They did not say how long this extension would be and it DOES NOT apply to Medicaid claims that are ONLY being accepted in the 5010 format with NO EXTENSION beyond March 31.  It is also not clear to us if they will take Medicare DMERC CEDI after April 1 (two weeks ago, our Mark T was verbally told they would not).

Please visit http://www.geniussolutions.com/5010 for near daily updates to the 5010 FAQ (Frequently Asked Questions).  There is now a video, along with step-by-step instructions on the page to help you as well.

You control whether you send 4010 or 5010!  You should be sending 100% 5010 claims as soon as you can, if you are not already doing so.

We recommend the following steps:

1. You read through the instructions on the Genius 5010 page
2. Backup
3. AutoUpdate
4. Set your system to 5010
5. Begin sending claims in the new format as soon as possible
6. You need to set your 5010 indicator in THOMAS to Y

Mark hosts our regular "First Friday of the Month Conference Call" every month and is a great place to check in for current information and updates.  April 6 at 10:00 am is this month's scheduled time.  This is a great chance to talk about the latest information, your concerns,  and answer some questions. Look for an email invitation sometime next week with the call-in details.

5010 - You should be doing it now!

Since 3/31/2012 was the last deadline for mandatory 5010 electronic claims, you should be doing 100% 5010 now. Genius believes everything is working well in THOMAS including commercial claims. We have heard of few problems.  The few that are having problems are payors trying to get things set up at their end to handle 5010 claims- including Health Plus (in MI), some DME, and the occasional other insurance company (& you can do an "exception" to 5010 billing for just those insurance companies that are still requiring 4010 only for now).

Pay cuts and ICD-10 Updates

The last month has seen some more sitting around by the government, whether it is for good or ill will take time to tell.  Two big issues were touched: the Medicare pay cuts and ICD-10.  To say they were addressed would be a misnomer.