Issue #66
February 24, 2009
Editor: Laura J. Pugh
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Issue #66 February 24, 2009 Editor: Laura J. Pugh |
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ATTN: NHIA ATTENDEES Have you looked at the HCPC / Additional Info tab of your inventory items lately? You may be surprised by what you find there. We have incorporated many of the features of the Special Price Matrix into the inventory setup so that they may be used in conjunction with billing setup for your Medicare payors.
Date Spanning One of the challenges faced by persons billing Medicare is the issue of date spanning. Certain items require that dates be spanned when transmitting to Medicare, while other items require that only a single date of service be transmitted. What is the best practice for handling these situations? We gave this some careful consideration and decided that we would add logic into the system that, based on the payor being Medicare, determine whether or not to date span. If this option is set for that item not to span, then the "copy up" would use the From date as both dates of service in the claim. How does it work? We added a checkbox to each item in Inventory in the HCPC Info box that is labeled "Span dates?". This checkbox signifies to the program that dates should or should not be spanned. If the box is checked, then CPR+ uses the From and To dates on the Delivery Ticket as the Dates of Service on the claim (just like it works now when you are copying up from a delivery ticket onto an invoice). If the box is NOT checked, then when copying up ticket items, CPR+ uses the From date for both the Start and the Stop dates on the line item. It is important to note that this logic applies to MEDICARE PAYORS ONLY. This feature also applies to claims creation from the Batch Billing function in Ready-to-Bill. Billable Checkbox For many years the Special Price Matrix has housed a “$” column that indicated if the item was billable to the payor assigned to the matrix. There has, heretofore, not been a method of defining this variable for Medicare payors because we frown upon creating Special Price Matrices for Medicare payors (and if you don’t know why this is, please contact a trainer immediately). The Billable checkbox now appears in the HCPC Info box of all inventory items. This checkbox is used as an indication of an item’s being billable to Medicare if checked. Use the 80/20 rule to determine the inventory default for each item. Not Covered Checkbox The Not Covered checkbox is also used in the same manner as its equivalent in the Special Price Matrix. If the user is creating a Delivery Ticket that is assigned to a Medicare payor and the box is checked, that user will see the item in the selection window. This would be applicable for all of those “comfort and convenience” items that Medicare does not cover. (I may be speaking out of turn here, but, we have programming in the works that will allow a user to select a Not Covered item and then assign a different payor to it. But don’t tell anyone, it’s a secret). NovoLogix, formerly known as ACM, is a third-party claims processor. They have contracted with certain Anthem plans for claims submission beginning March 1, 2009. This means that claims for patients with certain Anthem plans have to go to NovoLogix, who will then send the claims on to Anthem. How do the claims get to NovoLogix? The answer is: Directly from CPR+! Several years ago, we created an interface with ACM, now NovoLogix, that is still in place. If you are not already set up to submit claims through NovoLogix, there are a few steps that need to be completed. To begin:
If assistance is needed with setup in CPR+, please contact Customer Support and have your EDI Application and FTP login and password handy. |
Medicare Delivery Using NovoLogix with Anthem CPR+ Quick Survey: Announcements: ListServ Recap: "Crackberry" Addicts Wanted
Thanks! FoxFire! Report Writer for CPR+ Reminder! February is almost gone… only four days remaining to take advantage of the FoxFire! Report Writer for CPR+ Special Pricing offer. When you purchase FoxFire! Report Writer, you can subscribe to our Report Library Service. This subscription allows you to download and modify reports from the CPR+ Report Library, and receive design and support assistance from our Report Library Service Team. With the Report Library, you will get insight as to what kind of reports other CPR+ customers are running, making the Report Library Service an unparalleled tool in your information arsenal. Receive 10% off the module price when purchasing FoxFire! Report Writer for CPR+ during the month of February. Contact Erika Salvato for more information. Shaded Lines on Reports Many of you monitor one or more of the CPR+ email message boards – CPR+ Listserv, Clinical Listserv and the new HME Talk. Last week on the Clinical Listserv, there was a discussion regarding the shaded lines on the printed Medication Profile, specifically, the difficulty some customers have when reading faxed copies of these reports. The purpose of the green lines was actually to make the row-oriented reports easier to read. Basically, this comes down to personal preference – some customers love the alternating green lines, others don’t. Thanks to your feedback, we've learned that they don’t fax well. One customer suggested printing the report to a .PDF format and indicated that this solution works well for her. If, however, you’d simply like to turn OFF the shading, contact Customer Support. Don’t forget, you can use the BLUE PLUS SIGN on the toolbar and select Chat for fast service. A CPR+ Customer Support Representative can walk you through the change in under 60 seconds. As Ann Porter pointed out on the Clinical ListServ, the setting is called REPORTDETAILLINESHADING. Patient Specific
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If you get short of breath when your Blackberry signals “no bars” or your iPhone says “low battery”, we need your help. We’re currently working on adding smartphone integration to CPR+ Web Portal. This enables you to securely access your CPR+ patient data as easily as doing a Google search. The challenge is in designing screen layouts that will handle the many different screen sizes and resolutions of the available cell phones.
Tell us which smartphone you carry, and we’ll do our best to include your phone in our design specs.
