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Resolving Revenue Management “Connect, Create, Cancel”

Reconnecting Revenue Management in Medisoft

When attempting to connect to Revenue Management, you may encounter an error like the one shown below.

12

Typically this occurs when the system has lost its connection to the database due to either a reboot of the server or an outage at the office.

If your Revenue Management has been previously configured and connected, but has become disconnected, this video will show you how to reconnect to the database.

Reconnecting Revenue Management when it becomes disconnected in Medisoft

reconnect-revenue

 

Check out our YouTube Channel, for more videos just like this.


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Eligibility Verification Medisoft

Important Update for Relay Health Customers

Relay Health Update

You may have received an announcement that looks something like this

RelayHealth has made some changes in their system that is affecting the ability to send claims and receive reports in Medisoft and Lytec. Our records indicate that you will need to perform an update to correct this issue in your system.

We have created a short video that will walk you through this process. In most cases this is a fairly easy fix. This typically takes about 5 minutes to complete.


In the video you will be directed to the following link: 
Click Here to Download Relay Update

If after following these instructions, you continue to run into any problems or issues, please reply back to this email.

Here is the link to the video:https://youtu.be/doQwuN2sIlo


Relay Health EMF


What does this mean?

Relay Health has updated some of their security settings. When this happens, it requires all users that send claims to Relay Health to update their settings in order to continue sending claims without interruption.


What do I need to do?

In order to avoid issues when sending claims / pulling down reports, this update will need to be performed on all workstations that access Revenue Management.

Due to the impact of this update, we will be offering assistance with the steps if you encounter any issues.

We have also included a tutorial video here on the blog as well as YouTube for the users that want to complete this update themselves.

If you currently send claims to Relay Health and have troubles completing the steps in the video, please call our support department at: 480.497.7480


Need Additional Help?

Important Update for Change Healthcare

 

update red grunge vintage stamp isolated on white background

 Change Healthcare™ Update

(Formerly Emdeon)

 

change-healthcare

 

 

 

You may have received an official announcement that looks something like this –

If you are using either Medisoft or Lytec Practice Management Software with Revenue Management, you are receiving this message because you are using an outdated communication connection with Change Healthcare.  This connection will be terminated on October 31, 2016.  Although we have been able to continue supporting this connection longer than expected our October 31 date is firm.

 

ACTION REQUIRED: 

 

The IP address to which you are connecting must be changed to a URL and a new JAR file must be installed on your system.  Please contact your VAR for assistance.  If you are currently without a VAR please contact Change Healthcare and we will direct you to a VAR.”

 

What does this mean?

Change Healthcare™ has notified AZCOMP that there is a critical update that users of the clearinghouse need to add to their programs.  If you are using the Change Healthcare clearinghouse to submit your claims, all mailboxes will be required to be updated by November, 2016.  This means that you will no longer be able to upload or download any files (claim files & reports) from the clearing house using the old EMF past this deadline.

 

What Do I Need to do?

In order to avoid problems with your Change Healthcare account, this update will need to be performed on every work station that accesses Revenue Management.

Due to the nature of this update, we are offering assistance in this process at no charge.

We have also included this video here on our blog for the ‘tech savvy’ users that are wanting to attempt this update themselves.

If you are currently sending claims to Change Healthcare (Formerly known as Emdeon) and would like assistance with this update, please give us a call at 480-497-7480.

EMF Migration

Be sure to check out all our other  training/support videos and subscribe to our YouTube channel!

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We can help with all your Medisoft/Lytec needs. Give us a call or click the image below to learn more.

How To Requeue A Remit For Your Revenue Management Reports

How To Re-Queue A Remit For Your Revenue Management Reports

Do you ever get an ERA that doesn’t show up in your reports?

Sometimes when you submit claims the remit doesn’t come into your reports, so you need to requeue this. The remit may not come through for a few different reasons. In this video, we will show you how to requeue the remit.

This video is specific to the Relay Health Clearinghouse using Revenue Management in either Medisoft or Lytec.

If you’re having any other troubles that you need help with, be sure to leave us a comment in the comment section of the video. If you like the video then let us know by giving us a “thumbs up”!

Watch the video now…


Need More Video Help?

Be sure to check out all our other ICD-10 and Medisoft training or support videos and subscribe to our channel!

Medisoft ICD-10 Frequently Asked Questions

Medisoft ICD-10 FAQ

October 1, 2015 has come and is now gone and the AZCOMP support department has been busy to say the least. The phone is ringing almost non-stop and we’re getting the same questions over and over. So we’ve put together this list of Frequently Asked Questions.

We’ve compiled this same list on our ICD-10 resource page, so be sure to check there for future updates. If there are more FAQ’s to add, we’ll add them on that page.

Here is a list of the current top 5 most frequently asked questions about ICD-10 and Medisoft.

#1: Why are my codes showing in red in Medisoft transaction entry?

This first video answers a question about why the old ICD-9 codes are showing in red when you try to enter new charges in the Transaction Entry screen as well as give some insight as to why ICD-9 codes still show. This video will also show you how to change the default diagnosis in the patient’s case from ICD-9 to ICD-10. Watch the video above to get help with this.

#2: Why are my old ICD-9 codes showing in transaction entry?

This video builds on the first video. A lot of people have been wondering why the Transaction Entry screen in Medisoft is still showing the old ICD-9 codes instead of the expected ICD-10 codes. This is a very common point of confusion that is addressed in this video. Watch the video above to get the confusion cleared up hopefully.

#3: Why are there no codes to map when I go into the code mapping tool?

This third video covers a question about the ICD-10 mapping utility in Medisoft. Many people have had questions about how it works and why there are no codes displayed or available to map when they go into the tool. Be sure to watch this video if you are having those problems.

#4: Why are my electronic claims getting rejected, and what is an ICD-10 qualifier?

This video is regarding electronic claims rejections. We’ve had many instances of electronic claims being rejected because the ICD-10 qualifier is sending a “BK” or “BF” rather than the needed ICD-10 qualifier of “ABK” or “ABF”. This video will show you how to resolved this common problem. Watch this video to learn how to solve these problems if you are experiencing claims being rejected.

#5: I still can’t send claims. Why can’t I submit my claims?

Video 5 explains why electronic claims are being rejected for users who send claims in “text file” or “print image” format using the CMS11 program. This will be a 2-part answer.

First, watch this short one-minute video to determine if you are sending claims in the old format: https://www.youtu.be/M4fo4VKrt-U.

If it is determined that you are sending claims in “print image” using the CMS11 or CMSFILE, watch this other video (which is the same as the video above at the beginning of this answer) on what this means to you: https://www.youtu.be/YALuP2zR4JE.

We recommend you call your AZCOMP account representative at (888) 799-4777 to proceed forward with the implementation of Revenue Management. If you are currently using Revenue Management to send claims electronically this video will not apply to you and there may be other issues our support department will need to look at for you.

Need More Help?

If these videos don’t answer your questions, call AZCOMP for technical support and training!

We can help you with Medisoft and ICD-10 challenges with a support agreement starting for as little as $99 per month! We have support plans to fit all different sizes of practices as well, so give us a call to get started on your Platinum Support Membership.

Visit our ICD-10 Resource Page

Be sure to check out our ICD-10 Resource Page for more updates, more videos, more training and more information.

https://www.azcomp.com/medisoft/medisoft-addons/

Medisoft ICD-10 Troubleshooting Tips

Day 1 ICD-10 Troubleshooting Tips in Medisoft

Day 1 of ICD-10 was a busy day at the AZCOMP Support Department. After a full day of helping resolve over 100 different support tickets, we’ve got a pretty good handle on what the struggles are for a lot of different people.

This quick video will give some tips on troubleshooting some problems you might be having so far in Medisoft with the ICD-10 transition. We’ll look at the following items:

  • Dx codes showing red
  • Making sure you have added your ICD-10 codes
  • Changing the ICD version for your various insurance carriers
  • Setting the ICD-10 date
  • Updating codes inside a patients case
  • Updating the settings in Revenue Management

 

If you’re having any other troubles that you need help with, be sure to leave us a comment in the comment section of the video. If you like the video then let us know by giving us a “thumbs up”!

Watch the video now…

icd-10 troubleshooting tips for medisoft

Need More Video Help?

We have more videos you can watch to help you get through the transition. Check out these others if you need…

  1. Options for getting ICD-10 codes into Medisoft
  2. Start to finish how to setup Medisoft for ICD-10

 

Be sure to check out all our other ICD-10 and Medisoft training or support videos and subscribe to our channel!

New Place of Services Code Created by CMS

New Place of Service Code

Ask the Coder

By Lisa A Schroeder, CHC, CPC, CCS-P, Compliance – Academic, Office-based and Multi-specialty Physicians, McKesson Business Performance Services | August 31, 2015

Place of Service Update

The plan to update Place of Service (POS) codes for outpatient hospital services was announced in the CY 2015 Physician Fee Schedule (PFS) Final Rule. In that Final Rule, the Centers for Medicare and Medicaid Services (CMS) noted that with the proliferation of physician practices becoming hospital based, CMS lacked a means to adequately determine the expense incurred by a practice versus the expense incurred by a hospital outpatient department. The Practice Expense (PE) is one of the components of the Relative Value Unit (RVU) and is used to determine the fee schedule amount1. In the CY 2015 PFS Final Rule, CMS was also looking for ways to more accurately value visits within the postoperative period.2 Though the Final Rule decided on new POS codes under Part B to help with the assessments, it did not recommend the new code at the time of publication.

On Aug. 6, 2015, CMS issued details regarding the new and revised POS codes under Part B in MLN Matters MM9231 (PDF, 69 KB). These changes will become effective Jan. 1, 2016. To differentiate between on-campus and off-campus provider-based hospital departments, CMS is creating a new POS code – POS 19 and revising the current POS 22 code description for outpatient hospital. These changes will affect physicians, other providers, and suppliers submitting claims to Medicare Administrative Contractors (MAC), including Durable Medical Equipment Medicare Administrative Contractors (DME MAC) for services provided to Medicare beneficiaries under Part B3.

POS Code Set – Outpatient changes4

place-of-service-update-codes

What does this mean to physicians and practitioners?

  • To file a claim, the outpatient POS must be correctly identified. Either the hospital outpatient location is on campus, (POS 22) or it is off campus (POS 19).
  • Payments for services provided to outpatients who are later admitted as inpatients within three- days (or, in the case of non-IPPS hospitals, one-day) are bundled when the patient is seen in a wholly owned or wholly operated physician practice. For those services that have a technical component (TC) and a professional component (PC) split in the PFS, Medicare will continue to pay the facility rate for the PC when provided within the three-day, (or one-day), window.
  • Claims for covered services rendered in an Off Campus-Outpatient Hospital setting (or in an On Campus-Outpatient Hospital setting, if payable by Medicare) will be paid at the facility rate. This also applies to those services with a professional fee only, that is no PC/TC split.
  • Reporting outpatient hospital POS code 19 or 22 is a minimum requirement to trigger the facility payment amount under the PFS when services are provided to a registered outpatient. Therefore, you should use POS code 19 or POS code 22 when you furnish services to a hospital outpatient regardless of where the face-to-face encounter occurs.

MM9231 also mentions minor corrections to POS codes 17 – Walk-in Retail Health Clinic and 26 – Military Treatment Facility. These two codes have been added back to the POS list in the “Medicare Claims Processing Manual”.

To view the related Change Request (CR) 9231 (Transmittal 3315) which includes the update to CMS Manual System Publication 100-04 Medicare Claims Processing Manual, click here (PDF, 225 KB).

1 Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to
Identifiable Data for the Center for Medicare and Medicaid Innovation Models & other Revisions to Part B for CY 2015, 79 Fed.
Reg. 67547, 67569 (November 13, 2014) (to be codified at 42 CFR 403, 405, 410, et al.).
2 Ibid.
MLN Matters® Number: MM9231 Related Change Request (CR) #: CR 9231 Related CR Release Date: August 6, 2015 Page 1
Ibid at Page 2.

Notice Regarding Print-Image Files and ICD-10

Are you still submitting claims to your clearinghouse using “Print-Image” files?

If you are still using the print image method for submitting claims, you need to start submitting using the new CMS 1500 02/12 claim form or your cash flow will be negatively impacted.

As October 1, 2015 approaches, the primary concern for all providers is whether or not they will continue to receive revenue as the entire industry makes the biggest transition in healthcare in 35 years! While many practices are finishing off the tail end of their ICD-10 Action Plans, and are well on their way to a smooth transition, we have recently seen a surge in calls from practices that have not yet completed ICD-10 testing with their clearinghouse and payers.

As we are assisting practices with their testing, we are finding a higher than expected number of practices that are sending print image files to their clearinghouses. Most clearinghouses cut off the use of print image files when the industry shifted to the new CMS 1500 02/12 form back on April 1, 2014. However, there are still a few outliers that continued to allow users to submit print image files.

Keep in mind that HIPAA required all electronic transactions to be submitted in the ANSI 5010 format as of January 1, 2012.

In order to comply with this new standard, Medisoft built the capability to submit claims in the 5010 format directly from the program through the Revenue Management module. If you are not using Revenue Management then you are submitting claims in a print image format to your clearinghouse. Then the clearinghouse is converting the print image file for you to the ANSI 5010 format and forwarding it on to the payers.

How You Can Find Out If You Are Sending “Print Image” Text Files

Typically the print image format comes from a file that is formatted based on the HCFA claim form fields. In Medisoft and Lytec the most common method of producing the print image file was by setting up an EDI receiver to launch an executable file called CMS11.exe. Here is a sample of what you may see when you are sending claims that notifies you that you are sending a “print image” text file.

medisoft cms11 text file print image

Or you can watch this short video where we show you in Medisoft how you can find out if you are sending “print image” files.

Don’t Let Your Claims Get DENIED

As of Medisoft v19 and Lytec 2014, Medisoft and Lytec discontinued support of the cms11.exe file. It was never updated to match the new claim form or to handle ICD-10 codes. Therefore, if you are still relying on this method to submit claims there is a very high likelihood that your ICD-10 claims will be DENIED starting October 1, 2015.

While some clearinghouses may continue to support print image file submissions, our understanding is that they will require you to use a print image file that produces a print image of the CMS 1500 02/12 claim form. Please take note that the CMS11.exe file produces the old 08/05 claim format and that print image submission is not supported in Medisoft or Lytec.

Get On Board With Revenue Management

The good news is Medisoft v19 (and Medisoft v20) and Lytec 2014 (and Lytec 2015) are both equipped with not only the new 02/12 claim forms, but also with Revenue Management. The Revenue Management module in Medisoft and Lytec can be configured to send claims to any clearinghouse or even directly to the payers in the 5010 format.

In addition, Revenue Management has features such as claim scrubbing and ERA posting that your practice can take advantage of to streamline billing processes.

revenue management claim check screen shot

While the Revenue Management application is included with the ICD-10 compatible versions of Medisoft and Lytec, it does require setup and configuration to successfully utilize it. If you need to get setup on Revenue Management please call us at (888) 799-4777 to schedule the configuration with an EDI Professional!

If You Need Revenue Management Configured, Don’t Wait!

Please do not wait to contact us as the backlog of practices that need configuration and training is growing and our availability is based on first come first serve.

We also highly recommend contacting your clearinghouse as soon as possible to discuss this change, and to coordinate the switch from the print image file to the ANSI 5010 format.

Here Is A Clip From A Recent Webinar Explaining The Problem And What You Can Do About It

video play - no print image support

Revenue Management Quick Tip – How To Change The Dial-Up Number

How to Update The Dial-Up Number In Revenue Management

This video applies to both Medisoft and Lytec users who are using the Revenue Management feature built into the program.

If any of your payors that you are connected to in Revenue Management are using a dial-up connection, and they change the dial-up number, then you need to change the number in your Revenue Management program. Watch this super quick and helpful video showing how to make the change! In this video, we show you how we changed the Medicare dial up number, but really this applies to any of your payors that are using the dial-up connection.

Watch the video here:

How to change the dial up number in revenue management

 

Video Transcript:

In this video I’m going to show you how to change your dial up phone number in revenue management for Medicare since that’s the most commonly used dial connection there is. This process can also be done for any of your payers that you use a dial up connection to get too.

First, we’re going to go to revenue management, so activities, revenue management, and revenue management. When that pops up here, we’re going to go ahead and go to configure, communications. This is where all the magic happens so to speak.

A cheater way of getting this taken care of is to double click on that to sort it so you can get to all the ones that you have and there’s my Medicare. See here, it has the old number and then you can click here and play with all day, go backspace, up and down, over and everything, it’s not going to let you edit this in any way, shape or form. It doesn’t do anything. You can get a little frustrated, how do I do that?

What you have to do is go here to the details in this long bar and click on it. That will bring up your terminal window for all your dial up on that. When the terminal comes up, you go to center tab that says settings and then you can simply just edit the phone number here and we all the new number ends in a five. There’s no save or anything here but when you close it, it should save it right in there and then you click save and there we go. We have just updated our medicare phone number to the new number at 55, and it’s all good to go.

 

Emdeon (Capario) Clearinghouse EMF Migration Instructions

This is a required update in Revenue Management if you are using the Emdeon (Capario) clearinghouse

Emdeon has notified AZCOMP that there is a critical update that users of their clearinghouse need to perform inside of Revenue Management by May 31, 2015.  If you are using the Emdeon clearinghouse to process your electronic claims, all mailboxes will be suspended from using the old EMF on June 1, 2015.  This means that you will no longer be able to upload or download any files (claim files & reports) from Emdeon using the old EMF.

In order to avoid problems with Emdeon in your Revenue Management feature of Medisoft or Lytec, this update needs to be performed on every workstation that does work in Revenue Management.

If your clearinghouse is Emdeon, then you need to perform this update.

In order to perform this update, please visit our website for writen instructions and for a video showing you how to do this.  It is very simple and should take you less than 10 or 15 minutes to complete.

Click Here To Perform The EMF Update for Emdeon in Revenue Management

Emdeon EMF update video