Below you will find the Spring Release Training video as well as helpful, updated training scripts:
Recorded Training Session: Recorded Training Session
Physician Portal – Physician Process
Below you will find the 2013 Spring Release Training Scripts:
Physician Portal – Physician Process
GLMI’s office will be closed Monday, May 27th in observance of Memorial Day. Should an emergency arise, please call the GLMI Support Line, 269.963.1040, and select option 4. After leaving a message, press pound (#) and remain on the line to speak to a representative.
The May Feature Pack will be released to all Cloud customers this weekend, Sunday, May 19th at 7:00 pm EDT, during GLMI’s routine Server Maintenance. Please refrain from logging into the Cloud from 7:00 pm to 11:00 pm EDT during scheduled Server Maintenance. Any session open during that time will be closed. The system will be available again promptly at 11:00 pm EDT. All non-Cloud agencies must call Customer Support at 269-963-1040, option 1, to schedule the release.
Click here for an informational document including all items in the May Feature Pack.
GLMI Customer Care Team
NGS (National Government Services) has been awarded the MAC contract for J6. This means that NGS will hold the Medicare contract for many GLMI agencies including those located in Michigan, Wisconsin and New York.
The change will take place July 13th, 2013 and affects all home care providers that currently bill claims under contractor number 00450. At the time of the change, you will need to ensure that you change the contractor number on your EDI claims to 06001. Please note that if you bill through the Direct Data Entry (DDE) system then you will not need to change the contractor number on your claims.
In order to make the correct adjustments within your Ubiquity system, agencies will need to change ISA08, in the menu option support->insurance support and updating your Medicare, Medicare Hospice and/or Medicare advantage programs insurances’ ISA08 field from 00450 to 06001:
GLMI Customer Service
In order to maintain a current Medispan medication database, your agency must update field laptops each month. This update is always available after GLMI’s monthly server maintenance, which takes place the third Sunday of every month.
If you have any further questions, please contact GLMI Customer Support at (269)963-1040, option 1.
Palmetto GBA, the largest home health and hospice Medicare Administrative Contractor (MAC) has taken steps to suppress payments to home health agencies identified as having a “high number” of auto-cancelled Requests for Anticipated Payment (RAP). At this time, Palmetto plans to suppress RAP payments for any home health agency that had 100 or more RAPs auto-cancelled between January 1 and April 15, 2013.
For more information, please read NAHC’s article regarding this topic here.
Due to technical issues, CMS has delayed the implementation of the Phase 2 ordering and referring denials edits. A new implementation date has not been released. For more information, review the CMS article here.
How is GLMI helping?
GLMI has created a program to update your Physician’s Support Files with the PECOS registration. The program will match the provider’s name and NPI number to the registry, then place a check in the provider’s Support File within Ubiquity. If a physician’s name and NPI do not appear on the PECOS enrollment list, a warning will appear. This program will be run at the request of each agency.
For more information, please contact Customer Support at 269-963-1040, option 1.
For Low Utilization Payment Adjustment (LUPA) Home Health type of bill 339 final claims, with a through date of April 1, 2013, and after, there is a problem with the electronic remittance advice (ERA). The payment amount for these claims is correct as is the summary line information on the ERA. The line and claims level information on the ERA is incorrect. As a result, the ERAs are force-balanced. The ERAs in question can be identified easily because they will have the Claim Adjustment Group Code of OA and the Claim Adjustment Reason Code A7, indicating that it has been force-balanced. These remittances cannot be regenerated in the future to correct their appearance. The Centers for Medicare & Medicaid Services (CMS) is working to correct this problem.
As the Spring 2013 Release approaches this June, GLMI encourages you to view the Overview Document to become familiar with the release. The Spring Release includes changes to the Medications Profile and Physician Orders. Also, watch for updated scripts to aid in training your staff.
The March/April edition of the NewsBytes is available now! This edition includes a sneak peak into the Spring Release, details on the March Feature Pack, important updates on new service code requirements, industry news, and helpful Training, Tech, and Billing Tips.
The March 2013 Feature Pack will be released to all Cloud customers on Server Maintenance weekend, Sunday, March 17th at 7pm EST. Please refrain from logging into the Cloud from 7pm to 10pm EST during scheduled Server Maintenance. Any session open during that time will be closed, with the system available again promptly at 10pm EST. All non-Cloud agencies must call Support at 269-963-1040, option 1, to schedule the release.
This month’s Feature Pack includes several enhancements to clinical frequencies. These include a faster loading time for all frequencies, corrections to the ‘Frequencies for a Selected Period’ button, and ‘Type’ on new frequencies now defaults to ‘Visit’. As Feature Pack’s are smaller, laptops do not need to come into the office for their first file transfer.
Click here for an informational document including all items in the March 2013 Feature Pack.
CMS will be moving forward with Phase 2 of denial edits for Medicare Part B and Part A claims which have an ordering or referring physician, or require an attending physician provider. All ordering physicians must be registered in the Provider Enrollment, Chain, and Ownership System (PECOS).
Beginning May 1st, if your referring or ordering physician is not registered in PECOS, the claim will be denied. In order to maintain seamless billing, verify your physician’s Medicare enrollment record by clicking here and locating them on Medicare’s Ordering and Referring File found at the bottom of the page. It is important to remember that the list provided by CMS will require matching on the exact spelling of physician names, and can be updated at any time, requiring periodic monitoring to maintain your records.
To identify your physician as being registered with PECOS, update their Physician Support File by selecting Support from Ubiquity’s main menu, Physician, then Update. Select the check box for PECOS. You may now run a List report with the criteria ‘PECOS’ starting with ‘X’. Please reference the screen shot below.
GLMI is considering creating a program to ease the tedious task of verifying your physician’s enrollment with Medicare. As we consider this project, we have two questions for you:
Your feedback on this potential project is not only greatly appreciated, but essential. Please respond promptly by emailing the Customer Care Team.
Also, MLN Matters SE1305 for detailed information regarding the implementation of Phase 2.
As mentioned in January’s Executive Webinar, GLMI will be limiting large releases over the year and supplementing with more frequent, smaller, Feature Pack Releases. This year’s first Feature Pack Release will go out to all Cloud Customers on Tuesday, February 5th at 6am EST. All non-Cloud agencies must call Support at 269-963-1040, option 1, to schedule the release.
As the Feature Pack’s are smaller, laptops do not need to come into the office for their first file transfer.
Click here for an informational document on items included in February 2013 Feature Pack.
It has come to GLMI’s attention that the audio was not working properly for the Fall Release Training video. The glitch has been corrected and is available on our YouTube channel, as well as below.
CMS has acknowledged an issue with the remittance advice. The issue is in how the electronic remittance advice causes transactions to post; payments that should post as a debit (ex. CGRT) are displaying as credits, causing what appears to be double payments. This is a CMS issue, but can be worked around in your Ubiquity System to prevent Accounts Receivables from appearing overstated.
To correct this in your system your agency’s biller will need to manually modify the transaction. To modify the transaction, open the transaction in Accounts Receivables, then tab through the transaction, click ‘Save’, and refresh the search. The transaction will change from a CR (credit), to a DE (debit).
Claims received on January 1, 2013 by NGS Medicare are displaying as January 1, 2012. As a result, NGS has inactivated these claims to correct the received date, this process could take up to 30 days.
Please join me on Thursday, January 17th at 11am EST, as I present the first Executive Webinar of 2013! This quarter’s session will welcome you to the new year with the latest GLMI news, plans for the year, and an update on OrderXpress.
Mark your calendar – GLMI’s 2013 Spring Release will be available June 11th! GLMI will be updating all Cloud customers with the 2013 Spring Release on Tuesday, June 11th at 6:00 am EDT. Click here to preview the Medication Profile and Physician Order enhancements that are included! Register for your training session: Thursday, May 30th: [...]