Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 1029 Date: January 26, 2012
|
|
- Barbara Blair
- 5 years ago
- Views:
Transcription
1 anual ystem Pub One-Time Notification Department of Health & Human ervices (DHH) enters for edicare & edicaid ervices () Transmittal 1029 Date: January 26, 2012 hange equest 7662 UBJET: Delayed Work from 7589: equest to equire Hours for esearch and onference alls with aintainers, s, and EDs and dditional equirements for D hared ystems. UY OF HNGE: This requires ongoing research hours and bi-weekly conference calls with the maintainers, edicare dministrative ontractors (s), and EDs as well as other requirements necessary to the coordination and successful completion of the D hared ystems project. EFFETVE DTE: July 1, 2012 PLEENTTON DTE: July 2, 2012 Disclaimer for manual changes only: The revision date and transmittal number apply only to red italicized material. ny other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will receive the new/revised information only, and not the entire table of contents.. HNGE N NUL NTUTON: (N/ if manual is not updated) =EVED, N=NEW, D=DELETED-Only One Per ow. /N/D HPTE / ETON / UBETON / TTLE N/. FUNDNG: For Fiscal ntermediaries (Fs), egional Home Health ntermediaries (HHs): No additional funding will be provided by ; ontractor activities are to be carried out within their operating budgets. For edicare dministrative ontractors (s): The edicare dministrative ontractor is hereby advised that this constitutes technical direction as defined in your contract. does not construe this as a change to the tatement of Work. The contractor is not obligated to incur costs in excess of the amounts allotted in your contract unless and until specifically authorized by the ontracting Officer. f the contractor considers anything provided, as described above, to be outside the current scope of work, the contractor shall withhold performance on the part(s) in question and immediately notify the ontracting Officer, in writing or by , and request formal directions regarding continued performance requirements. V. TTHENT: One-Time Notification *Unless otherwise specified, the effective date is the date of service.
2 ttachment One-Time Notification Pub Transmittal: 1029 Date: January 26, 2012 hange equest: 7662 UBJET: Delayed Work from 7589: equest to equire Hours for esearch and onference alls with aintainers, s, and EDs and dditional equirements for D hared ystems Effective Date: July 1, 2012 mplementation Date: July 2, GENEL NFOTON. Background: The D hared ystems (D) will receive feeds from the three shared systems the F, and V. n addition to the daily feeds, the D will also receive history extracts containing historical data starting with October This requires ongoing research hours and bi-weekly conference calls with the maintainers, edicare dministrative ontractors (s), and EDs. These conference calls are necessary to the coordination and successful completion of the project. We recommend 20 hours for each, ED, and hared ystems aintainer (). dditionally, this contains requirements from F, V, and that were delayed from the pril release. B. Policy: The edicare Program ntegrity Group has determined that it will use the hared ystems claims data for fraud, waste and abuse detection.. BUNE EQUEENT TBLE Number equirement esponsibility (place an X in each applicable column) / D F hared- ystem OTHE B E aintainers ll parties shall continue ongoing research and participation in scheduled conference calls. X X X X X X X X ED The conference calls shall be one hour in length. X X X X X X X X ED The conference calls shall occur at least every other week. X X X X X X X X ED The conference calls shall continue at least until the shared D systems modules for the shared systems are implemented at the ED. E H H F V X X X X X X X X The hared ystems aintainer(s) shall include the X X W F ED
3 Number equirement esponsibility (place an X in each applicable column) / D F hared- ystem OTHE B E aintainers remittance advice number on daily extracts The hared ystems aintainer(s) shall include the claim line number on daily extracts The claim line number provided in the extract shall correspond to the same claim line number in the hared ystems, e.g. claim line number 4 for a claim line in the D extract should correspond to the claim line 4 when the claim is viewed on the hared ystem The hared ystems aintainer(s) shall send Phase claims to the D with updated check numbers and check dates whenever the check number on a claim is changed The hared ystems aintainers shall create base jobs to generate the extract reference files for each code set, including hared ystem-controlled and -controlled code sets, on a monthly basis as follows: For each code set, the hared ystem aintainers shall generate reference extract files containing Number, ode, ode Description, Effective Date, and Obsolete Date The hared ystem aintainers shall submit the above information for the following code sets: laim Type - Edit Disposition ode laim Type - Nonpayment eason ode laim Type - Payment Denial ode laim Type DE - DE odifier ode laim Type DE - DE Procedure ode laim Type DE - DE Place of ervice ode laim Type DE - DE ction ode E H H F X X X V X W F X X ED X X ED X X ED The F aintainers shall use the following information to locate the correct D field names: When listing claims by H, the reason code field is displayed on the second line of a claim line summary. The laim ummary screen indentifies the field with E as the field label; it is directly under the dmission Date. On page 1 of a finalized claim, the final reason code is displayed in the bottom right hand corner X
4 Number equirement esponsibility (place an X in each applicable column) / D F hared- ystem OTHE B E aintainers of the screen. On page 6 of a finalized claim, the eject ode is displayed under the TP/BLD/D field and is labeled, eject d. On page 9 of the finalized claim, the ed ev N field also indicates the reason a claim was reviewed as it related to medical review. On the laim nquiry creen by DN, the reason code is the last column on the left side of the screen, labeled eason The V aintainers shall create base jobs to generate extract reference files for the following codes: tatus eason Discover odes D Letter Number FN/ULE Numbers The hared ystem aintainers shall submit the above requested information via the EFT process as output from the month-end processing cycles The hared ystem aintainers shall submit quarterly release changes to the D record layouts in a standardized format. The required format is found in the attached Excel spreadsheet. The spreadsheet will have 6 tabs. Tab 1 is an ntroduction & Description of the release changes. Tab 2 is the laim Header record layout. Tab 3 is the laim Line record layout. Tab 4 is the File Header layout. Tab 5 is the File Trailer layout. Tab 6 lists all the Quarterly hanges done to the copybook for the latest release The hared ystem aintainers shall submit the release changes via to the D mailbox: - D_ources@cms.hhs.gov The hared ystem aintainers shall send updated copybook spreadsheets as soon as possible after adding any changes The aintainer shall add a field in their claim extract to D to identify the claim as Original or djustment or as a Void. E H H F V X W F ED X X ED X X X X X X X
5 . POVDE EDUTON TBLE Number equirement esponsibility (place an X in each applicable column) / D F hared- ystem OTHE B E aintainers None. E H H F V W F V. UPPOTNG NFOTON ection : For any recommendations and supporting information associated with listed requirements, use the box below: Use "hould" to denote a recommendation. X-ef ecommendations or other supporting information: equirement Number None. ection B: For all other recommendations and supporting information, use this space: N/ V. ONTT Pre-mplementation ontact(s): nthony Hodge at or nthony.hodge3@cms.hhs.gov John tewart at or John.tewart@cms.hhs.gov Patte ppling at or Patricia.ppling@cms.hhs.gov Post-mplementation ontact(s): ontact your ontracting Officer s Technical epresentative (OT) or ontractor anager, as applicable. V. FUNDNG ection : For Fiscal ntermediaries (Fs), egional Home Health ntermediaries (HHs): No additional funding will be provided by ; contractor activities are to be carried out within their operating budgets. ection B: For edicare dministrative ontractors (s): The edicare dministrative ontractor is hereby advised that this constitutes technical direction as defined in your contract. does not construe this as a change to the tatement of Work. The contractor is not obligated to incur costs in excess of the amounts allotted in your contract unless and until specifically authorized by the ontracting Officer. f the contractor considers anything provided, as described above, to be outside the current scope of work, the contractor shall withhold performance on the part(s) in question and immediately notify the ontracting Officer, in writing or by , and request formal directions regarding continued performance requirements.
6 ntroduction and Decription EXPLE FO F: The (F//V name here) copy book contains the description of (F//V file or claims record names here) and (F//V file or claims record names here) record layouts, which are defined in separate sheets within this document: laim Header Name - This record contains the claim level information. The trailer sequence number is 00 laim Detail Name - This record contains the detail line information that can have a trailer sequence number of 00; for the detail information on the base claim header record and 01 thru 17 for the detail line items on the detail records on FD. File Header Name - File Header ecord. File Trailer Name - File Trailer ecord. The Quarterly hanges tab will list the changes made during the quarter. ll three files are created in the same record format. Files will be created into 6 workloads and one exception file.
7 File Header Format TT END Field Name Type LENGTH 1029_OTN2.xls -File Header Page 1 of 2
8 File Header Format Description Valid Values 1029_OTN2.xls -File Header Page 2 of 2
9 File Trailer Format TT END Field Name Type LENGTH 1029_OTN2.xls -File Trailer Page 1 of 2
10 File Trailer Format Description Valid Values 1029_OTN2.xls -File Trailer Page 2 of 2
11 laim Header Format TT END Field Name Type LENGTH Phase Yes or No 1029_OTN2.xls -laim Header Page 1 of 3
12 laim Header Format Phase PHE Description Yes or No Yes or No 1029_OTN2.xls -laim Header Page 2 of 3
13 laim Header Format Valid Values 1029_OTN2.xls -laim Header Page 3 of 3
14 laim Line Format TT END Field Name Type LENGTH Phase Yes or No 1029_OTN2.xls -laim Line Page 1 of 9
15 laim Line Format 1029_OTN2.xls -laim Line Page 2 of 9
16 laim Line Format 1029_OTN2.xls -laim Line Page 3 of 9
17 laim Line Format 1029_OTN2.xls -laim Line Page 4 of 9
18 laim Line Format Phase PHE Description Yes or No Yes or No 1029_OTN2.xls -laim Line Page 5 of 9
19 laim Line Format 1029_OTN2.xls -laim Line Page 6 of 9
20 laim Line Format 1029_OTN2.xls -laim Line Page 7 of 9
21 laim Line Format 1029_OTN2.xls -laim Line Page 8 of 9
22 laim Line Format Valid Values 1029_OTN2.xls -laim Line Page 9 of 9
23 N Layout TT END Field Name Type LENGTH Description 1029_OTN2.xls -N (V Only) Page 1 of 2
24 N Layout Valid Values 1029_OTN2.xls -N (V Only) Page 2 of 2
25 N Questions TT END Field Name Type LENGTH 1029_OTN2.xls -N Questions (V Only) Page 1 of 2
26 N Questions Description Valid Values 1029_OTN2.xls -N Questions (V Only) Page 2 of 2
27 ecord Type TT END Field Name Type LENGTH Values for ecord Type H - laim Header L - laim Line FH - File Header FT - File Trailer F Example Follows FD-LOW-VOLUE 9(9).99-13
28 PHE Description 2 This field will not be populated until the January 2012 release. t is a field returned by the ED pricer. The ED PP implemented on January 1, 2011 provides for payment adjustments to low volume facilities. The low volume adjustment is included in the per treatment PP reimbursement amount that is sent from the PE program to the Fiscal ntermediary hared ystem (F). This instruction allows for receiving the per treatment low volume adjustment payment after any applicable transitional blend is applied in a separate field. The per treatment low volume adjustment amount will be totaled for the claim and sent to the ommon Working File (WF) for future data analysis needs.
29 omment on the change dded for 7388
Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 947 Date: August 12, 2011
anual ystem Pub 100-20 One-Time Notification epartment of ealth & uman ervices () enters for edicare & edicaid ervices () Transmittal 947 ate: ugust 12, 2011 hange equest 7496 UBJT: evisions to hange equest
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 2150 Date: February 4, 2011
anual ystem Pub 100-04 edicare laims Processing Department of ealth & uman ervices (D) enters for edicare & edicaid ervices () Transmittal 2150 Date: ebruary 4, 2011 hange equest 7319 UBJET: pril Update
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 2167 Date: February 25, 2011
anual ystem Pub 100-04 edicare laims Processing Department of ealth & uman ervices (D) enters for edicare & edicaid ervices () Transmittal 2167 Date: ebruary 25, 2011 hange equest 7319 Transmittal 2150,
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 868 Date: March 9, 2011
anual ystem Pub 100-20 One-Time Notification Department of ealth & uman ervices (D) enters for edicare & edicaid ervices () Transmittal 868 Date: arch 9, 2011 hange equest 7289 Transmittal 855, dated ebruary
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 895 Date: May 6, 2011
anual ystem Pub 100-20 One-Time Notification epartment of ealth & uman ervices () enters for edicare & edicaid ervices () Transmittal 895 ate: ay 6, 2011 hange equest 7362 UJT: evisions to hange equest
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 3438 Date: January 8, 2016
anual ystem Pub 100-04 edicare laims Processing epartment of ealth & uman ervices () enters for edicare & edicaid ervices () Transmittal 3438 ate: January 8, 2016 hange Request 9495 UBJT: mergency Update
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services(CMS) Transmittal 1727 Date: May 1, 2009
S anual System Pub 100-04 edicare laims Processing Department of Health & Human Services (DHHS) enters for edicare & edicaid Services(S) Transmittal 1727 Date: ay 1, 2009 hange equest 6420 SUBJET: oordination
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 1634 Date: March 11, 2016
anual ystem Pub 100-20 One-Time Notification epartment of ealth & uman ervices () enters for edicare & edicaid ervices () Transmittal 1634 ate: arch 11, 2016 hange Request 9546 UBJT: mplementation of the
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 3288 Date: July 2, 2015
CMS Manual System Pub 100-04 Medicare Claims Processing epartment of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 3288 ate: July 2, 2015 Change equest 9199 SUBJECT:
More informationDATE: August 3, Cheri Rice, Director Medicare Plan Payment Group. Revised MAO-004 File Layout
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for & Medicaid Services 700 Security Boulevard Baltimore, Maryland 21244-180 CENTER FOR MEDICARE MEDICARE PLAN PAYMENT GROUP DATE: August 3, 2016 TO: FROM:
More informationDepartment of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 1026 Date: January 26, 2012
CMS Manual System Pub 100-20 One-Time Notification Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 1026 Date: January 26, 2012 Change equest 7582
More informationJob Aid: My Remittance Reporting. Contents. Access
Job Aid: My Remittance Reporting The purpose of this document is to provide step-by-step instructions to select files and remit and pay in the My Remittance Reporting section of AgentNet. Contents Access...
More informationI. SUMMARY OF CHANGES: The purpose of this update is to communicate to Medicare Contractors changes to CMS and NIST requirements and procedures.
CMS Manual System Pub 100-17 Medicare Business Partners Systems Security Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 11 Date: September 30, 2011
More informationBESNet Training Manual
Table of ontents ESNet Training Manual Pre-Implementation ccount Management and Self-Determined Notifications for Registered Entities June 18, 2014 Version 1-1 3353 Peachtree Road NE Suite 600, North Tower
More informationWeb-based Illinois Nutrition System (WINS) Claim Instruction Manual. Illinois State Board of Education Funding & Disbursement Services
Web-based Illinois Nutrition System (WINS) Claim Instruction Manual Illinois State Board of Education Funding & Disbursement Services October 2012 Introduction Applications and claims for the school based
More informationProvider Portal. Direct Deposit User Guide
Provider Portal Direct Deposit User Guide July 2015 Proprietary Notice Copyright 2015, TELUS Health Solutions. All rights reserved. Information provided in this publication is proprietary and confidential.
More informationIndustry Update QA Documentation
Industry Update QA Documentation Questions and Answers The following were questions asked by participants during the Industry Update. Encounter Data Formats Q1: Is the 276 transaction an optional file
More informationUnifier Project Controls User Guide
Unifier Project Controls User Guide 16 R2 September 2016 Contents Introduction to Project Controls... 17 Components of Project Controls... 19 About the Owner Template... 19 About the Contractor Template...
More informationProcess Document. Scope
Process Document Subject: BCIT Access Management Process Process Number: I.0.02.00.01 Department Name: Information Technology Version: 1.4 Original Issue Date: Revision Date: 03/22/2010 Process Owner:
More informationResolving Actions and Completion Policy Status About Non-Workflow BPs Creating a BP Record... 40
Unifier Project Controls User Guide Version 17 September 2017 Contents Introduction to Project Controls... 17 Downloading and Configuring Project Controls Base Product (On-Premises Deployment)17 Downloading
More informationThis bulletin provides additional information about the change in First Steps (FS) processors as outlined in BT dated February 3, 2006.
INDIANA HEALTH COVERAGE PROGRAMS P R O V I D E R B U L L E T I N B T 2 0 0 6 1 0 A P R I L 2 0, 2 0 0 6 To: First Steps Providers Subject: First Steps Update Information Overview This bulletin provides
More informationUnderstanding Home Health Prospective Payment System (HH PPS) Health Insurance Prospective Payment System (HIPPS) Code Changes
Understanding Home Health Prospective Payment System (HH PPS) Health Insurance Prospective Payment System (HIPPS) Code Changes The following information is to be used to assist in determining how the Fiscal
More informationUsing BirchStreet Report Filters
Using BirchStreet Report Filters Each report will open with a screen like the one below which allows a user to select the specific fields which will be displayed on the report, what order the fields should
More informationecms Processes and Procedures Contractor Users Update August 2017 Prepared by CACI International, Inc.
ecms Processes and Procedures Contractor Users Update August 2017 Prepared by CACI International, Inc. Cover Photo 140806-N-PA772-001 JACKSONVILLE, Fla. (Aug. 6, 2014) U.S. Navy photo by Earl Bittner/Released
More informationClient Access Template Reporting Guide
Client Access Template Reporting Guide FOR PLAN SPONSOR USE ONLY. NOT FOR USE WITH PLAN PARTICIPANTS. Table of contents 01 02 03 04 05 Client Access: My Reports My Reports Inbox Original and Customized
More informationInternet Transaction System User Guide
Internet Transaction System User Guide Table of Contents Login. Page 2 Account Listing/Transactions. Page 9 Deposit.. Page 10 Withdrawal Page 14 Transfer. Page 18 Account History Page 22 Account Statements
More informationWeb Portal Manual. For Self-Managing Clients. manawanui INDIVIDUALISED FUNDING SUPPORT
Web Portal Manual For Self-Managing Clients manawanui INDIVIDUALISED FUNDING SUPPORT Contents Welcome 3 Overview 4 Getting Started 5 Web Portal Basics 6 Help and Support 8 Statement Screen 9 Detailed Transaction
More informationProvider Monitoring Process
Provider Monitoring Process This statewide provider monitoring process is applicable for all providers including direct vendors, Agency with Choice (AWC) Financial Management Services (FMS) providers and
More informationFCC Form 472 (BEAR) Form 472 (BEAR) Slide 1
FCC Slide 1 Table of Contents Topic Page The Process 3 The Basics 5 Logging Into the BEAR Area 10 Requesting a PIN 13 Creating a BEAR 25 Payment of the BEAR 36 Invoice Deadline Extension Requests 40 Wrapping
More informationElectronic Payments & Statements (EPS) Frequently Asked Questions (FAQs)
Electronic Payments & Statements (EPS) Frequently Asked Questions (FAQs) As of August 25, 2014, your PAF reimbursements can be made by direct deposit. How do I enroll for direct deposit? You can enroll
More informationThis Page Left Blank Intentionally
Chapter 2 Receipts This Page Left Blank Intentionally CTAS User Manual 2-1 Receipts: Introduction Issuing the receipt is the first step in the collection of payments. This should be done immediately upon
More informationLet s Get Started FSA IMPLEMENTATION KIT
Let s Get Started FSA IMPLEMENTATION KIT Welcome to WageWorks! We have designed this Implementation Kit to help guide you through your transition to WageWorks THIS KIT INCLUDES THE FOLLOWING MATERIALS:
More informationSTANDARDS FOR AUTOMATED REPORTING
North Carolina Central Cancer Registry STANDARDS FOR AUTOMATED REPORTING In accordance with the North American Association of Central Cancer Registries Record Layout Version 16.0 Effective 1/1/2016 January
More informationLVTS RULE 11 CHANGE MANAGEMENT, TESTING AND CERTIFICATION 2018 CANADIAN PAYMENTS ASSOCIATION
LVTS RULE 11 CHANGE MANAGEMENT, TESTING AND CERTIFICATION 2018 CANADIAN PAYMENTS ASSOCIATION This Rule is copyrighted by the Canadian Payments Association. All rights reserved, including the right of reproduction
More informationWelcome to ProviderNet. ProviderNet Molina Registration Instructions Revised: January 2015
Welcome to ProviderNet ProviderNet Molina Registration Instructions Revised: January 2015 1 Introduction Alegeus Technologies is pleased to provide the following registration instructions for the ProviderNet
More information277 STATUS RESPONSE - Outbound Translation
=equires, =ituational, N=Not Used egment 277 TATU EPONE - Outbound Translation ANI 277 Name Allowable Data Values IG INTECHANGE CONTOL HEADE IA01 Auth Infmation 00 No auth info present 03 Additional data
More informationCANADIAN PAYMENTS ASSOCIATION LVTS RULE 11 CHANGE MANAGEMENT, TESTING AND CERTIFICATION
CANADIAN PAYMENTS ASSOCIATION LVTS RULE 11 LVTS Rule 11, December 1998: as amended November 25, 2002, November 24, 2003, May 31, 2004, August 14, 2006, January 28, 2008, August 16, 2010, January 1, 2013,
More informationVolume Reporting Instructions
Volume Reporting Instructions Contract Service Fee (CSF) Quarterly Process: MHEC S volume reporting process is done on a quarterly basis. The volume report and payment are due 45 days after the end of
More informationHarmony Claims Submission Process
Vendor data prerequisites (completed by DSP Vendor Manager) Required fields in provider record: Vendor No., taxpayer ID, & claims identifier Provider open to fund code Services attached to provider Participant
More informationFiscal Officer Payroll Certification Report Instructions
Fiscal Officer Payroll Certification Report Instructions Before running either of the Fiscal Officer Certification Reports please make sure that you have installed the Oracle Reports Add-In for MS Word.
More informationNecho Employee Online Expense System Frequently Asked Questions
Necho Employee Online Expense System Frequently Asked Questions Can I access Necho through a thin client machine? To access Necho, a PC with an Internet Explorer connection (i.e. the training PC) is required.
More informationCONSUMER PORTAL QUICKSTART GUIDE
CONSUMER PORTAL QUICKSTART GUIDE Welcome to your 121 Benefits Consumer Portal. This one-stop portal gives you 24/7 access to view information and manage your Health Care Expense Account, Dependent Care
More informationELECTRONIC FUNDS TRANSFER FOR PROVIDER PAYMENTS
ELECTRONIC FUNDS TRANSFER FOR PROVIDER PAYMENTS Gold Coast Health Plan along with our contractor, ACS (a Xerox Company), is pleased to announce the availability of Electronic Funds Transfer (EFT). Providers
More informationCELLULAR TELEPHONE EQUIPMENT AND SERVICES POLICY
University Policies and Procedures 10-01.04 - CELLULAR TELEPHONE EQUIPMENT AND SERVICES POLICY I. Policy Statement: Employees must follow the procedures established by this policy to request Towson University
More informationNDIS Implementation Guide
NDIS Implementation Guide Last Update: February 2016 Interactive Reporting Pty Ltd ABN 68 128 589 266 8/248 Miller Street NORTH SYDNEY NSW 2060 Ph: (61 2) 8011 1511 Email: info@bi4cloud.com Website: www.bi4cloud.com
More informationWV MMIS EDI File Exchange User Guide Version 1.0 West Virginia Trading Partner Account Electronic Data Interchange (EDI) File Exchange User Guide
West Virginia Trading Partner Account Electronic Data Interchange (EDI) File Exchange User Guide Date of Publication: 01/19/2016 Document Version: 1.0 Privacy and Security Rules WV MMIS The Health Insurance
More informationUser Guide Regions Association Image Lockbox Online
User Guide Regions Association Image Lockbox Online 2012 Regions Bank. Regions Lockbox Services subject to product terms and conditions. Rev. 111312 Association Image Lockbox User Guide Association Image
More informationCreate Journal Entry to record prepaid expenses paid through expense reports
1. Prepaid Expenses Definition: Prepaid expenses are expenses that have been paid in advance. They are costs that have been paid but have not yet been used up or have not yet expired. 3. Prepaid Expense
More informationChange Healthcare CLAIMS Provider Information Form *This form is to ensure accuracy in updating the appropriate account
PAYER ID: SUBMITTER ID: 1 Provider Organization Practice/ Facility Name Change Healthcare CLAIMS Provider Information Form *This form is to ensure accuracy in updating the appropriate account Provider
More informationHealth Payment Online User Guide
HEALTH PAYMENT ONLINE USER GUIDE: Managing your Health Payment Account online Health Payment Online User Guide Managing your Health Payment Account online HEALTH PAYMENT ONLINE USER GUIDE: Managing your
More informationRailroad Medicare Electronic Data Interchange Application
Electronic Data Interchange Application Action Requested: Add New EDI Provider(s) Change/Update Submitter Information Apply for New Submitter ID Apply for New Receiver ID Delete Date: Submitter ID: ERN
More informationVoid Claims. Presenter: Mary Klinghagen. Void Claim Batches
Presenter: Mary Klinghagen Void Claims Void Claim Batches A Void claim batch must exist for the date range of the claim to Void and Resubmit or Void and Finalize a claim. The batch owner of the Void claim
More informationZONE PROGRAM INTEGRITY CONTRACTOR (ZPIC) TASK ORDER STATEMENT OF WORK Zone 1 - Parts A, B, DME and HH +H
Attachment J.2.A Page 1 of 6 I. SCOPE ZONE PROGRAM INTEGRITY CONTRACTOR (ZPIC) TASK ORDER STATEMENT OF WORK Zone 1 - Parts A, B, DME and HH +H The ZPIC shall perform fraud, waste and abuse detection, deterrence
More informationICD-10 Compliance Project November 2013 update
ICD-10 Compliance Project November 2013 update Presented by Hewlett-Packard Development Corporation, LP 1 November 2013 Topics ICD-10 news ICD-10 CMS news ICD-10 forms update ICD-10 APR-DRG update ICD-10
More informationChange Healthcare CLAIMS Provider Information Form *This form is to ensure accuracy in updating the appropriate account
PAYER ID: SUBMITTER ID: 1 Provider Organization Practice/ Facility Name Change Healthcare CLAIMS Provider Information Form *This form is to ensure accuracy in updating the appropriate account Provider
More informationBusiness Online Banking User Guide
Business Online Banking User Guide Table of Contents Contents Overview... 2 Logging In... 2 Additional Login Information... 5 Home/Dashboard... 6 Top Line Tool Bar... 6 Bulletins... 7 Dashboard... 8 Accounts...
More informationChapter 2 Receipts June 2012
Chapter 2 Receipts This Page Left Blank Intentionally CTAS User Manual 2-1 Receipts: Introduction Issuing the receipt is the first step in the recording of receipts and should be done immediately upon
More informationApproximate Training Timeline for IPS Certification Pilot
Approximate Training Timeline for IPS Certification Pilot July 14: Applications open August 15: Applications close September 1: Notify trainees and their managers October 9-13: 40-hour training in Salem
More informationUser Manual Section 3 Admin Module Admin Module
Admin Module 3. Admin Module... 3-1 3.1 Purpose and Function of Admin Module... 3-1 3.2 Accessing the Admin Module... 3-1 3.3 User Admin Functions... 3-2 3.3.1 Edit Grantee Contact Admin (FO)... 3-2 Procedure:
More informationProblem Gambling Service DATA COLLECTION AND SUBMISSION MANUAL
DATA COLLECTION AND SUBMISSION MANUAL Version 1.3 July 2008 Reproduction of Material The Ministry of Health permits the reproduction of material from this publication without prior notification, providing
More informationADDENDUM No. 1. Please contact Ed Bonnette, CPPB, CPM, Buyer, Buyer at (970) with any questions regarding this addendum.
Financial Services Purchasing Division 215 N. Mason St. 2 nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707 fcgov.com/purchasing ADDENDUM No. 1 SPECIFICATIONS AND CONTRACT DOCUMENTS
More informationUsing the Cypress College Calendar of Events (Virtual Event Management System, VEMS)
Using the Cypress College Calendar of Events (Virtual Event Management System, VEMS) Cypress College ~ Facilities Office Betty Germanero bgermanero@cypresscollege.edu 714-484-7388 August 9, 2012 Using
More informationMEDICARE FLORIDA PRE ENROLLMENT INSTRUCTIONS MR025
MEDICARE FLORIDA PRE ENROLLMENT INSTRUCTIONS MR025 HOW LONG DOES PRE ENROLLMENT TAKE? Standard processing time is 3 4 weeks. WHAT FORM(S) SHOULD I COMPLETE? If you do not currently submit electronically
More informationQuick Reference Guide» unit train
Quick Reference Guide» unit train AccessNS Unit Train Quick Reference Guide Contents Unit Train...1 Contents of the Unit Train Dropdown Menu...1 Helpful Tools...2 Filter Panel Overview...2 Checkbox Filter...2
More informationPAYER ENROLLMENT INSTRUCTIONS FOR
PAYER ENROLLMENT INSTRUCTIONS FOR Before enrolling please be sure your Revenue Performance Advisor contract includes the transactions you will be using. If you are unsure of the transactions you are contracted
More informationArticle 1. Amazon/Royal Mail Online Postage Terms and Conditions
Article 1. Amazon/Royal Mail Online Postage Terms and Conditions Section 1.01 Terms and conditions governing the purchase of postage online through Amazon This Agreement is between you and Royal Mail Group
More informationDelegated Entity Exclusion, Sanction & Debarment Checks. OIG/GSA database screening
Delegated Entity Exclusion, Sanction & Debarment Checks OIG/GSA database screening 2016 Contents Sanction/Exclusion/Debarment Checks... 2 Office of Inspector General (OIG)... 2 Searching for Exclusions
More informationChange Healthcare ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account
PAYER ID: SUBMITTER ID: 1 Provider Organization Practice/ Facility Name Change Healthcare ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account Provider Name
More informationCAF DONATE. Adding & amending Direct Debit donations. Processing your offline Direct Debit donations
CAF DONATE Adding & amending Direct Debit donations CAF Donate not only helps you fundraise through your website, it also gives you the ability to process donations you take over the telephone or receive
More informationChange Healthcare ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account
PAYER ID: SUBMITTER ID: 1 Provider Organization Practice/ Facility Name Change Healthcare ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account Provider Name
More informationElectronic Visit Verification Long-Term Services and Supports Care Provider Agency Training 2018
Electronic Visit Verification Long-Term Services and Supports Care Provider Agency Training 2018 EVV Overview Electronic visit verification (EVV) documents that members are receiving authorized long-term
More informationPURCHASING DEPARTMENT
PURCHASING DEPARTMENT The bid listed below has had addenda issued. Documents are available over the Internet at http://www.bid.ci.norwalk.ct.us. Adobe Acrobat reader is required to view this document.
More informationDrinking Water Quality (DWQ) Web Form Reporting A User Manual
Drinking Water Quality (DWQ) Web Form Reporting A User Manual Drinking Water Quality Web Form Reporting - A User Manual Section 1.1: Introduction This User Guide is provided to Operators, for Environmental
More informationTelecommunications RFP 02. for. North Country Telemedicine Project (NCTP) Network
Telecommunications RFP 02 for North Country Telemedicine Project (NCTP) Network TABLE OF CONTENTS 1. PROJECT OVERVIEW 2. PROJECT ADMINISTRATION 3. TECHNICAL REQUIREMENTS 4. PROJECT MANAGEMENT REQUIREMENTS
More informationArkansas Medicaid Administrative Claiming (ARMAC) ARMAC Time Study System. Coder/Coordinator User s Guide
Arkansas Medicaid Administrative Claiming (ARMAC) ARMAC Time Study System Coder/Coordinator User s Guide October 2005 ARMAC Overview The Arkansas Medicaid Administrative Claiming (ARMAC) program was instituted
More informationExcel Basic: Create Formulas
Better Technology, Onsite and Personal Connecting NIOGA s Communities www.btopexpress.org www.nioga.org [Type Excel Basic: Create Formulas Overview: Let Excel do your math for you! After an introduction
More informationMERCERSPECTRUM EMPLOYER USER GUIDE
MERCERSPECTRUM EMPLOYER USER GUIDE WHAT DO YOU WANT TO DO TODAY? Getting started... 2 Day-to-day processing... 3 Linking the Choice fund to your Employer Fund List...4 Choice Fund exists but is not linked
More informationATTACHMENT A POLICES AND PROCEDURES REGARDING CELLULAR TELEPHONES AND MOBILE COMMUNICATION DEVICES
ATTACHMENT A POLICES AND PROCEDURES REGARDING CELLULAR TELEPHONES AND MOBILE COMMUNICATION DEVICES 1. INTRODUCTION 1.1 The Office of Information Technology Services ( OITS ) has the responsibility of managing
More informationELECTRONIC FUNDS TRANSFER (EFT) For Provider Payments
ELECTRONIC FUNDS TRANSFER (EFT) For Provider Payments Alameda Alliance for Health is pleased to announce the availability of Electronic Funds Transfer (EFT). Providers who enroll in EFT will have Fee-For-Service
More informationGREENSHADES & AVIONTÉ
GREENSHADES & AVIONTÉ Setup and Filing with Greenshades Created 9/17/2014 1270 Eagan Industrial Road, Suite 150 Eagan, MN 55121 877.428.4668 www.avionte.com Greenshades & Avionté Table of Contents Greenshades
More informationMEDICARE IDAHO PRE ENROLLMENT INSTRUCTIONS MR003
MEDICARE IDAHO PRE ENROLLMENT INSTRUCTIONS MR003 HOW LONG DOES PRE ENROLLMENT TAKE? Standard Processing time is 3 4 weeks WHERE SHOULD I SEND THE FORMS? Fax the form to Office Ally at 360 896 2151, or;
More informationUser Guide. Simplified Contribution Platform
Simplified Contribution Platform Introduction This guide provides instructions for employers to submit retirement plan contributions to Fidelity Investments through the online Simplified Contribution Platform
More informationMANNATECH. Presents. MyMannapages SELF-GUIDED CERTIFICATION
MANNATECH Presents MyMannapages SELF-GUIDED CERTIFICATION The following steps have been created to help you become familiar with the basic functions of MyMannapages. As you begin using these great tools,
More informationParent Information How to Use PowerSchool
Parent Information How to Use PowerSchool Welcome to PowerSchool! Our Lady of Lourdes Catholic School families can check grades, attendance, teacher comments, announcements, lunch transactions and more!
More informationChange Healthcare ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account
PAYER ID: SUBMITTER ID: 1 Provider Organization Practice/ Facility Name Change Healthcare ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account Provider Name
More informationQuick Reference Cardholder
The Commercial Card Expense Reporting (CCER) service Quick Reference Cardholder Accessing the Commercial Card Expense Reporting (CCER) Service 1. Sign on to the Commercial Electronic Office (CEO ) portal
More informationThe PPL WEB PORTAL Instruction Manual. for. Support Brokers. June Massachusetts Participant Directed Program
The PPL WEB PORTAL Instruction Manual for Support Brokers June 2010 Massachusetts Participant Directed Program PPL Customer Service Phone: 888 866 0869 PPL Fax: 877 563 6438 PPL Email: PPLMA_PDP@pcgus.com
More informationVTC FY19 CO-OP GOOGLE QUALIFICATIONS PARAMETERS & REIMBURSEMENT DOCUMENTATION HOW-TO
VTC FY19 CO-OP GOOGLE QUALIFICATIONS PARAMETERS & REIMBURSEMENT DOCUMENTATION HOW-TO 1 TABLE OF CONTENTS 01 CO-OP QUALIFICATIONS 02 REQUIRED DOCUMENTATION 03 REPORTING HOW-TO 04 REIMBURSEMENT PROCESS 2
More informationEmployee Lunch Portal & Quickstart Learn Guide
Employee Lunch Portal & Quickstart Learn Guide Welcome to your BeneFLEX Employee Portal. This one-stop portal gives you 24/7 access to view information and manage your Flexible Spending Account (FSA),
More informationCollege/Division Administrator Meeting Minutes July 14, Mary Dickerson, Executive Director, Information Technology Security
Mary Dickerson, Executive Director, Information Technology Security Update on MAPP 10.03.06 - Appointments and ISO Certification Program All colleges and divisions have assigned someone to fill the following
More informationOverview of DIR Reporting Requirements, P2P Reconciliation, and Reconciliation Exclusion Process
Overview of DIR Reporting Requirements, P2P Reconciliation, and Reconciliation Exclusion Process Part D Webinar June 10, 2014 10:00 a.m. 12:00 p.m. 1 Agenda Direct and Indirect Remuneration (DIR) Reporting
More informationCreate Consultants and Individual Contractor Contracts Annex 1. Annex 1
Inbox - Umoja Production Portal P1E 2. Click label to open the Requisitioning menu Umoja Production Portal P1E Umoja Training How-To Guide: Consultants and Individual Contractors Contracts 1/9 3. Click
More informationChapter Quarterly Financial Report Instructions (Monthly Format)
Chapter Quarterly Financial Report Instructions (Monthly Format) Chapters are expected to maintain 100% compliance with reporting requirements to National. This is important because chapters are organized
More informationDifference Card Mobile
Difference Card Mobile Your Guide to Getting Started Easily manage your healthcare benefit account from your mobile phone! Managing your benefit accounts on-the-go is made easy with the Difference Card
More informationFY2016 FCC Form 470 and Competitive Bidding
and Competitive Bidding Slide 1 Table of Contents Topic Page The E-Rate Process 3 Making a Plan 5 The Basics 11 Filing a Form 470 21 Form Actions 25 Form 470 Section One: Basic Information 29 Form 470
More informationService Changes Tip Sheet
3.0 Service Changes (Tips) You will remain in the same consumer record until you log off or switch to another consumer using the Search link in the upper left corner of the screen. To skip a screen, click
More informationProvider Portal. User Manual. Vision Care
Provider Portal User Manual Vision Care Table of Contents 1. Introduction... 3 2. Registering for the Provider Portal... 4 i. Changing Your Password...6 ii. Accepting Terms and Conditions...7 iii. Setting
More informationProvider Portal. User Manual. Therapists and Health Practitioners
Provider Portal User Manual Therapists and Health Practitioners Table of Contents 1. Introduction... 3 2. Registering for the Provider Portal... 4 i. Changing Your Password...6 ii. Accepting Terms and
More informationObjectives. Demonstrate how quality reporting must be uploaded to Millennium
Housekeeping Please DO NOT place the call on HOLD Please keep your phone lines muted We have planned time for questions At any time feel free to submit questions using the chat feature and we will be sure
More informationManaging your flexible spending account
HEALTH PAYMENT ONLINE USER GUIDE: Managing your Health Payment Account online Health Payment Online User Guide Managing your flexible spending account HEALTH PAYMENT ONLINE USER GUIDE: Managing your Health
More information