Preparing for ANSI 5010

ANSI 5010 Upgrade Instructions

You should have received a notice with the information below that is specific to your account. Please use this to help you prepare and start the installation of the ANSI 5010 Upgrade. The information highlighted in red is important, please make sure to follow the directions completely so you will be prepared for the upgrade. If you have not received this letter OR you need to order an Installation CD(mostly needed for dial-up customers), Please call us at 1-800-326-4831 x720 or send us an email at Support@FastEMC.com. FastEMC Account: 1000 Software Type: HCFA Professional Install Password: 12345
We have been working all year on the 5010 ANSI release and it's finally time to install the upgrade. All upgrades must be done by 12/31/2011. We will be available during normal business hours [9am to 5pm EST Monday through Friday]. If you need to have the install done after business hours or on the weekend, there will be a charge for After Hours Support. What you will need to do to prepare for the upgrade: 1. Download the Upgrade at www.FastEMC.com FastEMC ANSI 5010 Professional Update for HCFA customers FastEMC ANSI 5010 Institutional Update for UB customers Download the instruction manual for the corresponding update and review the information and steps required. If you have dial up internet, you can order an Installation CD. Keep in mind that CDs will take 7-10 business days for delivery. Have the installation download or CD ready before your scheduled appointment otherwise your appointment will have to be rescheduled. 2. Process all pending items, upload any files to payers, and download any reports. 3. Make a Back-up before your installation. We are not responsible for any lost data during the upgrade. 4. Plan your Upgrade - Have all the other steps completed and be prepared. a. Use the instructions for installation that you downloaded and install the software upgrade. b. Schedule an upgrade appointment - if you do not feel comfortable completing the installation on your own. If you will need help with the installation, please call to set up an appointment. Time required depends on the speed of your computer and the quantity of data, but expect at least 1 hour. Final Note: Have the 4 digit zip code extensions for your facilities and billing providers either already updated or available to enter as it will be necessary in ANSI 5010 claims.

ANSI 5010 Update!

Introduction to ANSI 5010 A letter to the FastEMC client base and other interested parties on our progress. Well it will not be long and we will be looking the ANSI5010 transition straight in the eye. We are hoping we have designed a transition that will be most gentle. Instead of making a hard transition from ANSI 4010 to ANSI 5010, we decided to set this up with extreme flexibility.

Triangle Medical Solutions / FastEMC 4/7/2011 ANSI 5010 – Prepare now for the ANSI 5010 transition by 1/1/2012 1. Make sure your Billing Provider address is not a PO Box but a physical street address. The PO Box address will be entered in a new position as the PAY TO address on your Billing Provider Setup. This change will require changes on all your enrollments with your trading partners (Payers including Clearinghouses, Medicare, etc.) This must be in place before deadline.
2. Zip codes for Billing Providers and Facilities will need to be given in 9 digit format. These can be collected now and added to your data.
3. If you provide services that would be classified as Place of Service as HOME, then you will need to get 9 digit zip codes for the Patient Address. In that situation, the Patient address is reported as the Place of Service or Facility where Service is provided.
4. Billing Provider might need to be reported differently. If your business is setup with a Master NPI which contains additional sub-NPI’s that might be assigned to clinics, labs, or other smaller units in your business, then in the ANSI 5010 the lower level NPI must be reported as the Billing Provider. We will be glad to explain this if my explanation here is not clear enough.
5. Review any reports you get from your payers – now. Make sure any warnings or notices are researched and handled now.
6. Read all notices you get from your payers and trading partners. We will try to collect any information we find that can be handled now so you can take steps now to be ready.
www.getready5010.org

It is very important to keep track of the progress of your processed claim batches. Each batch is assigned a batch number and it is printed on your Transmission Report. *keep a ledger including the submission and batch number of each batch created. *note the date the batch was uploaded. *note when the clearinghouse sent acknowledgement receipt and it was accepted and approved. *write down when you receive an EOB for that batch. *and finally, and this is the most important step. Note when you have received payment for that batch. In most cases, this cycle should take under 14 days. But you may have Payers that take much longer and it is important to keep records so you know what is outstanding and can follow up on your payments.

Version 2.8 of the Medicare Remit Easy Print (MREP) software is available for download at: http://www.cms.gov/AccesstoDataApplication/02_MedicareRemitEasyPrint.asp on the Centers for Medicare & Medicaid Services (CMS) Web site.

There are two new Medicare Secondary Payer (MSP)/Non-MSP Claims Reports. The MSP Claims Report identifies the X12 835V4010A1 and V5010 claims, within a remittance, that were processed by Medicare as secondary. The Non-MSP Claims Report identifies the X12 835V4010A1 and V5010 claims, within a remittance that were processed by Medicare as primary.

Since changes are being made to the MREP software, the updated Claim Adjustment Reason Codes/Remittance Advice Remark Codes file (Codes.ini file) is included with version 2.8 of the MREP software.

Note: If you have problems accessing the hyperlink in this message, please copy and paste the URL into your Internet browser.

Another ANSI 5010 Update

Please make sure that your NPI number is registered with a physical address. Any claims associated with an NPI number that is registered to a P.O Box, will not be accepted after January 1st, 2012.

DME Accounts

DME Customers using Dial-Up internet access will need to select a clearinghouse to continue to submit DME claims to Medicare after April 2011. Since November 2010 they have been reducing the lines available for the dial-up which may make it difficult to get a connection. So please do not wait, let’s get your claims going through a clearinghouse.

ANSI Version 5010

We are diligently working on the ANSI 5010 release for installation in the second or third quarter of 2011, well before the January 2012 deadline. We will keep you posted and you will receive information about the upgrade as it is released.

Premium Support

Premium Support gives you priority service which can be helpful if you have a tech onsite or have a critical issue that just cannot wait.

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Preparing for ANSI 5010