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Survive
ANSI 5010 Changes! |
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How
to Survive
the Change to ANSI
5010
The
change to ANSI
5010 is just around
the corner and
we realize people
are getting anxious.
To ease your concerns,
we have put all
of our 5010 information
into one place
- here, in this
article. This
article contains
a recap of the
information already
provided via e-mails,
and the status
of our 5010 update.
Read
more>
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Users Meeting
in
Southern California
With
the focus on Meaningful
Use, we will be
discussing what
it all means and
how it affects
you. Join us at
the Embassy Suites
in Arcadia, CA
on either Wednesday,
October 12, or
Thursday, October
13 -- the same
information will
be given each
day. Morning refreshments
and lunch will
also be served.
Early
registration has
already closed,
but you may still
register through
October 5th. Please
contact Marty
at marty@primeclinical.com
to register or
get additional information.
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Client
Email 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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Prime
Clinical's
Northern CA Office
has Moved
With
ten employees
now in the Northern
California office,
it was necessary
to move in August
to a larger suite.
PCS can now be
found at One Annabel
Lane, Suite 109,
San Ramon, CA
94583. The phone
number remained
the same: 925-275-3113.
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New
Features
in PCM 5.5.900
Version
PCM
Version 5.5.900
is soon to be
released! Updates
have been made
in Preventative
Services, Patient
Reminders and
Treatment Plans,
Filing, Patient
Data Tables, User
Privileges, and
Miscellaneous
Changes. Click
here
for a list of
new features that
will be included.
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Most
Common Claim Rejections
Each
month a report
is issued listing
the most common
reasons that claims
are rejected.
In an effort to
help you submit
more accurate
claims, click
here
for a list of
the most frequent
rejection reasons
in June, July,
and August, and
the steps you
can take to correct
your claims.
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Health
Care Provider
Taxonomy Codes
(HPTC) Update
The
Centers for Medicare
& Medicaid
Services (CMS)
has released the
summary of changes
reflected in the
Health Care Provider
Taxonomy Code
(HPTC) list. Medicare
contractors will
update their HPTC
tables with this
new version effective
on January 1,
2012.
•
The
Health Insurance
Portability and
Accountability
Act (HIPAA) requires
that submitted
data, which is
part of a named
code set, must
be valid data
from that code
set
•
Claims
accepted with
invalid data are
non-compliant
•
Stay
current on all
HIPAA requirements
to insure timely
processing of
your claims
The
HPTCs are updated
twice per year,
in April and October.
The summary of
changes effective January
1, 2012 can be
accessed by clicking
here.
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Capario
Changes to ANES
5010
Many
of our clients
using Capario
as their clearinghouse
are receiving
some publication
related to 5010
to be more aware
of the upcoming
changes and their
options. We wanted
you to know about
the following
Capario website
if you are not
already aware
of it:
http://www.capario.com/resource_center/resource_center_5010_cg_tbr.aspx.
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Ingenix
is now OptumInsight
Optum
is comprised of
three market-leading
business segments -
OptumHealth, OptumInsight
(previously Ingenix)
and OptumRx (previously
Prescription Solutions).
For additional
information on
OptumInsight,
please go to www.optuminsight.com.
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NPI
Reporting Requirements
for 5010
On
May 2, 2011, Gateway
EDI posted an
article regarding
NPI reporting
requirements for
5010. Their article
answered a list
of frequently
asked questions
about 5010 and
NPIs - answers
to some of your
questions may
be on the list!
To read the complete
article, click
here.
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Study:
HIE Cuts Emergency
Dept. Costs
A
study of emergency
department visits
at 10 Milwaukee
hospitals finds
average savings
of $29 per visit
when the attending
physician can
access historical
medical encounter
information from
a patient's insurer
via a health information
exchange.
Read
more>
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Patients
More Likely to
Fill Rx
When EHRs Are Linked
With Pharmacies
Patients
are more likely
to fill prescriptions
if they receive
care at an integrated
health care system
that links its
electronic health
records to its
pharmacy,
according
to a study published
in the Journal
of General Internal
Medicine, Healthcare
IT News reports.
Read
more>
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New
Employees
Southern
California
Keley
Johnson
is
a new PCM trainer
and New Client
Coordinator. She
has been working
in the Health
and IT fields
since 2000. She
earned her CompTia
A+ Certification
in PC Repair in
2000 and began
working in tech
support at EarthLink
Inc. More recently
she held the position
of Record Analyst
at Loma Linda
University Medical
Center which combined
patient chart
auditing, quality
assurance for
patient documentation,
using and training
of EMR's. Keley
is currently in
the process of
completing a Health
IT Workforce Training
Program in Clinical/Practitioner
EMR Consulting
and Implementation
at Santa Barbara
City College and
plans to get several
HITPro (Health
Information Technology
Professional)
Certifications
before finishing
an Associates
degree in Health
Information Technology
and certification
as a RHIT (Registered
Health Information
Technologist.
Julia
Miller
is
one of our new
PCM Trainers.
Working in the
medical field
since she was
18 years old,
Julia graduated
from nursing school
with a 3.8gpa
and then worked
primarily in the
trauma/emergency
room department
of local hospitals
in NJ. In 2001,
she moved to California
where she has
worked exclusively
with the medical
community in the
capacity of administration
and billing. Prior
to working at
PCS, Julia worked
for a billing
service for approximately
7 years and has
several billing
designations.
She has also attended
CERT (Community
Emergency Response
Training) with
the LAFD and LACoFD
in the event of
a natural emergency
here in CA.
Nhan
Nguyen
has
recently been
hired to our staff
as a new
Hardware Technician.
He has a BA degree
in Liberal Arts
and is currently
pursuing a BS
degree in Information
Technology. He
currently possesses
several Microsoft
certifications
as a MCP, MCTS,
MCDTC and a CompTIA
Security+. Nhan
has excellent
skills in troubleshooting
Windows Servers,
VMWare, Windows
7, etc. and his
previous experience
in customer service
will be an asset
to our growing
hardware department.
Marina
Morales
is
one of our New
Client Coordinator
working part time
on Mondays, Wednesdays,
and Fridays. She
graduated this
year from Flintridge
Sacred Heart Academy
and is currently
attending the
University of
La Verne, where
she is majoring
in Business Administration
and is part of
the water polo
team there. Before
Prime Clinical,
Marina worked
for LCF Travel
Agency and as
a personal assistant
in a photography
studio and is
ready to take
on the challenge
here at PCS. Marina
can be reached
at ext. 225.
Northern
California
The San Ramon office
has a new voice
on the phone: Krissy
Balch. Krissy
has
rejoined Prime
Clinical and is
the new training
rep for clients
Converting from
Onstaff to Intellect.
Krissy can be
reached at Krissy@primeclinical.com, ext.
761.
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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:
Prime
Clinical is Certified
for
PQRS!
Meaningful
Use is here and
Prime Clinical
Systems is ready!
With Patient
Chart Manager,
your practice
will not only
be on the way
to qualifying
for the maximum
Medicare and Medicaid
Physicians
Quality Reporting
Initiative (PQRI),
but will also
benefit from comprehensive
patient care with
increased information
at your fingertips.
Patient
Chart Manager
is guaranteed
to meet ARRA requirements.
Patient Chart
Manager provides
the required measures
for your practice
regardless the
size or specialty.
Why
change your existing
workflow to adapt
to a system? Let
Prime Clinical
Systems' Patient
Chart Manager
adapt to your
existing workflow.
PQRS
overview: Physician
Quality Report
System (PQRS)
was designed to
gather data from
different healthcare
professionals
in order to improve
the consistency
of patient care,
outcomes, and
prevention. All
of this will be
accomplished with
reward for all
of the healthcare
professionals
who participate
in the data collection.
Healthcare
professionals
will get 1% incentive
on total Medicare
Part B revenue.
Healthcare
professionals
are to use Meaningful
Use Certified
(PQRS Certified)
EHR in order to
get qualified
for the incentive.
Prime Clinical's
Patient Chart
Manager was one
of the first 28
EHRs out of 140
to get Meaningful
Use certification.
Prime
Clinical Systems,
Inc.
3675
E. Huntington
Drive
Pasadena,
CA 91107
(626)
449-1705
www.primeclinical.com
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