Friday, February 20, 2009

Accreditation Tools at DMEFree Forum

Several new additions to our Accreditation tools found at DMEFree Forum.

click this link

Have a great weekend!

Thank you
 
Mike Feldman
PCSolutions
fax 860 974 1886

Friday, February 13, 2009

Notice: Presidents Day Office Closed

To:  DMEFree and RxDME2000 users and clearinghouse clients.  
 
In observance of President's Day, the National Government Services our office will be closed on Monday, February 16, 2009.   No Claims or Reports will be processed.  We will reopen Tuesday Feruary 17, 2009 at 9:00 am est.
 
Thank you
 
Mike Feldman
PCSolutions
fax 860 974 1886

Friday, February 6, 2009

DMEFree Clearinghouse News Friday February 6th, 2009

Dear DMEFree and RxDME2000 Clearinghouse users,
 
This note is to bring you up to date on the status of the CEDI reports transfer process.
 
CEDI has extended the Phase II GenReports introduction until February 27th, 2009.  
On that date, the new front end GenReports will contain the claim control# (CCN#) to be issued by CEDI.  You will no longer get DMAC Front end reports FOR CLAIMS from the 4 DMACs.  You will continue to get CMN reject reports from the 4 DMERCs.
 
For the last week or so you have been receiving two set's of reports.  The DMAC Front end reports and the new GenReports.  IT IS EXTREMELY IMPORTANT YOU READ AND UTILIZE BOTH REPORTS.  Here's why......
 
The process works like this...
1. You send claims to the DMEFree clearinghouse.
 
2. We send back an email (or display web page if sent via web) to confirm receipt.
 
3. Next morning we process your claims and send them to CEDI.  We send you a STATUS CODE REPORT which has a number like 1234G743  (your account number a year and day code)
 
4. The following morning we obtain the Front end reports from CEDI, You should be getting two types of reports at this time.
 
DMAC Front end report
CEDI GenRpt  (Genreport)
 
5. CEDI processes the claims first.  If a claim is rejected it will not send it to CMS Medicare for processing.  You will see the rejection on your GENRPT.   This report has a glossary at the end to explain what the errors mean.
 
The claims are then further processed by the individual DMACs (Regions A,B,C,D), you may find additional errors on the DMAC front end report.  This is why it's important to review both set's of reports.  The edits at CEDI are different than at the DMACs.  
 
After Feb 27th, only CEDI will be editing your claims for errors,, all accepted claims will go to DMAC for CMS Adjudication.  At that point if your GenReports has a Claim Control# (CCN#) you will get an ERN/ERA for that claim - paid or denied.
 
We hope this helps you understand the current situation and helps you catch and identify errors that you were not previously getting.  
 
Have a great weekend

Thank you
 
Mike Feldman
PCSolutions
fax 860 974 1886