Dear Claim.MD Providers,
First of all, we would like to personally thank our providers for the years you have trusted Claim.MD with your electronic claims. We realize that you have a choice in selecting a clearinghouse, and we appreciate and respect the trust that you place in us.
2011 promises to be a year of big change, but at least with your electronic claims, the impact of those changes should be minimal. In fact at least on the Claim.MD side, the system is only getting better, with an entirely new system that you will be upgrading to over the next months.
We are hearing from our providers that they are getting letters and questions coming from many directions asking “ARE YOU READY FOR 5010” ?!??! Over the next days and weeks we will be sending out a series of guides through this blog (www.claimmd.blogspot.com) about navigating the upcoming changes considering all the systems that you rely on for your day-to-day patient care and payment.
This is a lot of information, and our intention is to keep it on a manageable level, with various topics released through upcoming weeks. These are short, to the point topics, and they are posted in a blog so responses and comments are live and interactive. We hope you will reply to topics and share your own experience or questions about the issue. Then we will begin to accumulate a knowledge-base of information that relates to various billing systems, consultants and resources, known issues (or known fixes) for special situations, etc.
This blog is open to anyone who uses Claim.MD or works with a particular Claim.MD account. You may invite your billers to the blog, as well as an administrator who will follow the progress there as well.
The order of topics for the next few weeks are as follows:
ANSI 5010 and your Billing System
First of all, we would like to personally thank our providers for the years you have trusted Claim.MD with your electronic claims. We realize that you have a choice in selecting a clearinghouse, and we appreciate and respect the trust that you place in us.
2011 promises to be a year of big change, but at least with your electronic claims, the impact of those changes should be minimal. In fact at least on the Claim.MD side, the system is only getting better, with an entirely new system that you will be upgrading to over the next months.
We are hearing from our providers that they are getting letters and questions coming from many directions asking “ARE YOU READY FOR 5010” ?!??! Over the next days and weeks we will be sending out a series of guides through this blog (www.claimmd.blogspot.com) about navigating the upcoming changes considering all the systems that you rely on for your day-to-day patient care and payment.
This is a lot of information, and our intention is to keep it on a manageable level, with various topics released through upcoming weeks. These are short, to the point topics, and they are posted in a blog so responses and comments are live and interactive. We hope you will reply to topics and share your own experience or questions about the issue. Then we will begin to accumulate a knowledge-base of information that relates to various billing systems, consultants and resources, known issues (or known fixes) for special situations, etc.
This blog is open to anyone who uses Claim.MD or works with a particular Claim.MD account. You may invite your billers to the blog, as well as an administrator who will follow the progress there as well.
The order of topics for the next few weeks are as follows:
ANSI 5010 and your Billing System
- What does this mean on a day-to-day basis?
- How will 5010 impact my electronic claims?
- Will you change billing systems for ANSI 5010 compliance?
- Will you update your existing billing system for ANSI 5010 compliance?
- What if you do not have support for your billing system?
- New System - discussion of features and benefits beyond 5010 compliance
- Remittances - important to have everything from the claim to the payment in printable Claim History document.
- In some cases we can do custom cross-walks for 5010 diagnosis and procedure codes if necessary
- No fee to upgrade to the new Claim.MD !!
Other Issues to consider
- Superbills, Lab Forms and Referral Forms (all diagnosis codes and procedure codes change)
- Charge master files in your billing system (procedure codes will change)
- Confirming with payers when your contract will adjust to begin allowing the new codes, and when they will be requiring the new codes
Each bullet point above will be explored in more depth in a weekly posting. After a topic is posted, you can then add your comments &/or questions to the blog, and we will respond. The interactive nature of the blog will be an excellent way to share information.
Sign up to follow the blog, and we look forward to hearing from you as we discuss the upcoming topics.
And again, thank you for being a Claim.MD Provider. We're looking forward to working with you in 2011 and beyond!
Rob Wheeler (President)
Sign up to follow the blog, and we look forward to hearing from you as we discuss the upcoming topics.
And again, thank you for being a Claim.MD Provider. We're looking forward to working with you in 2011 and beyond!
Rob Wheeler (President)
Nihal Titan (Sr. Vice President)
