NewsBytes

The GLMI offices will be closing today at 2:30 due to an all staff in-service.

For support issues, please submit your request via email to support@glmi.com. In case of an emergency, please contact us at (269) 963-1040 and follow the instructions to reach our on-call Support Team member.

GLMI will be performing routine server maintenance on Sunday, February 19th, from 10am to 2pm EST. Server maintenance is performed on the third Sunday of each month.

Some users are receiving incorrect Medicare reimbursement amounts due to an issue with changes made to wage index and case mix weight values which are affecting rate calculations.  A fix to correct these calculations is in testing and should be available shortly. Please continue to monitor the blog for further information.

We apologize for any inconvenience.

Contact GLMI Customer Support with any questions or concerns at (269)963-1040, option 1.

The January/February edition includes an informative message from GLMI’s CEO, Billing & Support Tips, Development sneak peeks, upcoming events and so much more!

Click HERE for your copy…

The January  2012 Executive Webinar is now available at our YouTube Channel.

GLMI asks that you please contact the Support Team before converting any payers to Version 5010. The Support Team can be reached at support@glmi.com or 269.963.1040, option 1.

GLMI will be performing routine server maintenance this Sunday, January 15th, from 10am to 2pm EST. Server maintenance is performed on the third Sunday of each month.

Agencies are receiving warnings from the state during OASIS submission indicating:

“The submitted HIPPS_VERSION must match the calculated HIPPS_VERSION value.”

Agencies began receiving these warning for all OASIS with a M0090 Date in 2011, after receiving the December Regulatory Update.  This is occurring as the HIPPS_Version V3212 became effective January 1, 2012, which was received with the December Regulatory Update.  Agencies may continue to see this warning during this transition period and will see the issue resolved once OASIS with a M0090 date of January 1, 2012 and later are submitted.

Please contact GLMI Customer Support  at support@glmi.com or 269.963.1040 option 1, with any questions.

Blue Cross Blue Shield of Michigan (and all subsequent payers) is currently experiencing 5010 conversion issues.  Blue Cross Blue Shield is working to solve this issue, however they have asked that all current submissions be done using the 4010 version to avoid possible errors.

Please contact GLMI Customer Support  at support@glmi.com or 269.963.1040 option 1, with any questions.

We have been made aware of a mistake in script O24 “Updating Insurance Support File for 5010 Changes.”

There was a typo in the instructions that indicated the new GS08 field should be: 00510X223A2.  The correct format should be 005010X223A2.  The screen shot in the script was correct.

The script and all previous links to it have been corrected.  Please discard any previously printed copies and download  the updated version HERE.

GLMI apologizes for any confusion.

Medicare claims administration contractors will be holding some institutional provider claims containing 2012 services for up to the first 10 business days of January 2012.  More information can be found here.

Blue Cross Blue Shield of Michigan is requiring all electronic transactions (including claims) to be submitted in 5010 format.

Instructions on how to update insurance support files can be found in script:

O24 – Updating Insurance Support File for 5010 Changes

GLMI would like to congratulate Denise MacDonald for her promotion to Senior Biller! Since joining GLMI in April of 2008, Denise has helped the Billing Team become a successful and expert home health billing force. Each day Denise brings a positive attitude, cheery personality and strong work ethic to GLMI.  Congratulations Denise!

Happy New Year!

Many agencies are now submitting production claims to a variety of payers in 5010 format.  We are pleased to share a quick script on how to update support files for insurances that are accepting 5010 claims.

REMEMBER: Always contact the payer or clearinghouse before switching your electronic claims to 5010 format.  Don’t hesitate to contact GLMI Support with any transition questions.

Script O24 – Updating the Insurance Support File for 5010 is available here.

GLMI’s offices will be closed Monday January 2, 2012 in observance of the New Years holiday.  Should an emergency arise, please call the GLMI Support Line, 269.963.1040, option 4. After leaving a message, press pound (#) and remain on the line to speak with a representative.

Happy New Year!

As you may know, CMS announced that it will not begin enforcement of the new claim submission standard until March 31, 2012, giving providers a 90-day grace period to get into compliance. They have now announced that they will continue accepting claims under the 4010 standard past the January 1^st, 2012 switchover deadline. Medicare has granted this additional flexibility due to many submitters that have yet to begin testing with their Medicare Administrative Contractor. GLMI, however has already completed testing for several of these payers and is in the testing process with several others.

Complete Version 5010 Testing for the following payers:

• Palmetto (Medicare Intermediary)
• National Government Services (Medicare Intermediary)
• Quadax (Clearinghouse)

• Michigan Medicaid
• Blue Cross Blue Shield of Michigan
• Blue Cross Blue Shield of Colorado – Through Zirmed
• Secure Horizons  – Through Zirmed
• United Health – Through Zirmed
• Humana – Through Zirmed

In the testing process for the following payers:

• Colorado Medicaid
• Illinois Medicaid
• New York Medicaid
• Rhode Island Medicaid

• Aetna
• Blue Cross Blue Shield of Texas
• Humana Gold

Please contact GLMI support at support@glmi.com or 269-963-1040 (option 1) with any 5010 transition questions or concerns.