MARICOPA, AZ, August 15, 2010 (Press-News.org) The business of healthcare is complex. Numerous computer systems interact with one another and with those of service providers, payers, and others to share information required for:
• Benefits Administration
• Claims Processing
• Eligibility Verification
• Billing
• Patient Scheduling & Registration
• Utilization Review
• and more
Soon, the language these systems "speak" with one-another will change from today's "4010" standard to the newly mandated 5010 standard. Compliance with this new standard is required to keep these systems talking to one another. If you have not started the migration process then you may have a great deal of work to do starting now.
What is 5010
• 4010, 4010A1, 5010
- Methods for sending healthcare billing information
- Published formats
• Electronic transactions affected
- Billing for Institutional and Professional claims
- Remittance advice
- Eligibility verification
- Claim status requests
- Authorization requests
- Pharmacy billing
• All healthcare providers and managed care organizations are affected
High Level Changes for 5010
• Providers
- Will be unable to bill for services in the 4010A1 format after Jan 1, 2012
- Allows for conditions that "present at admission"
• Situational Rules
- No longer means the receivers can define what they want
- Very specific rules on when situational information is required
• Significant data and structural updates
- Allow for sending ICD-10-CM and ICD-10-PCS codes
- Fields lengthened to allow for more data
- Consistency across file structures
Who is Affected
• Physician Practices
• Alternate Site Providers
• Hospitals
• Payers
• Clearinghouses
• Research
• Vendors
How To Get Started
At healthcare technology consulting firm Celera Group, our partners and associates recognize that many organizations just do not know how to get started. If you are one of these, then this presentation is for you. Troy Abruzzo, Celera Group Partner and healthcare EDI and 5010-migration expert will provide a high-level overview of the 5010 requirements, compliance timeframes, and the migration process we use with our clients.
This process will guide you through the three compliance phases:
1) Systems assessment and gap analysis
2) Remediation plan development and budgeting
3) Remediation and testing
Join us for our webcast:
"Healthcare Providers... 5010 Compliance: It's Mandatory!
Presenter: Troy Abruzzo - Celera Group
Date: Aug 18, 2010
Time: 8:00 am PST
http://www.brighttalk.com/webcast/22474
Contact Us
725 Cool Springs Blvd.
Suite 600
Franklin, TN 37067
Principals
Troy Abruzzo: (615) 732-6238
Kevin Watford: (615) 732-6237
Celera Group's leadership vision fosters a culture where relationships and results mean more than dollars and cents. Our internal operations and consultants average over 10 years of experience in services and management within the healthcare industries we serve. Celera Group's leaders possess the knowledge and expertise to guide our employees to achieve your vision while building on their own skills and goals.
Celera Group Reminds All Healthcare Providers... 5010 Compliance: It's Mandatory!
HIPAA version 5010 is a new generation of standards for electronic health care and pharmacy transactions. HIPAA 5010 compliant transactions will be required by Jan. 1, 2012. Transactions not compliant with HIPAA 5010 will be rejected by BCBSNC.
2010-08-15
ELSE PRESS RELEASES FROM THIS DATE:
Elder Advocate, Jane Allison Austin Joins Families with Faith to discuss Supporting Caregivers and their multigenerational loved ones
2010-08-15
Families With Faith, the BlogTalkRadio show of http://www.FamiliesWithFaith.com, airs "Caring for my Parents, Raising my Children" on Saturday August 14th, at 6pm. Together, the ladies will tackle this week's 'Real-talk' discussion, "The New Generation of family. Supporting the Special Needs of Three Generational Households", and the Hot Topic: "What happened to the widows? Displaying the Heart of Christ by caring for the widows and widowers." Author, Minister and Host, Letetia Mullenix is joined by Sister Angela Claiborne, of Greater Vision Evangelistic Ministries, as ...
Coblentz, Patch, Duffy & Bass LLP Named Pro Bono Law Firm of the Year by California State Bar
2010-08-15
Coblentz, Patch, Duffy & Bass LLP has been recognized as the California State Bar President's 2010 Pro Bono Law Firm of the Year. The prestigious award, which annually honors a California law firm for extraordinary pro bono service, will be bestowed in a presentation with California Supreme Court Chief Justice Ronald George at the State Bar Annual Meeting in Monterey, Calif. on September 24.
Coblentz, Patch, Duffy & Bass is being honored by the State Bar for the firm's pro bono efforts throughout 2009, a remarkable year in which the firm's attorneys contributed over ...
Putting the Class in Classified: Butler & Associates Launch the PI Mom Training Program for Future Secret Agent Moms
2010-08-15
After the incredible response to Butler & Associates' "PI Moms," the Bay Area private investigations agency is launching an exclusive training program where attendees may meet, train alongside, and receive valuable instruction from the inspirational PI Moms and team. The PI Moms' recent appearances on hit television programs have lit a fuse in women who believe a career in private investigations may be their calling. Now, the sought-after agency has developed a series of seminars for individual PI's and other investigation agencies to train in accordance with the Butler ...
Officemax improves its services with help from Grupo ASSA
2010-08-15
Grupo ASSA, a Consulting and Outsourcing company that helps clients with their Business Process Transformation through Information Technology, modernized the technology platform at OfficeMax, bringing improved service for supplier and customers and allowing them to purchase products in a more practical fashion.
The challenge facing OfficeMax has always been to focus on offering great service to customers that purchase their products, whether through stores, ordering by telephone or purchasing through the Internet, whether B2C (Business to Consumer) or B2B (Business to ...
Celebrity Gift Suite Company Producing Off-Site Emmy Awards Gifting Suite
2010-08-15
On August 28th, 2010 Connected will be producing an off-site celebrity gift suite celebrating the 62nd Primetime Emmy Awards.* Taking place from 11am-5pm at a private location in Hollywood, our gifting suite will be visited by over 80 celebrities from all facets of the entertainment industry including movies, television, music and sports.
"Our celebrity gifting suites provide the unique opportunity for companies to interact with and get their product directly in the hands of celebrities in a fun, relaxed environment," says Connected owner Steve Stein. Attending celebrities ...
Reward Programs Remain Integral to Success of a U.S. Credit Card Market in Flux, reports Packaged Facts
2010-08-15
While the credit card industry has suffered from significant account attrition and in some cases decreased spend per card since the recession, rewards programs continue to be integral to the market's success, according to Rewards Cards in the U.S., 3rd Edition by market research publisher Packaged Facts. Rewards remain a cornerstone of American Express and Discover, while among some of the biggest card issuers in the country, Visa- and MasterCard-branded rewards programs are either being refreshed or are being brought to market for the first time.
"The recession has ...
Pharmacy OneSource Announces Free Webinar on NQF Safe Practices
2010-08-15
Pharmacy OneSource, software-as-a-service provider of Sentri7, a real-time patient surveillance, documentation and reporting system, is pleased to announce a complimentary webinar on pharmacy leadership with Dr. Hayley Burgess in "Exploring the Implementation of NQF-Endorsed Safe Practice 18: Pharmacist Leadership Structures and Systems."
In this webinar, Burgess will describe national priorities for medication safety including measures, standards and practices, focusing on the NQF endorsed safe practice 18: Pharmacist Leadership Structures and Systems. She will discuss ...
Long Distance Motorcyclists Get Set for Colorado Motomarathon
2010-08-15
The Motomarathon Association will culminate its first full season September 17-20 with the fourth and final event of 2010. The Colorado Motomarathon features four long days of motorcycle sport-touring looping out of Boulder, with routes held secret until the night before each day's ride. Participants will attempt to complete a series of self-recorded check-points using digital cameras as they ride an average of 400 miles each day through some of Colorado's most scenic mountain terrain.
Sponsored by Butler Motorcycle Maps (www.butlermaps.com), the Colorado Motomarathon ...
Animetrics offers FaceR CredentialME service on Sprint 3G and 4G networks
2010-08-15
Animetrics, Inc, developer of next generation 3D imaging technologies for facial biometric systems today announced that they have begun offering the FaceR CredentialME, an authentication service for devices running various operating systems including Android, Windows Mobile and RIM. This application turns mobile handsets into two factor facial biometric authenticating devices. The launch of the FaceR CredentialME application on the Sprint 3G network and Sprint 4G, the first and only wireless 4G network from a national carrier, is in conjunction with, Troy Security Solutions, ...
Speakman Company Sells its Interest in AMAX USA, LLC
2010-08-15
AMAX USA, LLC and Speakman Company announced today that they have come to a mutual decision to part ways in their business venture and Speakman has agreed to sell its interest in the LLC. Both companies have agreed that they need to focus on their respective businesses and feel that this will have a positive effect in the end.
Speakman Company, a 141 year old plumbing company started its Cooling Solutions division in 2005, with the introduction of OASys - an advanced indirect/direct evaporative technology.
In 2008, AMAX USA, LLC began marketing its AMAX brand of ...
LAST 30 PRESS RELEASES:
New copper metal-organic framework nanozymes enable intelligent food detection
The Lancet: Deeply entrenched racial and geographic health disparities in the USA have increased over the last two decades—as life expectancy gap widens to 20 years
2 MILLION mph galaxy smash-up seen in unprecedented detail
Scientists find a region of the mouse gut tightly regulated by the immune system
How school eligibility influences the spread of infectious diseases: Insights for future outbreaks
UM School of Medicine researchers link snoring to behavioral problems in adolescents without declines in cognition
The Parasaurolophus’ pipes: Modeling the dinosaur’s crest to study its sound #ASA187
St. Jude appoints leading scientist to create groundbreaking Center of Excellence for Structural Cell Biology
Hear this! Transforming health care with speech-to-text technology #ASA187
Exploring the impact of offshore wind on whale deaths #ASA187
Mass General Brigham and BIDMC researchers unveil an AI protein engineer capable of making proteins ‘better, faster, stronger’
Metabolic and bariatric surgery safe and effective for patients with severe obesity
Smarter city planning: MSU researchers use brain activity to predict visits to urban areas
Using the world’s fastest exascale computer, ACM Gordon Bell Prize-winning team presents record-breaking algorithm to advance understanding of chemistry and biology
Jeffrey Hubbell joins NYU Tandon to lead new university-wide health engineering initiative & expand the school’s bioengineering focus
Fewer than 7% of global hotspots for whale-ship collisions have protection measures in place
Oldies but goodies: Study shows why elderly animals offer crucial scientific insights
Math-selective US universities reduce gender gap in STEM fields
Researchers identify previously unknown compound in drinking water
Chloronitramide anion – a newly characterized contaminant prevalent in chloramine treated tap water
Population connectivity shapes cultural complexity in chimpanzees
Direct hearing tests show that minke whales can hear high-frequency sounds
Whale-ship collision risk mapped across Earth’s oceans
Bye-bye microplastics: new plastic is recyclable and fully ocean-degradable
Unveiling nature of metal-support interaction: AI-driven breakthrough in catalysis
New imaging method enables detailed RNA analysis of the whole brain
Stability of perovskite solar cells doubled with protective coating
Chemists create world’s thinnest spaghetti
Empowering neuroscience: Large open brain models released
From traditional to technological: Advancements in fresco conservation
[Press-News.org] Celera Group Reminds All Healthcare Providers... 5010 Compliance: It's Mandatory!HIPAA version 5010 is a new generation of standards for electronic health care and pharmacy transactions. HIPAA 5010 compliant transactions will be required by Jan. 1, 2012. Transactions not compliant with HIPAA 5010 will be rejected by BCBSNC.