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Quick
Response to
ANSI 5010 Problems
For
the fastest solution
to your ANSI 5010
problems, email
the problems to
us at ANSI5010@primeclinical.com.
Be sure and attach
a copy of the
rejection document
for a quicker
response!
As
we become aware
of new errors
and find the solutions,
we publish them
on our website
for your reference.
Access our solutions
by logging-in,
clicking on the
[Newsletters
& Email Notices]
button, and then
selecting
5010.
From there:
Select
Answers
to FAQs,
which includes
answers to
general questions,
including
zip code issues.
This option
has been reformatted
for ease of
use. Additions
have also
recently been
made to this
option, with
new items
added to the
top of the
section to
which they
belong.
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Save
the Date!
Our
3rd Annual Users
Meetings for 2012
have been scheduled!
Northern
California
Mark
your calendar
for Friday, March
30,
to attend in Walnut
Creek, CA or Wednesday,
April
4,
to attend in Modesto,
CA. Questions?
Please contact
Ashley at ext.
753.
Southern
California
Save
the dates of Wednesday,
September
12,
or Thursday, September
13,
to attend in Glendale,
California. Call
Marty, at ext.
222, to register.
Watch
upcoming newsletters
for details and
more information.
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Client
E-mail Notices
Periodically
we send e-mails
to our clients
with relevant
information. It
is to your advantage
to read these
e-mails and incorporate
the information
as necessary.
To view the e-mails
sent since the
last newsletter,
click here.
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New
PCM Features
Quite
a few new features
have been recently
added to PCM.
How many of them
have you tried?
Hotkeys
have been
added to a
lot of PCM
screens. On
several PCM
screens users
will notice
an underlined
letter on
a button or
Menu; the
underlined
letter means
that if you
pressed
ALT+the
underlined
letter, you
can make the
button/menu
work without
using your
mouse. This
is especially
useful for
Dragon users.
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Meaningful
Use:
PDF and Workshops
CMS
has produced a
.pdf titled "EHR
Incentive Beginner's
Guide".
The link is also
available from
our website by
logging-in, clicking
on the [Meaningful
Use Training Materials]
button, selecting
the Welcome
page, and then
selecting the
link under the
heading "CMS
Links and PDFs".
Our Meaningful
Use workshops
have also resumed!
Monday workshops
are offered from
10:00 a.m. to
11:00 a.m. PDT;
click here
to register. Thursday
workshops are
offered from 12:00
noon to 1:00 p.m.
PDT; click here
to register. As
in the past, recorded
workshop sessions
are also available.
Click here
to view the latest
Monday session,
or click here
for the latest
Thursday session.
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Reducing
Claim Rejections
Using Intellect
Edits
Because
the 5010 requirements
have changed,
we've added several
new edits to Intellect
you can set up
within the program. These
include hard edits
which do not allow
you to continue
until corrected,
and soft edits
which are warnings
that allow you
to continue without
requiring changes.
Read
more>>
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Viewing
ANSI 5010 277CA
Files
Are
you taking advantage
of our 'Access
Claim Report'
option to review
your rejected
claims, fix them
from the same
screen, and rebill?
This option, under
Billing/TeleCom,
was initially
added in October
2011 for users
of OptumInsight
(formerly ENS/Ingenix)
to view ANSI 5010
reports and 277CA
files; however,
all payers and
clearinghouses
may use it as
long as the report
comes in as a
277CA file.
Read
more>>
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Capturing
Screen Images
in Intellect
Effective
version, 9.12.27,
you can now easily
take screen shots
of any Intellect
screen. Having
the ability to
capture the information
on your screen
is useful for
training new employees,
remembering how
to select a favorite
report, or to
report 'suspicious
program behavior'
to the PCS support
staff. Holding
down the Ctrl
key and pressing
the letter L will
capture the image
currently on the
screen. A printer
dialog box then
pops up, allowing
you to select
a printer, to
which the saved
screen image will
be sent, and then
enter the number
of copies to be
printed.
The
ability to capture
the screen using
the Print Screen
button and paste
it in a word or
notepad document
is still available.
Pasting the screen
shot in a document
allows you to
save the image
on your workstation,
to add typed notes
regarding the
information on
the screen, type
in step-by-step
procedures to
follow, and the
ability to refer
to it in the future.
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New
Option in
Online Documentation
A
new main menu
option of Peripherals
and Equipment
lists specifications
and additional
information for
a dialogic board,
the Dymo label
printer, a magnetic
stripe card reader,
and scanners.
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HHS
Publishes
Core Medicaid Quality
Measures
The
Department of
Health and Human
Services has announced
the initial core
set of 35 health
care quality measures
for Medicaid-eligible
adults, which
states can voluntarily
use to facilitate
quality improvements.
Read
more>>
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Palmetto
ERN/ERA
Tips & Time
Savers
On
September 30,
2011, Palmetto
posted tips and
time savers to
their website
(http://www.palmettogba.com)
to help you make
the most of Electronic
Remittance Notices/Advices
(ERNs/ERAs).
Click
here
to access their
information.
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Researchers
Use 'Virtual Patients'
To Safely Test
Health Care Procedures
Researchers
are using computerized
models known as
"virtual
patients"
to test medical
devices and procedures
that might not
be practical with
real patients
because of safety
risks, the Wall
Street Journal
reports.
Read
more>>
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HIPAA
5010: What's Triggering
Denials and Rejections
By
Carl Natale, ICD10
Watch, Posted
on Tue, Jan 24,
2012 - 01:48 pm
We've
been using HIPAA
5010 standards
to transmit electronic
medical claims
for a few weeks.
How's that working?
While it's tempting
to assume that
no news is good
news, you should
watch out for
any medical claim
rejections and
denials. According
to Ken Bradley,
vice president
of strategic planning
at Navicure, there
are problems that
are exposed now
that healthcare
payers are dealing
with a full load
of medical claims.
Read
more>>
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Medicare
Fee-for-Service
Editing
The
lefts for Medicare
and Medicaid Services
(CMS) is underway
with implementation
activities to
convert from Health
Insurance Portability
and Accountability
Act (HIPAA) Accredited
Standards Committee
(ASC) X12 version
4010A1 to ASC
X12 version 5010
and National Council
for Prescription
Drug Programs
(NCPDP) version
5.1 to NCPDP version
D.0.
As
part of this implementation,
Medicare Fee-for-Service
(FFS) is utilizing
codes sets for
editing of the
inbound ASC X12
version 5010 transactions. These
codes sets are
listed in the
ASC X12 Technical
Report Type 3
(TR3), also known
as an Implementation
Guide.
Read
more>>
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Study:
E-Scripts
Improve Medication
Adherence
A
study of de-identified
pharmacy data
finds patient-first-fill
medication adherence--the
number of times
a patient actually
fills a new prescription--increases
by 10 percent
when the prescription
is electronic.
Read
more>>
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New
Employees
Northern
California
Emily
Snyder
is
the new Northern
CA PCM trainer
assistant. Her
past experience
includes working
at Medical Pay
Solutions as a
Customer Care
Account Manager,
and running a
Landscape Design
business while
pursuing a Landscape
Architecture Certificate
at Cal (Berkeley)
Extension, which
is still in process.
Emily is especially
focused on customer
service and problem
solving.
Southern California
Aurita
Howard
recently
joined Prime Clinical
Systems as a PCM
trainer. Aurita
has a Medical
Assisting Certificate
and has worked
for a diagnostic
clinic and chiropractic
office. She is
working towards
her Bachelor's
Degree in Health
Information Management
with Herzing University
Online. Prior
to switching to
the Healthcare
Industry, she
has over 10+ years
experience in
Marketing and
Administration
working for Fortune
500 companies
such as Hilton
Hotels Corporation,
Warner Bros.,
Aramark Uniform
Services and Nestle
Waters.
Anthony
Johnson,
our new Software
Support Representative,
is from Walnut,
CA. He is a Veteran
of the United
States Army 82nd Airborne
Division. He also
graduated from
California State
University of
San Bernardino
with a Bachelor
of Health Science
with a concentration
in Health Care
Management. In
his spare time,
Anthony enjoys
playing and watching
basketball.
Position
Changes
Diane
Bridges
is
now working as
Intellect Product
Specialist, as
of January 2012.
In this position,
she will continue
working with programming
to add new features
to the product,
test modifications,
and support Intellect.
Aaron
Mayfield
has
taken on the role
of PCM Product
Specialist where
he supports the
training/support
team with outstanding
issues and/or
problems occurring
onsite, and assists
the Sales team.
Stephanie
Dillard
now
serves as a Project
Manager, leading
project management
activities and
working with provider's
offices to ensure
successful implementation
of Electronic
Health Records.
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Saturday
Evening Post.
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Since
we began in 1983,
Prime Clinical
Systems has never
looked back as
a company. Thriving
with the most
energetic and
knowledgeable
employees, Prime
Clinical continues
to help practices
achieve their
goals of eliminating
their paper charts
and accomplishing
quality and accuracy
in patient care.
We take great
pride in the excellence
that we stand
for as a company
and celebrate
our achievements
every day.
 'Complete
EHR'
Certification:
Prime
Clinical has kept
our commitment
to our clients
by using the latest
technology and
being among the
best in the industry.
We are pleased
to announce that
our integrated
Ambulatory Electronic
Health Records
(EHR)
system, Patient
Chart Manager
V.5.5 has been
awarded an ONC-ATCB
"Complete
EHR Certification"
by infoGARD, December
2010. Our certification
number is: IG-2402-10-0011.
This Complete
EHR is 2011/2012
compliant and
has been certified
in accordance
with the applicable
certification
criteria adopted
by the Secretary
of Health and
Human Services.
This certification
does not represent
an endorsement
by the U.S. Department
of Health and
Human Services
(HHS) or guarantee
the receipt of
incentive payments.
Features
Include:
EHR Practice
Management Electronic
Billing Eligibility
Verification Claim
Scrubbing Patient
Portal E-Prescribe HL7 DICOM Compatible
with Voice
Recognition
Software CallSTAFF
(Built-In
Appointment
Notification
Feature) Text
Message and
Email Appointment
Reminders Automated
Patient Recall
System
Prime
Clinical Systems,
Inc.
3675
E. Huntington
Drive, Suite A
Pasadena,
CA 91107
(626)
449-1705
www.primeclinical.com
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