New Medicare Front End Reports start today

Dear DMEFree / RxDME2000 Clearinghouse provider;

Medicare and Cedi are getting ready for the January 30th conversion from the 'old' DMAC front end reports to the 'new' Cedi Gen Report.

I have attached the current copy of the Cedi reports manual to this email, it is also available at;

http://www.ngscedi.com/outreach_materials/CEDIFrontEndReportsManual.pdf

During phase I the DMACs were sending back their front reports with the CCN# (claim control number).  During phase II (Jan 30th) it will be Cedi's responsibility to do the front end editing and issuing the CCN#.  If a claim has a CCN# , then it goes to Medicare for adjudication.

Cedi didn't have a software program to separate the hundred's of individual reports returned to us in one file.  That is the job of this clearinghouse, We  wanted to retain the report format to match the Cedi manual, with one exception.  

At the end of every report is a "glossary" of the errors with full explanation.  Our reason for doing this is to save you time and avoid the nightmare of having to understand what loops and segments are.

If you have any questions regarding these new reports send us an email support@dmefree.com

Thank you

 

Mike Feldman

PCSolutions

www.dmefree.com

fax 860 974 1886

Holiday Schedule Monday, January 19, 2009. observance of Martin Luther King, Jr. Day

Dear RxDME2000 and DMEFree users;

In observance of Martin Luther King, Jr. Day, the PC SOLUTIONS / DMEFree office will be closed on Monday, January 19, 2009.

Claim processing will occur on a normal basis as Cedi is processing claims.

for more info on Cedi processing schedule visit our CMS blog at www.dmefree.com

or

http://dmefreecmsblog.blogspot.com/2009/01/edi-news-edi-help-desk-will-be-closed.html

Enjoy the holiday!

Thank you

 

Mike Feldman

PCSolutions

www.dmefree.com

fax 860 974 1886

A Total Electronic Environment Webinar Registration

see below

THIS IS SOMETHING EVERY ONE OF OUR CLIENTS SHOULD LOOK INTO

ie USING ERA'S (THROUGH OUR CLEARINGHOUSE) and take advantage of EFT for direct depost.

mike

National Government Services, the Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC) will host a Webinar, titled "A Total Electronic Environment" on January 28, 2009 at 11:00 A.M. Eastern Time.  This Webinar will provide information on how and why suppliers should become totally electronic.  The many benefits associated with Electronic Remittance Advices (ERAs) and Electronic Funds Transfers (EFTs) will be discussed.  Suppliers new to electronic billing or existing electronic submitters not currently setup for ERAs and/or EFTs should attend. A brief presentation will be given followed by a question and answer session.  Sign up for this free educational opportunity today.  Registration is available online only!  To register, please click on the following link and then click on the "register" icon towards the top right of the screen: http://www.ngsmedicare.com/NGSMedicare/ADC/EventList.aspx?fromdate=1/1/2009&todate=1/31/2009&display=Month&type=public&eventidn=306&view=EventDetails&information_id=439  Note:  Necessary dial-in instructions and materials will be provided at least two days in advance of the January 28th Webinar.

Remember! National Government Services' Jurisdiction B DME MAC List Serve is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank you! CONFIDENTIALITY NOTICE: This E-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply E-mail and destroy all copies of the original message. To unsubscribe/change profile: click here.

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PC Solutions / DMEFree New Year Holiday Hours

Dear RxDME2000 and DMEFree software and clearinghouse users,

Happy New Year and best wishes for a healthy, prosperous 2009!

Our office will be closed Wednesday 12/31/2008 at 12:00 pm est

and reopen Friday 01/02/2009 at 9:00 am est.

Please note:  IF YOUR SOFTWARE EXPIRES

There is always a temporary activation code

at www.dmefree.com

click on the "Program Expire? click here" link

on left side of screen under menu.

Follow prompts

you will need your account# which is in your

company configuration screen on the Clearinghouse tab

 

The information on your Registration screen MUST MATCH

the attached Activation sheet.

It is Case Sensitive ,  the company names must match

use the Dashes in the Code etc.

Thank you, your business is appreciated

Thank you

 

Mike Feldman

PCSolutions

www.dmefree.com

fax 860 974 1886

From PCSolutions / DMEFree "Quick Notes"

Attached is the CMS Medicare 2009 DMEPOS Allowable's table 1st Qtr 2009.

The table is in PDF format, you will need Adobe Reader to view.

 

We are working on the 1st Qtr Data file for import into DMEFree and RxDME2000 which will allow you to update your allowable's.  An email will be sent when this is available.

 

****************************************************************

Other News;

 

For the latest List Serve Articles from CMS you can go to our home page

http://www.dmefree.com   and click on Click here to open Daily CMS News   or

 http://dmefreecmsblog.blogspot.com/

this is in a blog format, so you can search for past articles based on keywords.

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PCSolutions has setup a Support Forum to allow support questions to be asked and answered by our support team as well as comments from other users.  go to ;

http://www.dmefree.com/supportforum/index.php

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And don't forget as the year comes to a close,  if your system expires and you need a new activation code asap , then go to

http://www.dmefree.com/activationcodepage.htm

Best wishes for a healthy 2009 and happy holiday season

Thank you

 

Mike Feldman

 

PCSolutions

www.dmefree.com

fax 860 974 1886

SYSTEM STATUS December 15, 2008

All Claims submitted

All Reports and ERNs processed and emailed to clients

Servers running fine

Realtime Elig check operational

Thank you

 

Mike Feldman

PCSolutions

www.dmefree.com

fax 860 974 1886

RelayHealth Notify: Claims: CPIDs 2755 and 3595 CareChoices/Preferred Choices: CPID Consolidation

RelayHealth has been informed that all electronic claims for CPIDs 2755 and 3595 CareChoices/Preferred Choices (payor ID 38269) can be consolidated under CPIDs 7459 and 3591 Priority Health of Michigan (payor ID 38217) effective immediately.

In order for providers to make a smooth transition, please be aware of the following changes:

• RelayHealth will temporarily convert CPIDs 2755 and 3595 CareChoices/Preferred Choices to CPIDs 7459 and 3591 Priority Health of Michigan until January 5, 2009.
• All claims for CPIDs 2755 and 3595 CareChoices/Preferred Choices can be submitted using CPIDs 7459 and 3591 Priority Health of Michigan effective immediately.
• The last date that CPIDs 2755 and 3595 CareChoices/Preferred Choices will be accepted at RelayHealth is January 5, 2009.
• Effective January 6, 2009, all claims for CPID 2755 and CPID 3595 CareChoices/Preferred Choices must be submitted to RelayHealth using CPID 7459 and CPID 3591 Priority Health of Michigan. 

Failure to use the correct CPID for CareChoices/Preferred Choices claims submitted on or after January 6, 2009 will cause the claims to reject at RelayHealth.