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Directions
2007 Users Conference
Register today
to take advantage of Super Saver registration rates, available until
July 6th. Hotel rooms are going fast, so if you haven't made your
reservation yet, please call the Sheraton Oceanfront today at (757)
425-9000 (be sure to mention MDI Technologies). Come join us for
2 ½ days of in-depth ULTRACare learning so you can be an expert
user. For complete details and a registration form, please visit
our website at http://www.mditech.com/training/pdfs/Directions2007Brochure.pdf.
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Conference
Sneak Peek: Electronic Health Records
One
of the biggest challenges for our industry is the adoption of electronic
health records. The Federal government and a host of policy groups
and health information organizations are working to make widespread,
interoperable EHRs a reality. Come to the Directions conference
and you'll hear Doc DeVore present a State of the Industry session
on this topic. Mr. DeVore is Director of Research and Development
for MDI Technologies, and serves as Chairman of the IT Committee,
NASL (National Association for the Support of Long Term Care) and
is a member of the NASL Executive Board, NASL Standards Workgroup,
HL7 Long Term Care EHR Profile Workgroup and the NCPDP (Nat'l Council
for Prescription Drug Programs) Workgroup 14 (EHR/HL7 TG).
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McKesson Users: NPI in Electronic Claims
We
recently became aware of a situation that may affect you when filing
electronic claims through the McKesson clearinghouse. If your Intermediary
has notified you that you may submit your claims using only your
NPI (i.e. your legacy provider number is no longer necessary on
claims), then your NPI must appear in 2 locations in your transmission
file to McKesson. We have made the necessary programming adjustments
to accommodate this requirement and the correction is available
on our secure site at https://support.monetteinc.com/version15.
This change has no affect on you if your Intermediary is still processing
claims in a 'dual-mode' - accepting both your NPI and legacy provider
numbers. This change also has no effect on users filing claims electronically
using any other method.
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Proper
Use of NPI in ULTRACare
We
have heard that some users have mistakenly thought it necessary
to enter their facility's NPI in the field labeled NPI on
their Insurance Code setup screen. This field is for future use
when the Insurance Intermediary provides their NPI to identify them.
Until that time, it is not necessary to change the contents of this
field in your setup.
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UB-04
REMINDERS
To
print a pre-printed color UB-04 form using ULTRACare and a laser
printer, you must set the printer device code (in Admissions System
Codes) for program ID "PTUB92" to QPQ:53. This tells the printer
to ignore software print margins, but most laser printers are limited
to printing 80 characters across the page.
The
National Uniform Billing Committee (NUBC) reports "some laser printers
are having difficulty meeting the print specification of the UB-04
form. The UB-04 form and the UB-92 contain identical margin specifications.
Both forms are 82 characters across. To accommodate the 80 character
limitation of some laser printers, many users of the UB-92 form
developed workarounds that basically "cheated" on the printing layout.
This was commonly accomplished by starting in the second position
and ending in the 80th position, basically ignoring the first column
on the left and the last column on the right. The UB-92 had no critical
data elements in these fields."
We
have adjusted the printing of the UB-04 form on a regular laser
printer to the best of our ability to get the information to appear
inside the boxes. Due
to the layout of the new form, there are issues related to the margins:
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A
laser printer has a 4mm margin on the left and right, so the
contents of certain boxes will print outside the box.
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On
the right, the following will truncate the last digit: box 4
- type of bill, box 41 - value amounts, and 76 & 78 - ID number
for qualifier.
The
NUBC further recommends that "in order to meet the UB-04 print specifications,
users should utilize laser printers that have "edge-to-edge" print
capability (4 mm margins on the left and right) or wide carriage
impact printers (dot-matrix or line printers)." Reportedly, the
HP9000 series printers have the ability to Turn On Edge-to-Edge
printing (1mm vs. 4mm) margins. This ability comes at a cost of
roughly $3,000.
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KX
Modifier Not a Free Pass to Exceed Therapy Cap
CMS
cautions providers about over utilizing the KX modifier for therapy
services that exceed the Medicare B therapy cap. The KX modifier
should only be used for therapy services beyond the cap that are
medically necessary. If therapy services are provided and found
NOT to be medically necessary, benefits will be denied and the beneficiary
would be held liable for the charges. For more information about
Therapy Cap Exceptions, please see the Fact Sheet on the CMS website
at http://www.cms.hhs.gov/apps/media/press/factsheet.asp?Counter=1782.
MDI's new therapy module, RNet, provides easy-to-use tools to assist
therapists and billers in using the KX modifier appropriately. For
more information about RNet Therapy Solutions, please visit our
website at http://www.mditech.com/products/RNetTherapy.html.
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Make sure
your copy of the ULTRACare eNewsletter doesn't get mistakenly blocked
by antispam software! Be sure to add julie@mditech.com to your list
of allowed senders and contacts.
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