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5010
Requirements are Being
Tested at Prime
Clinical |
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Implementation
of Ansi 5010
and ICD-10
Prime
Clinical Systems
is currently testing
the Ansi 5010
requirements,
and has passed
the first Edit
Phase of the Translator
Testing with Palmetto
GBA. Once Palmetto
is ready for the
next Phase, Prime
Clinical will
commence with
the testing in
preparation for release
in the third quarter
of 2011.
Both
OnSTAFF Intellect
and OnSTAFF 2000
have the necessary
changes completed
in the database
for the ICD-10
requirements.
Testing for ICD-10
will follow the
Ansi 5010 testing.
To
update your system
with the new ICD-10
files, you may
purchase the codes
from any source
you choose. However,
the format must
be in ASCI.
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User
Meetings
PCS
held two User
Meetings this
year: one in the
Southern California
region held February
9th, and a second
in Northern California
held March 10th
and 11th.
At
both User Meetings,
various vendor
partners attended
and were available
throughout the
day to answer
questions about
their products
and services.
Vendors included: Ingenix
(formerly ENS),
Gateway EDI, P-verify,
Dragon, and the
Summit Funding
Group. In addition
to vendor presentations,
special guest
speaker Kathy
Montoya discussed
Palmetto GBA J1
Medicare Part
B for CA and NV,
and Meaningful
Use.
Prime
Clinical staff
covered new features
and implementation
of features. Carole
Hawkins, Stephanie
Dilliard, and
Celeste Seibert
presented Intellect
information, and
PCM information
was covered by
Glen Zhou, Cindy
McMichael, Oliver
Cautivar, and
Stephenie Sargiotto.
The
Northern California
meeting had guest
speaker Sheilia
Cook, the office
manager at a Northern
California orthopedics
office who uses
the PCM and Intellect
products, discuss
how they implemented
the PCM product
into their offices
and sharing some
of her techniques
for success.
Using
what worked in
this set of User
Meetings, along
with the suggestions
provided by clients,
Prime Clinical
Systems is in
the process of
planning our next
set of User Meetings.
With your suggestions,
we will continue
to improve on
the format and
usefulness of
the presentations.
Watch for dates
in the upcoming
Prime
Time News
newsletters, and
we hope to see
you at the next
User Meetings.
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PCM
Meaningful Use
Workshops
Prime
Clinical Systems,
Inc. is currently
offering workshops
to help providers
and staff learn
more about Meaningful
Use. The workshops
are for PCM version
5.5.600 and above
and cover various
Meaningful Use
objectives as
requested by users
upon joining the
session. If
you have any requests
for a certain
topic to be discussed
during the upcoming
session, please
email your request
to Glenn@primeclinical.com
in advance.
To
access the workshop
schedule, go to
our website (click
here),
log-in, click
on the [Workshops
& Ongoing
Classes] button,
select PCM Workshops,
then Hosted Workshops,
and then Meaningful
Use.
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Intellect
Adds
New Claim Scrubbing
Vendor
Ingenix
(formerly ENS)
is now working
with Prime Clinical
Systems, Inc.
as a third-party
vendor in regard
to claim scrubbing.
Prime Clinical
also continues
to work with Silver
Bill-It for claim
scrubbing.
Claim
Scrubbing is a
process where,
prior to billing,
your diagnosis
and procedure
information is
transmitted 'real
time' to a vendor
who passes the
claim through
a series of edits.
Any errors are
immediately reported
in a pop up window
on your claims
entry screen -
allowing staff
to correct the
claim at that
time. Claim Scrubbing
can dramatically
decrease the percentage
of rejected and
denied claims.
For
additional information
on the types of
scrubbing edits
offered by Ingenix
and Silver Bill-It
and how to
sign up for claim
scrubbing, please
click here.
For
more information
regarding system
requirements and
claim scrubbing
training, please
contact Prime
Clinical at support@primeclinical.com.
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Reduce
Costs of Rejected
Claims
In
2009, a study*
conducted by the
Medical Group
Management Association
found that 15%
of claims are
rejected or denied,
necessitating
rework and resubmission.
The study also
listed $25 as
the average cost
per claim for
rework and resubmission,
which translates
to approximately
$68,000 per physician
per year in time
spent interacting
with payers. If
the cost was that
high in 2009,
imagine what it
is now? Intellect
can help you reduce
those costs.
Read
more>>
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CMS
Advised by GAO
to Resolve Disparities
in Incentive Program
The
Government Accountability
Office (GAO) issued
a report in which
it stated, "CMS
must resolve differences
in the meaningful
use and electronic
prescribing incentive
payment programs."
The
Meaningful Use
program and E-Prescribing
program incentives
are discussed
in the report,
including the
inconsistencies
in the incentive
programs.
Per
Modern
Healthcare
2/18, the GAO recommended
that the CMS administrator:
•
Advise health
care providers
to adopt certified
EHR systems
•
Eliminate
any overlapping
e-prescribing
reporting requirements
in the two programs
•
Review whether
health care providers
who receive e-prescribing
incentive payments
are meeting the
program's requirements.
To
read the GAO report,
click here.
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HPTC
Update April 2011
In
the article linked
below, the lefts
for Medicare and
medicaid Services
(CMS) have released
the summary of
changes reflected
in the Health
Care Provider
Taxonomy Code
(HPTC) list. A/B
MACs will update
their HPTC tables
with this new
version effective
on April 1, 2011.
Providers are
encouraged to
review the information
and to share with
their staff.
To
access the article,
click here.
This
article is also
available on Prime
Clinical's website. After
logging in, click
on Newsletter,
select
Industry News,
then Palmetto
Medicare,
and then HPTC
Update April 2011.
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Surescripts
to Support
Public Health Reporting
Electronic
prescribing vendor Surescripts
will work with
the American Hospital
Association and
the College of
American Pathologists
to enable hospital
laboratories to
electronically
transmit data
on reportable
laboratory results
to public health
agencies via the
Surescripts national
network.
Read
more>>
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New
Nationwide Collaboration
To Leverage EHRs
To Improve Care
Three
major health organizations
have teamed up
to launch a program
designed to improve
outpatient care
by increasing
physicians' access
to data through
electronic health
records, Healthcare
IT News reports.
The
three groups collaborating
on the Guideline
Advantage program
are:
•
The American
Cancer Society;
•
The American
Diabetes Association;
and
•
The American
Heart Association/American
Stroke Association.
Read
more>>
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New
Employees and
Position
Change
PCS
has expanded with
four new employees and
a position change.
Southern
California:
Those
of you who are
PCM clients may
have already worked
with Glen
Zhou.
He started at
Prime Clinical
in support, moved
to training, and
is now a PCM product
specialist, teaching
our Meaningful
Use Workshops.
Glen has a bachelors
degree in computer
science.
Our
Pasadena office
has also recently
added Alen
Davoodian
in PCM in
training and implementation.
Alen
has
an
Associated Degree
in Computer Programming
from Azad University
in Tehran and
has been providing
computer support
and training since
1996.
Alen
Shahnazari
received
his bachelor's
degree in Material
Science Engineering in
Iran and worked
there building
computers before
coming to the
United States.
Once here, he
graduated from
IDT with a certificate
as a Microsoft
Certified Information
Technology Professional.
Here at PCS, Alen
builds servers,
installs programs,
and troubleshoots
customers' hardware
issues.
Northern
California:
When
you call the Northern
California office
you may hear some
new voices. Please
join us in welcoming
Brijal Soni, our
new Product
Specialist
and Lisa Siharath,
our new Account
Developer.
Brijal
has
a degree in computer
science and experience
working with physician
practices in the
implementation
of EMR and Practice
Management systems.
She is bright,
pleasant, and
very easy going.
Brijal can be
reached at ext.
758.
Lisa
is
working on her
degree in Marketing
and has an extensive
background in
new account development.
She will be out
in the field most
of the time and
you will enjoy
her energy and
enthusiasm if
she happens to
pop into your
office to say
"hi!".
Lisa can be reached
at ext. 752.
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Saturday
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