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  March/April 2013 Issue                                                                                                                       Volume 6, Issue 2      

 

 

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Spring Into a New Quarter!


Jurisdiction E Awarded
~Announced September 20, 2012~
Noridian Administrative Services
(NAS)

 

Prime Clinical has made contact with Noridian. We are waiting for their 'official' information to begin the process, and will be updating all of our clients as the information is made clear.

 

Please note the following from a presentation by Noridian at our March 22, 2013 Northern California User Meeting:

   

Transition timeline:

To be announced

Watch websites

 

3.5 million beneficiaries:

Part A & B

Fee-for-service

8.9% of overall national volume

 

Questions:

Brenda Clark

(410) 786-5165

Brenda.Clark@cms.hhs.gov

   

 

PCS Administrative Notes

 

Northern CA Users Meeting
a Success!

      

Access N CA User Mtg Info

Our 4th Annual Northern California Users Meeting was held this year on Friday, March 22, 2013.  

 

We would like to thank all of our clients who attended this year to make it a wonderful day of presenting new and upcoming features!  

 

We have published the presentations -- just click on the [North Cal. March 22, 2013] button to review them at your convenience! If you missed our Users Meeting this year, we hope to see you next year ... or come to our Southern CA User Meeting in October!  

  

 

 

Save the Date!     

 

Our 4th Annual Users Meeting in Southern California will be held at the Embassy Suites in Glendale, CA:

 

  • Wednesday, October 2, 2013

  • Thursday, October 3, 2013

 

To register, contact Marty Beteta at 626-449-1705, ext. 222, or marty@primeclinical.com.

  

 

 

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.  

  

 

 

Website Additions

 

The following documents were published to the News website since our last newsletter:

 

Institutional CMS-1500 Claim Form Crosswalk 

J1 Part B Entering Beneficiary Information 

Phase 2 Referring/Ordering Provider Req - SE1305 

 

These documents may be accessed by logging-in to our website, and clicking on the [Newsletters & Email Notices] button.

 

 

Workshop Update  


Electronic Billing Report Webinar
Time Change

 

The Electronic Billing Report class has been moved to the 4th Monday of the month from 1:00 - 2:00 p.m. PST.  Register for the Webinar prior to the next scheduled date (April 22, 2013), or view a recorded session

 

To see a list of all available webinars and group training, log-in to our website, click on [Training Tools], then [Webinars and Videos].    

 

 


PCM & Intellect

Daily Training Forum

 

Need help? Register for our Daily Training Forum! The hours for our PCM/Intellect Daily Training Forum are: 

 

Tuesday 2:30 p.m. - 3:30 p.m.

Wednesday 11:00 a.m. - 12:00 p.m.

Thursday 10:00 a.m. - 11:00 a.m.

Friday 11:00 a.m. - 12:00 p.m.   

   

For questions or additional information, please email Train@primeclinical.com. Please include your Client ID, name and contact information.  

 

 

PCM News


PCM New Features Coming Soon ...

 

In the near future, the PCM program will include:

 

 

Watch for our email announcing the availability of these features.  

 

 

Intellect News

 

Is Your Software Current?


Intellect software version 13.03.01 was released March 1, 2013. Read the Press Release, or the detailed version 13.03.01 Release Note for update information.

Don't forget, a New and Enhanced Features webinar is offered each 1st and 3rd Friday from 1:00p.m. - 2:00p.m. PDT. Click here to register.

 

 

 

View Unapplied Credits/Debits on the Automatic Payment Journal Report      

 

As of software version 13.03.01, unapplied credits or debits on the ERA that comes from the payer now display on the Automatic Payment Journal report. These items could include a loan repayment, a capitation payment, a partial refund, etc.

 

Note: The report displays 'Unapplied Credit' whether or not the amount is a credit or debit.

 

 

 

Use a New Field to Select/Filter
Patient Email Addresses
     


To allow more flexibility in selecting and filtering patient email address, a new Month of Birth field was added in version 13.03.01 to both the
Send News Letter and Print News Letter Report screens. The default for this field is blank, meaning all 12 months of the year are selected. To limit patient email addresses, the drop down list may be used to select a specific month. 

 

 

 

See Both the HMO and Actual Paying
Insurance Accounts       


In a prior software version, when clients submitted Eligibility through Gateway, Intellect did not populate all the return information on the HMO patients. As of version 13.03.01, if a patient has an HMO account but another insurance company is the actual payer, both insurance companies are displayed.

  

For example, if a patient has the HMO Aids Healthcare Foundation and the actual payer processing claims through the HMO is Aetna, Aetna displays on the Insurance Info tab, and Aids Healthcare Foundation (the HMO) displays on the Eligibility History tab.   

 

 

 

Control ICD-10 Selection Box
for <Diagnosis> Field        


Prior to the 13.03.01 update, the <Diagnosis> field on the Charge screen could display an ICD-10 selection box, depending on the date entered in the <ICD10 Effective Date> field on the Utility--►Set Up--►Parameter screen.

Now, the Y/N options for the new <ICD10> field on the Utility--►Category screen also affect the ICD-10 selection box display. If the <ICD10 Effective Date> is set to display an ICD-10 selection box, 'Y' will allow it to display, whereas 'N' will not display the ICD-10 selection box when users post using an ICD-9 code.  

 

 

Unix News   

  Join the Movement 

 of UNIX Users 

getting ready for the
ICD-10 transition

Attend a meeting to learn more about the Windows platform  

   

Meeting topics include:

 

ICD-10 Requirements and Readiness to
Prevent Revenue Loss!!!!!

Server Hosting Options

Crosswalk available from ICD-9 To ICD-10

Pricing

Federal Stimulus Monies that may be available  

  

Attend at

Prime Clinical Systems, Inc.
3675 E Huntington Dr, Ste A
Pasadena CA 91107

Thursdays: April 11th or 18th
Wednesdays: May 15th or 22nd

at 9:00am or 1:00pm

 

Space is limited!
RSVP by April 3rd to reserve a spot!
 

 

- OR -  

  Attend on the web!

Monday: April 15th - 9:30am to 11:30am
Thursday: May 9th - 2:00pm to 4:00pm
Monday: May 20th - 2:00pm to 4:00pm

  

 

Contact Marty at 626-449-1705, ext. 222, or marty@primeclinical.com.

** Special discount available to all attendees ** 

 

 

ICD-10    


CMS Updates ICD-10
Implementation Handbooks

 

The latest addition to CMS' library of resources is a collection of implementation guides. 

 

Click here to view what's available.

 

 


ICD-9 to ICD-10 Transition

 

Per CMS, the effective date for the ICD-9 code transition to ICD-10 codes has been re-scheduled to October 1, 2014. CMS and other payers will not be able to process claims until after the compliance date, but providers should expect ICD-10 testing to take up to 19 months. PCS is ready for the transition, are you? 

 

Read more>>

 

 

Industry News 

 

Mandatory Payment Reductions in the Medicare Fee-for-Service Program - "Sequestration"     


Sequestration requires across-the-board reductions in Federal spending. CMS released Article PE201303-02 which is directed to all Health Care Professionals, Providers, and Suppliers regarding the Medicare Fee-for-Service (FFS) program (i.e., Part A and Part B). For information on reductions in payments and adjustments, read the full article here.

 

 

 

4 Things to
Reduce Adverse Audit Risk   


Extracted from a blog by Martin Merritt, February 17, 2013, Audits, Coding, Law & Malpractice

 

What can physicians do to minimize the chances of an unfavorable audit? Mary Pat Whaley, a coding expert with Manage My Practice, LLC, based in Durham, N.C., shared her insights, offering four things physicians can do immediately to reduce risk of adverse audits:

 

First: Clear up the confusion over midlevel providers (MLPs)

 

Second: At least annually, internally audit your coding/billing department, your billing service or third-party vendor.

 

Third: Do not assume either newly hired physicians, or seasoned veterans, understand and are properly trained as to CMS' current expectations.

 

Fourth: Proper training and regular outside auditing is an excellent defense against the dual hazards of over- and undercoding.

 

Read details here>>

 

 

  

5 Common Coding Errors in
Medical Practices        

 

Medical practices are concentrating on critical practice changes in 2013, but it is important not to lose focus on the basics of coding. Don't be guilty of these common errors:

 
1. Randomly using modifiers.
2. Selecting the wrong procedure code.
3. Failing to link diagnosis codes.
4. Using a nurse visit in place of another service.
5. Not keeping up to date.

Read the details>>

 

 

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Man and Housebroken Dog 

Saturday Evening Post    

 

 

Company Information 

 

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.

   

InfoGard Complete EHR logo'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 Ambulatory Complete EHR is 2011/2012 compliant and has been certified by an ONC-ATCB 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 Arrow ChartFeatures 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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