Removing Claim Files
An enhancement was made to ClaimRemedi to allow the removal of claim files. The users can select multiple files using the Control button and then selecting the Trash Can icon in the upper right-hand corner.
The follow-up feature on the Home tab in Maven has been enhanced to allow advanced filtering. When you mark an appeal or ADR for follow-up, the claim displays in the Claims marked for follow-up section of the Home tab. You can now use the My Groups drop-down to view all follow-ups, or filter by group (based on your permissions).
Some exciting changes are happening at the eSolutions west coast office that supports ClaimRemedi! On June 20, eSolutions’ CEO, Gene Creach, signed the lease to procure a new office space for our West Coast team. While it’s only a short distance from the current office in Santa Rosa, CA, our new location features more conference rooms and offices, and a streamlined layout that supports a more collaborative environment for our employees. Our first day in the new space will be August 8th.
We want to make sure that you’re able to work RTP claims in the most efficient manner possible. To accomplish this, MedicareACE now allows you to load multiple UB-04 claim editing forms to let you get more done in less time. You can now easily page through your RTPs and make corrections in the familiar UB-04 format.
October 1st is now well within sight! As you know, if you don’t use valid ICD-10 codes starting on October 1, 2015, you will not be able to successfully bill for your services. This change will likely affect many of your 837, 999 and 277CA claims as well and it’s important to know how.
Every 837 transaction you submit must include qualifiers that indicate whether it contains ICD-9 or ICD-10 coded claims. All 837 claim files submitted incorrectly will reject on the front end and won’t even make it into the Medicare claim processing system. READ MORE >>>
When it comes to picking an audit response tool, you have a lot of options. With so much at stake, it can be difficult to make sure you’re picking the right one. Sure, you can save some money up front with a budget tracking system, but if you aren’t accounting for the investment of your time, you haven’t fully calculated the cost.
It’s hard to believe that another year has already come and gone. Although we’re already looking ahead to 2015, I wanted to take a moment to reflect on the previous year and all that has happened.
2014 was a year of incredible growth for our company. eSolutions now supports more than 2,500 customers representing more than 12,000 provider locations, coast-to-coast. Meeting your needs is still our number one priority, and to ensure that we’re able to do this, we’ve expanded our customer service, development, and sales teams.
After an extended break, it appears the Recovery Audit Contractor (RAC) audits will soon start to pick up steam. At this time, CMS is initiating contract modifications to the current recovery auditor contracts to allow the recovery auditors to restart some reviews. Most reviews will be done on an automated basis, but a limited number will be complex reviews of topics selected by CMS. Complex reviews may include DRG validations (coding reviews), surgery, and therapy.
As an SNF provider, secondary payer billing can be one of the biggest holdups in getting you paid quickly. Identifying and billing claims which do not cross over automatically can be a time-consuming, labor-intensive process. Not to mention that without automation, you run the risk of not collecting on a significant revenue source. To improve this part of your revenue cycle, eSolutions offers the MedicareASAP (Automated Secondary Payer) tool. Secondary Payer billing has never been easier.
MedicareASAP automates and accelerates your secondary payer billing by creating the UB-04 and EOMB documents needed for billing claims that did not cross over. As a bonus, MedicareASAP provides detail and summary reporting for both crossover and non-crossover claims.
With MedicareASAP, you can put an end to waiting for your Medicare RA file in order to bill your secondary claims. You’ll no longer need to retrieve the UB-04 from the patient’s folder to make a copy of it. Supplemental bills from the patient accounting system and EOBs will be available to you immediately.
The automated features of MedicareASAP dramatically decrease the labor required to bill secondary payer claims. Without MedicareASAP, your team has to spend a significant amount of time attempting to identify claims with secondary payers, which ultimately slows down your payment. But with MedicareASAP, you automatically get the UB-04 and EOMB as soon any claim fails to cross over.
Maximize Growth and Profitability with Aegis
Picking the right agency management system for your business is a decision that requires careful consideration. You want something that will be easy for staff to adopt, but that still supplies the in-depth reporting and analytics needed to guide management decisions. Most importantly, the system must drive the growth and profitability of your business. To that end, eSolutions has created the Aegis management system to drive maximum profitability through automation.
Aegis completely automates your billing procedures. It updates and submits UB-04s for you, completely eliminating the need for direct data entry. This saves you time and valuable staff resources. Since claims are being sent out as soon as they’re ready to be billed, cash flow is increased and take-backs on auto-canceled RAPs are eradicated. Aegis greatly reduces the risk of zero-payment RAPs. The all-payer billing features allow you to take on more patients than ever, since you won’t be limited on who can pay you.
In Aegis, work queues are automatically created based directly on your work model and business hierarchy. This dramatically simplifies the management of your A/R and collection assignments. With the ability to set up auto-assignment, you can control the exact data each staff member receives. This saves time and allows you to maintain strong data security.
Aegis also automates the import of Electronic Remittance Advice. The 835 remit is automatically pulled in from the payer and no longer needs to be entered manually. Aegis also eliminates data entry for cash posting, since this information is automatically added to patient accounts.