News from Systems Design Northwest, Inc.
News From Systems Design Northwest
Jul - Sep 2006

Greetings,

We’ve had some great input on issues you want us to address in our newsletters. One suggestion is to include information on our recent updates. Be sure to check out the article on “Updates to the Current System”. If you see an update that your practice needs, call us to arrange installation.

If you have not already signed up to receive our newsletter by e-mail, it’s easy to do. Simply go to our website: www.systemsdesignnw.com and put your e-mail address in the “Join our mailing list” field and click on “Go”. Uncheck the EMS billing issues and check the Practice Management Software. Fill in the fields and click on “Submit”.

In this issue....
  • Welcome
  • NPI and New CMS 1500 (HCFA)
  • Medicare Holding Payments
  • THIN merges with Availity
  • Updates to Current Software
  • New Practice Management System Update
  • On a lighter note...

  • NPI and New CMS 1500 (HCFA)

    Over the next 8 months all providers will transition from using UPINs and provider numbers to using only NPI numbers. Moving to the NPI has made it necessary to update the 1500 claim form. The transition period does not start until October, but you should take these 2 steps now:
    1. Apply for your NPI number at: https://nppes.cms.hhs.gov/NPPES/Welcome.do
    2. Check your supply of 1500’s and don’t order too many. By April 1st, 2007 all insurances will be requiring the new form. Our goal is to have our clients using NPIs and the new form by January 30, 2007. Informational documents about the NPI can be found at Read more...


    Medicare Holding Payments
    OutOfMoney

    Medicare will be holding payments for the last 9 days of September. They will resume making payments on October 2nd. During this period you could receive payment from secondary insurers before the Medicare payment arrives.


    THIN merges with Availity

    Our clearinghouse (THIN) has been purchased by another company called Availity. You will probably start to see a gradual name change from THIN to Availity in their reports and paperwork. Providers who had just recently signed up with THIN have had to fill out new enrollment forms. There is a possibility that all currently enrolled providers will also need to re-enroll, but there is nothing official yet—we’ll keep you posted.


    Updates to Current Software

    Here are the updates to the current MMS and POMS software since the end of June:

    MMS
    - Allow for billing place of service 20 for urgent care procedures.
    - Update to correct issues in the referring doctor fields.
    - Suppress address information in box 32 when place of service is 12 (home visit)

    POMS
    - Remove information from accident fields that is no longer needed

    MMS & POMS
    - Add area code to provider’s phone number for electronic claims


    New Practice Management System Update
    New System Screen Shot

    Several of you have stopped by to look at the new system and we have enjoyed giving you a small demonstration. Progress is going well. In the last few weeks, we have been printing private statements and 1500’s in our parallel test environment.


    On a lighter note...
    Barber Pole

    A priest walked into a barber shop in Washington, D.C. After he got his haircut, he asked how much it would be. The barber said, "No charge. I consider it a service to the Lord." The next morning, the barber came to work and there were 12 prayer books and a thank you note from the priest in front of the door. Later that day, a police officer came in and got his hair cut. He then asked how much it was. The barber said, "No charge. I consider it a service to the community." The next morning, he came to work and there were a dozen donuts and a thank you note from the police officer. Then, a Senator came in and got a haircut. When he was done he asked how much it was. The barber said, "No charge. I consider it a service to the country." The next morning, the barber came to work and there were 12 Senators in front of the door.


    Welcome
    BackToSchool

    Greetings!

    It’s hard to believe that summer is coming to an end. The back-to-school sales make it official—fall is just around the corner. We hope you have had a chance to enjoy the sunny weather.

    Quick Links...

    Register Now For This Free Newsletter

    Newsletter Archive

    Noridian

    Centers from Medicare & Medicaid Services (CMS)

    WA State Department of Labor & Industries (L&I)

    DSHS Eligibility & Claim Status

    Premera



    Join our mailing list!