RelayHealth offers direct connection with Kaiser Permanente

Kaiser Permanente of Southern California now offers a direct connection with RelayHealth Clearinghouse. Starting September 24th 2008 all claims can be submitted using CPID# 1703 & 4576.

1703 - Kasier Permanente of Southern California Professional CMS-1500 claim format
4576 - Kaiser Permanente of Southern California Institutional UB-04 claim format

No EDI Agreements required for the submission of electronic claims. Kaiser supports 277 unsolicited reports and the RelayHealth standardized payor reports.

Kaiser has specific edits to be aware of when submitting claims electronically. RelayHealth will kick out a claim prior to forwarding them on to Kaiser for these issues:

Edit 01 version 0096C: In Loop 2010CA, NM109 must be 8-12 numeric if present, otherwise Loop 2010BA, NM109 must be 8-12 numeric.
Fix: 2010CA is a patient Name field or 2010BA is the Subscriber Name field

EDIT HU version 0019C: In Loop 2010AA, NM108 must be equal to XX
FIX: 2010AA is the Reporting Billing Provider Identification Code Qualifier field

Edit HU version 0020C: In Loop 2010AB, NM108 must be equal to XX
Fix: 2010AB is Pay to Provider Identification Code Qualifier

Edit HU Version 0022C: In Loop 2310B (professional CMS-1500)/2310C (institutional UB-04), NM108 must be equal to XX
Fix: Referring Provider Identification Code Qualifier

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Michigan Medicaid waiting list for CHAMPS to bill claims

Here is a interesting concept Michigan Medicaid (CPID#2480/3512) is asking that all clients who register EDI Agreements with CHAMPS Medicaid wait a full month from the date the application is approved to bill claims.

The issue is they have received so many requests the approvals are going through faster then they can handle the electronic software setup. If you begin submitting claims prior to this month you will only receive electronic claim rejections.

Any questions you may call Medicaid CHAMPS at 888-643-2408. PS - please be nice to them! Remember the people you are talking to are not the ones to blame for claim rejections. It's not their fault.

New Note: September 26th Update: Provider enrollment re-validation deadline has been changed to October 1st. For providers that have not re-validated by October 1st will be disenrolled. Please complete EDI Agreements immediately.

Learn more about Electronic Medical Billing and Coding at this site medical billings and health insurance claims

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Medical Offices require easy to learn Microsoft Office 2007 Word training videos

DreamForce LLC, inventor of easy to learn, Microsoft Office 2007 training videos and medical billing training videos has been in business for over 6 years. DreamForce has extensive knowledge in teaching many business sectors including medical, financing, and project management groups giving us great insight to answering support calls immediately, thinking outside of the box to resolve client's complex Microsoft or Medical Billing issues and getting the offices back on track.

Today we had a client call us from the Medical Industry. She was a front office representative of a multi-specialty practice. Her situation was the provider was moving, wanted to send a postcard to all patients and asked his staff to print labels and mail the postcards within 24 hours. Sounds easy right? Well, for her it was scary. No one had a clue how to create labels and worse yet; they had only recently upgraded to Vista Operating System and had no clue how to use Microsoft 2007 Word. We have consulted this medical office in prior situations so they called us.

We directed them to our Microsoft Office 2007 training videos, suggested web-based training and of course gave her step by step instructions on how to create the labels. We worked with her in exporting her data from the Practice Management Software (billing software), and then showed her how to create and format labels using Merge Fields. She was ecstatic, thanked us and then for the first time in those 10 minutes of the phone call you could hear a smile over the phone. After hanging up we sent a courtesy email of the steps discussed for future use.

Over the last year we have seen a huge trend of medical providers wanting to go paperless through a EMR product or their practice management software but simply don't make the transition because of lack of knowledge of Microsoft Word or lack of time to learn the new features. Most web-based practice management software programs are now heavily integrated with Microsoft so they have a huge impact on medical practices. Not only do we teach doctors how to use Microsoft 2007 but we also show them how it's integrated into their Practice Management Billing Software or EMR product. Doctors and billing services are now dealing with Access, Open Database Connectivity (ODBC), Comma Separated Value (CSV) reports, Word Templates, Forms Mail Merge, and Customization of medical chart documents along with many other programs.

Doctors and billing services don't really have time to "figure" out how the software products completely work. They need someone to show them the step by step's specific to their needs for that moment. With our training videos this need is filled. Anyone can train on the specific area they need, practice it with our examples, and master it. It truly is that simple.

Please visit our website to view all training videos for Level 1, Level 2 and Level 3 for Microsoft Word 2007 training videos.

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