Vendor Meetings
Administrative Services of Kansas, Inc.
Vendor Call
Minutes
January 20, 2005
CMS is reporting the National Percentage for migration to the HIPPA
formats at 98.70%.
Upcoming events:
- During the first quarter of 2005 new telecommunications
options will be announced.
- During the second quarter of 2005 secure FTP will
be available through the Internet.
General Announcements:
- Level 4 edits are being reworded to make them more
user friendly. There will not be any changes to the
edit logic, only the description will change. An update
will be posted to the appropriate Web Sites when the
project is completed.
- A project is in place to validate procedure codes
and diagnosis codes by Date of Service. This change
will apply to all payers except Medicare A and Medicare
B.
- When testing 270/271 and 276/277 transactions the
ISA must reflect “P” for production. All
Trading Partners should be using production information
when submitting a request.
MCS Transition:
- The Medicare claims processing system is moving
from the VMS System to the Multi Carrier System ( MCS)
with an expected transition date of June 1, 2005.
- The payer number for Wyandotte and Johnson Counties
will be changing. This will be handled as a turnkey
event with a specific drop-dead date. Providers should
receive a notice at least 90 days before the change
is implemented.
- Internal testing is underway.
- The MCS System will be generating a new report
to replace the IXE VMS reports. The format of the
new report is not yet known, but as soon as the information
is available, EDI Services will work to create a
dummy report to be used by vendors for system testing.
- Vendors were asked what kind of information is
needed to help with the transition to the new reports
and how much lead time they need. One vendor expressed
a need for at least a 30-day notice before the reports
change.
- EDI Services has not received any updates regarding
possible edit changes that may be caused by the new
MCS system.
837 Issues:
- When submitting information in the loops and segments
of an ANSI 4010A1 837P, 837D, or 837I, the qualifier
submitted must be valid and the information submitted
must match the qualifier and be accurate. ‘None’ and ‘Unknown’ are
not usually accurate responses.
- Medicare Release of Information Indicator (2300
CLM109) for Medicare B will only accept Y, N, or M.
Medicare does not have a date to have this corrected,
but this issue is with the VMS System and should be
eliminated with the move to the MCS system.
EDI Midwest Issues:
- ASK is working to improve customer service for EDI
Midwest customers and is currently making calls to
Trading Partners using EDI Midwest.
- Wisconsin Physician Services (WPS) – TRICARE
claims can be transmitted using EDI Midwest. New payer
ids were issued.
- Professional claims use payer id SCWI0 (letter
I and numeric zero).
- Institutional claims use payer id 12C01 (numeric
ones and zero).
- Providers sending claims for WPS will receive two
reports. The first report is the usual EDI Midwest
Report; the second report will be delivered approximately
2 to 4 days later and is a payer specific report from
WPS.
- A change will be made to the naming format of the
EDI Midwest Reports. A sequence number will be added
in the new naming format. Vendors were asked if this
would have an impact on their clients. There was no
response.
- Current naming format - edimidwest.date.time.rpt
- New naming format - edimidwest.date.time.sequence
number.rpt
835 Issues:
- BCBSKS has started using additional co-pay codes
that they have not used in the past. The codes are
part of the list at www.wpc-edi.com.
- BCBSKS will only provide production or test 835
transactions. They will no longer allow a provider
to receive both.
- Note: The EDI System does not currently allow
a provider number to be setup to receive both test
and production 835 transactions in the same format.
This applies to all payers.
- It was announced that BCBSKC had requested an update
to the 835 Companion Document stating the NASCO 835
transaction would have ‘30’ in the ISA05
for NASCO remits. It has been determined that the ‘30’ would
be an incorrect identifier and the 835 document will
not be changed.
Announcements:
- An update to the Kansas version of PC-ACE Pro32
free billing software will be released the first week
of February. Notification will be sent out to those
Trading Partners using the product. Users should also
receive email notification if they are signed up for
Email List Notification on the Web Site.
270/271 Issues:
- Medicare A and B are not currently providing batch
270/271 transactions.
- An announcement made by CMS was published on 1/11/2005,
stating a new approach to the 270/271 transactions
will begin in May 2005.
- BCBSKS and BCBSKC are both in production.
- There Blue Exchange (ITS) 271 transaction is currently
having a problem if multiple requests are sent in the
270 transaction. The 270 transaction is fine, but the
courtesy 271 generated by EDI Services states we are
sending to a 3 rd party and is not reporting the HL
segment correctly even though the 271 received from
Blue Exchange is correct. This is currently being worked
with no target date listed.
276/277 Issues:
- Medicare A and B are currently working on an issue
with the 276.
- BCBSKS is ready for production. Two probable issues
have been reported, but workarounds are being implemented.
- BCBSKS reported a problem with batch 276 transactions
with more than one request. The problem occurs with
the delivery of the 277. A fix to correct the problems
is scheduled for 1/30/05.
- BCBSKS reported a problem if only the service
line date at the 2210D and 2210E is submitted with
no claim service date at the 2200D and 2200E. This
problem does not occur if the service date is submitted
in the 2200D and 2200E. A project request is currently
being written to correct this problem. More information
should be available at the next call.
- BCBSKC is still waiting for test sites.
Additional:
ASK would like to improve customer relations and would
like to know if there is anything ASK can do to assist
the vendor is working with their clients. Vendors were
also asked if they have any suggestions for educational
improvements that could be provided by either ASK or
the payers.
Next conference call is scheduled for 2/17/2005.
Phone Number: 1-877-326-2337 – Pass code 2102557
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