0 comments on “Data Systems Management Partners with Accordias Healthcare Services, LLC”

Data Systems Management Partners with Accordias Healthcare Services, LLC

Data Systems Management (DSM), a leading provider of Financial Systems , and Accordias Healthcare Services, LLC (Accordias), a leading provider of Revenue Cycle Services to Rural Community Hospitals, today announced an extension of their long standing Alliance and Technology Partnership.

Accordias has two practices that work very closely with DSM in providing financial services to our Rural Hospital community.  Their Recovery Practice which works with financially troubled facilities, utilizes the DSM Financial applications and claims Clearing House to help these rural facilities get their claims processed and bring financial stability to that facility.  Their Bankruptcy Practice which works closely with Chief Restructuring Officers and Bankruptcy Trustrees to clean up the accounts receivable, utilizes the DSM HIS System and it’s claims Clearing House to support that effort and return the maximum dollars to the Creditors Committee for maximum distribution.

With Accordias providing the expertize and resources, and DSM providing the financial tools, this Alliance will continue to provide the financial support all of our Rural Community Hospitals need to remain a viable community asset.

About Accordias Healthcare Services, LLC

As the preferred revenue cycle partner for community hospitals, Accordias Healthcare is uniquely qualified to step in and jumpstart your revenue cycle. We get community hospitals, because we’ve been in the trenches rubbing elbows with rural, critical access and community hospital administrators to create customized, actionable plans that quickly produce results. Technology platforms are no obstacle – we work with any system and eliminate additional costs related to technology. We can even help you recover from a challenged HIS implementation and begin realizing the benefits of your new technology sooner than later. Contact us today for a free, no-obligation revenue enhancement assessment.

0 comments on “Big Changes Proposed for Meaningful Use In 2015”

Big Changes Proposed for Meaningful Use In 2015

CMS has proposed big changes for meaningful use (MU) that will affect eligible providers (EP’s) and hospitals in 2015.  Below is a summary of what has been proposed but first let’s discuss what got us where we are today.

So why change?  Well, 2014 was a very difficult year for CMS.  Many vendors could not meet the stage 2 requirements and failed to certify their applications timely and failed to implement upgrades.  Also, many states still lack the infrastructure to accommodate many of the interoperability and reporting requirements.  This led many providers to fail to report and both EP’s and hospitals sought hardship exemptions at an alarming rate.  CMS responded last year by reducing the reporting period to one calender quarter but obviously it was too little too late.

The result of these failures has led to criticism on all fronts.  Congress is questioning the lack of progress and CMS’ ability to manage the programs.  The ONC has been criticized for failing to address the interoperability issues.  Vendors have been called out for a lack of response to their customers and failing to advance the MU goals.  Many professional organizations are demanding changes.  It has been reported that many EP’s are expected to leave the program entirely and take the financial hit in the form of penalties.

Well, it appears CMS is finally listening.  They have proposed significant changes that should provide relief in the form of a simplified set of requirements to meet MU in 2015.  The changes will also eliminate having different participants at different “stages” and beginning in 2016 all providers and hospitals will have to meet the same MU requirements regardless of which year they are in.  The goal is to have everyone on the same page and ready for stage 3 in 2018.

Below is a summary of the proposed changes for hospitals, including critical access hospitals.  I will include a link to the full proposal at the bottom of the page.  CMS is currently accepting public comments on the changes until June 15th, 2015.  You can expect the changes to become final as soon as 60 days after closing of comments.

Stage 1 in 2015

Reporting Requirements

  • Have until December 31, 2015 to collect data
  • Report on 90 consecutive days of data (not calender quarter)

Measures

  • CPOE to order meds on 30% of unique patients or 30% of total med orders
  • Clinical Decision Support – Implement one rule and drug interaction on all medications
  • Public Health Reporting – Be actively engaged with your public agency to submit data for 2 of the 6 measures (“actively engaged” means you at least have an agreement with the agency)
  • Provide 50% of patients electronic access to records within 36 hours of discharge
  • Perform a system security analysis

Stage 2 in 2015

Reporting Requirements

  • Have until December 31, 2015 to collect data
  • Report on 90 consecutive days of data (not calender quarter)

Measures

  • CPOE to order meds (60%), lab (30%), rad (30%)
  • Electronically submit summary of care on 10% of transfers
  • Clinical Decision Support – Implement 5 rules and drug interaction
  • Perform medication reconciliation on 50% inbound patients
  • Provide patient education to 10% unique patients
  • Provide 50% patients electronic access to records within 36 hours of discharge and have at least one patient access it
  • Public Health Reporting – Be actively engaged with your public agency to submit data for 3 of the 6 measures
  • Perform  a system security analysis

Years 2016 and 2017 (all providers and hospitals regardless of previous stage)

Reporting Requirements

  • Collect and report data for entire year Jan. 1 to Dec. 31st

Measures

  • CPOE to order meds (30%), lab (60%), rad (60%)
  • Electronically submit summary of care on 10% of transfers
  • Clinical Decision Support – Implement 5 rules and drug interaction
  • Perform medication reconciliation on 50% inbound patients
  • Provide patient education to 10% unique patients
  • Provide 50% patients electronic access to records within 36 hours of discharge and have at least one patient access it
  • Public Health Reporting – Be actively engaged with your public agency to submit data for 3 of the 6 measures
  • Perform a system security analysis
  • e-Prescribe 10%

So as you can see, there’s big changes coming this year.  Below is the link to view and comment on the proposed changes (be patient… it takes a minute or so for the entire page to load).

http://www.regulations.gov/#%21documentDetail;D=CMS-2015-0045-0001

0 comments on “ICD-10 UPDATES/SPLITTING INPATIENT CLAIMS THAT SPAN THE IMPLEMENTATION DATE”

ICD-10 UPDATES/SPLITTING INPATIENT CLAIMS THAT SPAN THE IMPLEMENTATION DATE

In preparation for the October 1, 2014 ICD-10 Implementation, DSM is preparing to share the most up to date information provided by CMS to help promote provider readiness. In the months ahead, our team will highlight information specifically targeting issues requiring provider action or changes in billing practices.

The Medical Records Abstract will allow providers to enter both ICD-9 and ICD-10 codes for the purpose of split claims that span the implementation date.

Please access the link below for split claims billing instructions for Medicare Fee-For-Service (FFS) claims that span the ICD-10 Implementation Date (sample UBs provided by CMS).

CMS MLN SE1325-2-ICD-10

For further updates, please visit this site regularly as we move closer to the big date! We appreciate your business!

0 comments on “***ACCESS DDE FROM THE WEB INSURANCE SYSTEM***”

***ACCESS DDE FROM THE WEB INSURANCE SYSTEM***

DSM users have more options than ever before with our recent addition to the Web Insurance System. ACCESS DDE is the newest tool in a series of solutions developed to promote denial management from within the Web Insurance System.

ACCESS DDE SCREEN VIEW

The DDE screens you are familiar with, integrated with a system you know and trust, work simultaneously to help users improve efficiency and increase productivity. Call our Support Team today to find out more about ACCESS DDE on the Web Insurance System.

 

0 comments on “DSM Lab System Update”

DSM Lab System Update

In 2011 DSM assumed the development and support of the CSI Lab System, a system with a rich 20 year history of excellent service, support and reliability. The new year brings with it many exciting changes for our Lab Information System (LIS) clients. While we added LOINC code integration in 2011, DSM continues to add more LOINC related functionality ensuring ease of use and the ability for our clients to meet their Meaninful Use (MU) requirements.

In addition, our development team has begun converting the LIS user interface from the IBM Client Access terminal environment to a new, more modern, web based interface.  DSM has had a very positive response to similar changes made in the business line of products and is using the experience to bring a fresh, user friendly, environment for our lab clients to work.

Check back with us in a few days for some screen shots of the the LOINC code changes and the new graphical user interface.

0 comments on “**MEDICARE TRAINING AND EDUCATION**”

**MEDICARE TRAINING AND EDUCATION**

Novitas Solutions offers educational opportunities for medical coders and billers at no cost to you or your employer. Depending on the class, interested participants can earn CEUs while they work and further their knowledge in this rapidly changing field. Click here to view a list of upcoming events offered by Novitas Solutions.

0 comments on “*JH TRANSITION NEWS FOR MS PART B PROVIDERS*”

*JH TRANSITION NEWS FOR MS PART B PROVIDERS*

Novitas has published a newsletter for MS Part B providers in preparation for the upcoming JH Part B Transition. Included in the newsletter providers will find the Cutover Schedule, a Local Coverage Determination (LCD) Crosswalk, and other important phone numbers, dates and helpful hints for a successful transition. To access this information and more, click here. Please call Ursula Mercer at 601-925-6292 for more information on how to be prepared.

 

0 comments on “***IMPORTANT JH PART A TRANSITION NEWS FROM ALAN***”

***IMPORTANT JH PART A TRANSITION NEWS FROM ALAN***

DSM is working this week to make the necessary changes to your system to send claims to Novitas beginning next Monday August 20. An update will be going out this evening with software changes to accommodate the difference in Novitas’ transmission system.  Once the update is installed we will make configuration changes to your system with the new submitter id, user id, and password that were assigned to your facility by Novitas.  All of this will be completed by the end of the day tomorrow.  According to the Novitas bulletin at the link below you should stop sending claims to Pinnacle at 1:00 PM on August 16 (Box 1 on the second page).  Starting at 2:00 pm on August 16 we will begin making the final changes to your system to send claims to Novitas and will have your system ready to begin sending claims by the end of that day.  However, according to the link below, you should hold ALL Medicare Part A claims until after 5:00 pm Friday August 17 (Box 1 on the second page).

https://www.novitas-solutions.com/transition/jh/edi/pdf/edinews-0712.pdf

In summary:
– This change will only affect Medicare Part A claims.  The Part B claims will                 transition in October so you can continue to file them.
– You should STOP sending Medicare Part A claims at 1:00 pm on August 16.
– Do NOT begin sending Medicare Part A claims again until after 5:00 pm August 17.
0 comments on “LA/MS Part A EDI-Resources”

LA/MS Part A EDI-Resources

The Enforcement Deadline for the 5010 Transition will soon be here. We may continue to see a few issues linger as our MAC’s perform “scheduled fixes” potentially causing unintended edits to fire. To stay up to date on these potential issues over the next few months, you may review the System Status Log for current Part A system issues.

0 comments on “IMPORTANT NOVITAS J-H CORRESPONDENCE”

IMPORTANT NOVITAS J-H CORRESPONDENCE

AR/LA/MS Providers: Be on the look out for correspondence from our new MAC. In addition to a new EFT Authorization Form, providers should receive letters assigning new passwords to existing submitter IDs. These letters include dated material and failing to act by the deadlines will result in payment interruptions. Please fax EDI correspondence to Ursula Mercer at 601-925-2223.

For details about the J-H Implementation, click on “FAQS“.