Shared Genius: July 2014

Shared Genius Practice Solutions From one genius to another.
July 2014 support special includes: Claim Forms, Genius Solutions Training

Available now!


e-Statement Printing Confirmations

If you use our e-Statement service, you will receive a fax confirmation when the statements are printed.  When you sends 2 files (one for each system- especially if you send one from dT and one from eT), and they are printed at the same time, you will only receive a confirmation for the first file processed.

We recommend that you only send one file at a time, wait to receive the fax confirmation from that first file, and then send your next e-Statemtent file. This way you will receive a confirmation for each file.


Shared Genius: June 2014

Shared Genius Practice Solutions From one genius to another.

 June 2014:  277s, "bad address", appointments, time blocks, & more!

Available now!

Editor Addition:
In the e-mail I posted that the new date for ICD-10 was Oct 1, 2015 (after finding said information in more than three good sources).  In investigating further, we crawled through the CMS website and this is the wording posted:

"On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future with a new compliance date for the use of ICD-10 codes beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015. "

So, the current date that has been listed of Oct. 1, 2015 is really wishful/hopeful thinking by everyone.  (Although it does look like CMS is hopeful for the same thing.)  According to the above paragraph the "interim final rule" has yet to be created or released, after which there is always a 60-day comment period, and then, eventually, a final rule will be issued.  There is no date on this note on the CMS website either, so we'll all have to check back into this page to see when some movement begins to occur.  So, continue not panicking, and definitely continue to prepare for ICD-10 implementation.


Michgan Blues Claim Filing DEADline

BCBS of Michigan sent out an e-mail recently stating that the Blues will retire their local system on Oct. 31, 2014. Since they will no longer process claims on that system, all claims filed on the local system must be submitted and received by Sept. 15, 2014, in order to be processed.

If you submit a claim after the filing limits, BCBSM will not offer any special handling or filing extensions, and no payment will be due from BCBSM or the subscriber. All health care providers must follow claim-filing deadlines (as you can see, there are no exceptions here).

For more information about this change, please refer to the March 2014 Record.

Blue Cross defined the local contracts, which have been migrating to their new system and will be completely migrated mid September.
These local contracts include:
  • Local and Medicare Advantage group numbers: Five digits
  • MOS group numbers: Nine digits
  • NASCO group numbers: Five digits, usually starting with a seven or eight
  • BCN group numbers: Eight digits

Any clam submitted with one of the local contracts (listed above); whether it is a secondary, resubmission, or original needs to be received by Blue Cross no later than September 15, 2014 or it will not be processed.

Patients with local contracts should have received a new contract number to go through the new system.

You can contact Provider Inquiry at Blue Cross of Michigan for more information.

Provider Inquiry Information:

If you’re calling from this area code
Hours of operation
Use this phone number
248, 313, 586, 734, 810 or 947
8:30 a.m. to 5 p.m.
517, 989
8:30 a.m. to 5 p.m.
231, 269, 616, *989
8 a.m. noon,
1 p.m. to 5 p.m.
8:30 a.m. to noon,
1:05 p.m. to 5 p.m.
Outside Michigan
8:30 a.m. to 5 p.m.
For questions about BCBSM employees only, contact our Ombudsman office.
8:30 a.m. to noon,
12:50 p.m. to 5 p.m.


New Medicare Summer Audits

Per Dr. Ted A. Arkfeld :

"This summer is starting out with aggressive audits on chiropractic services-- specifically 98942 and 98941 manipulation codes by Wisconsin Physician Services, (WPS).  
They are skipping the usual request for records, overpayment demand letters and moving straight to placing chiropractic offices into prepayment reviews.  This means a doctor must submit patient’s documentation for each visit to be reviewed by a nurse case manager at WPS.  The nurse case manager then determines if the services should be paid or denied.  If denied you then have the option of undergoing the appeals process.  

Unsuspecting doctors finding themselves in this situation will have an alteration in the revenue cycle with all of their Part B Medicare claims.  This is not the worse case scenario.  These same offices can expect to be placed in a post-payment audit status as well."

Dr. Arkfeld is the only chiropractic compliance consultant in the state of Michigan, and he has assisted numerous doctors through the audit process.

If your office receives this type of notification and you need additional help, you can contact Dr. Ted A. Arkfeld at Advanced Compliance Technologies.

Ted A. Arkfeld DC, MS, CPC 
Advanced Compliance Technologies, PLLC 
854 N. Center Avenue, Suite 3 
Gaylord, Michigan 49735 
Office (989)448-8065 
Fax (877)620-0872 
Cell (989)614-0261 


Shared Genius: May 2014

Shared Genius Practice Solutions From one genius to another.

May 2014 support special includes: ICD-10: New Date!, ehrTHOMAS, Railroad Medicare,  UB04, CMS-1500, Pre-billing errors and more.

 Available now!


Shared Genius: April 2014

Shared Genius Practice Solutions From one genius to another.
April 2014 support special includes: ICD-10 delay, NDC updates, Railroad Medicare

Available now!



THOMAS Users: NDC Update and View!

Due to recent changes with how NDC information is to be reported for payment, a change has been made to accommodate the reporting of a Unit Count in the CTP-04 in the 2410 loop and a Unit Price, if required, in Item 24 of the CMS-1500 (02-12) form. There are detailed instructions and information on our YouTube channel: http://www.youtube.com/watch?v=q5AnkLXxuUU In addition, you can view the printed information at http://www.media.geniussolutions.com/94/NDCChange.pdf

Visit our YouTube channel at www.youtube.com/geniussolutionsinc

Genius Solutions


President Signs HR 4302 Into Law

On Tuesday April 1, 2014 the President signed HR 4302 into law. The bill's purpose was to delay the 24% decrease in Medicare payments until the SGR can be permanently fixed.

Also tucked into the bill was a delay in the implementation of ICD-10 ("Until no sooner than October 1, 2015").  eTHOMAS can and is ready for ICD-10 whenever it is needed.

eTHOMAS has the built-in flexibility to bill out in ICD-10 codes or to continue bill out with ICD-9 codes. We encourage you to continue your preparations and use the delay to become fully functional with the new ICD-10 code set and get your EHRs up and ready to attest by September (if you have never previously attested).

This bill passage DOES NOT affect the use of the the new CMS-1500 form, the 1% Medicare reduction if you don't attest for meaningful use this year by September 1st, or other items in connection with the ARRA stimulus program.


Senate Passes House Bill 4302

The US Senate passed House Bill 4302 ( a bill) on March 31, 2014.   This is the bill we just told you about and it's primary purpose is to extend (another temporary measure) the 24% Medicare SGR (Sustainable Growth Rate) increase given until they can resolve the SGR in a better way.  Of course this extension would mean that the SGR would again- NOT be fixed.

Somehow, someone was able to also tuck a clause into this bill, that if it passes, it will delay the planned ICD-10 implementation until Oct. 1, 2015. This bill will now proceed to the President for final approval or veto before becoming law.

Unfortunately this quick fix, from not fixing the SGR (WHICH STILL NEEDS TO BE FIXED)- while seemingly getting you your money - will in fact cost millions and then some.  Plus more millions for delaying ICD-10 implementation for another year (CMS had previously estimated another delay may potentially have a price tag of $6.6 billion impact).

I could find nothing that said that there would be any delay on the 1% Medicare take-backs scheduled to being for not meaningfully using an EHR (attesting by this year at latest - within the first 9 mo, for 90 days).  Or that there would be any delays regarding Stage 2 Meaningful Use.  Which makes sense as both of these are tied to the 2009 ARRA "stimulus" act, not the SGR (but considering they managed to throw an ICD-10 delay in there, it was worth a look).

Here is a link to the bill.
Here is a link to another good article discussing what this delay means to you, from EHR Intelligence.
Here is a link to a great Fierce Healthcare article & it has links at the bottom for the AMA, AHIMA, HIMSS.


CMS holding claims April 1st

CMS has instructed all contractors to “hold” claims that have a service date of April 1, 2014 for ten days.  This would allow congress time to vote on stopping the 24% decrease that is scheduled take effect April 1, 2014.  So you may see that your Medicare checks are not coming through as expected in April.


Attention: Attestation, ICD-10, and SGR Updates!


Ever Attested?

If this is your first year to attest for Meaningful Use – You need to be working it now!  Literally.

Payment Adjustments for NOT being a Meaningful User kick in January 1, 2015.
As part of the 2009 ARRA “Stimulus” program, if you DO NOT attest for meaningful use, by this year, your Medicare payments will be reduced by 1% for each year you are not a meaningful user.  [Up to 5% loss, “depending on the total number of eligible meaningful user providers after 2018”, assuming less than 75% meaningful users the reductions are set to cap off at 5%.]