Medisoft version 17 is now available to help insure you meet the new requirements. Read more…

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Are you prepared for the ANSI 5010 conversions? Even though this is not mandated until January 1, 2012, Medisoft has been preparing for quite some time, and Medisoft version 17 is now available to help insure you meet the new requirements. It pays to adopt early and allow time for testing.

Start the process now and reduce the risk of rejected claims and decreased cash flow as ANSI 5010 is adopted.

Why you need a plan: Impact on Providers
The implementation of HIPAA 5010 means substantial changes in the data that you submit with your claims, as well as the data you receive in response to your electronic inquiries. The implementation requires significant changes to the software, systems, and perhaps procedures that you use for billing Medicare and other payers.

Beware! We are hearing messaging from various clearinghouses that they will be able to convert ANSI 4010 claims up to ANSI 5010 claims. In a number of circumstances this is absolutely valid, but is at best a short-term solution. There are volumes of new data fields in 5010 that do not exist in 4010. In order to do a conversion from 4010 up to 5010, clearinghouses will be making some assumptions and will have to “hard code” values into data fields that do not exist in 4010. In doing so, this will increase the likelihood of experiencing some additional claims rejections.

To minimize the possibility of problems, Medworks suggests moving to the ANSI 5010 compliant version of Medisoft (version 17) now rather than later so you can submit claims and have all the valid data fields necessary to successfully transmit 5010 claims.

We see risk and believe insurance carriers will utilize the transition from 4010 to 5010 as a means and a reason to increase the rates of rejections by changing things up and identifying places where they make changes to their requirements. This might cause providers to experience a higher level of rejections, as well as experience an imbalance between the levels of claims filing and claims payments. What is the likelihood that some busy practices might just let the rejected claims slide allowing the insurance carriers to keep the money? We don’t like to think Payers play these kinds of games, but in reality we all know they do. This is why Medworks recommends you adopt Medisoft v17 now.

As the Meaningful Use guidelines have been finalized for stimulus payments, we now know that it is more critical than ever to start implementing EMR. As previously reported, Medisoft Clinical has earned certification as a “Complete” electronic health record (EHR) system per the Office of the National Coordinator (ONC) Authorized Testing and Certification Body (ATCB) process.

There are many reasons why you should consider starting now.

First the positive reasons:

  1. There is a $3000 bonus per provider for meeting Meaningful Use in either 2011 or 2102.
  2. Stage 1 Criteria are set and are fairly straightforward. But CMS has said they might make them more aggressive in the future. It could get harder, even in Stage 1, so the quicker you qualify the easier it will be.
  3. In 2011 and only in 2011, you are not required to submit your data or proof of data electronically. In order to qualify once you have met the criteria, you just acknowledge it (attestation) on an online site provided by CMS – beginning in April, 2011. Starting in 2012, you will need to submit more comprehensive proofs.
  4. The sooner you meet your 90 day qualification, the more quickly you are paid. The government has said for Medicare that if you attest to having met the criteria in April 2011, they will begin sending payments in May 2011.

Next, the harsh reasons:

  1. If you do not meet the criteria in 2012, you will lose your bonus.
  2. Everyone will want to meet the Meaningful Use Criteria on or before the December 31, 2012 deadline.
  3. The lines of people wanting to install, train and get ready for Meaningful Use are growing.
  4. Resources for installing EMR are close to capacity.
  5. It takes 90 to 120 days following installation – at a minimum – to configure and train on EMR before you can begin the Meaningful Use testing period.
  6. Even if you commence implementation right now, you would not be live and ready to use the product before May, 2011.

Why wait?

What's New

McKesson introduces Quick Reference Meaningful Use Guide for Eligible Providers. This document helps practices utilizing Medisoft Clinical v17 prepare for meeting MU requirements.

Medicare will pay for annual wellness exams starting January 1, 2011. Be sure to check the CMS website for guidelines.

Medicare Reduces Timely Filing. Claims with dates of service January 1, 2010 and later received more than 1 calendar year beyond the date of service will be denied as being past the timely filing deadline. Reference this article for more information.

Horizon BC/BS paper claims must be on red CMS-1500 Forms. Many practices have been submitting on laser-printed black-on-white formats, which is no longer acceptable.

Medisoft Tips & Tricks

Our customers frequently share their frustrations concerning cash flow relating to slow collections, are you experiencing problems in this area?.

Improve patient payment response using BillFlash.

Medisoft version 17 comes fully integrated with BillFlash which allows users to deliver large batches of printed patient statements in just 5 minutes. Everyone wins: physician practices save time and money while patients receive professionally printed statements incorporating personal messaging.

Are you leveraging the best technologies to increase productivity?
Imagine eliminating the labor intensive process of printing, folding, stuffing, sealing, stamping, mailing and troubleshooting. BillFlash is easy to setup and will:
• Generate immediate cost savings
• Increase patient collections

Why not consider a no obligation trial?

See demo and contact Medworks for a free setup and no obligation trial.

Medworks is a fully integrated provider of Medisoft and medical billing services. We specialize in physician centered solutions for medical billing outsourcing, electronic medical records and medical billing software. From assuming total responsibility for all your medical billing to finding the software that fits your budget, Medworks provides one stop shopping convenience which is anchored by our unwavering commitment to customer satisfaction.