Hi Rich, Don't you mean there WILL be a new dictionary for hospital NPIs and a new entry for provider NPIs? We are going to 5.5 in November, but still do not have these new fields/dictionaries loaded in either TEST or LIVE. Do you have access to them yet? We were advised via a Meditech web seminar a couple of weeks ago that it would be done "soon". I'm just curious in case we've missed something here.
Thanks, Julie Carlson Meditech Systems Analyst Cascade Valley Hospital and Clinics 330 S Stillaguamish Arlington, WA 98223 (360)435-7080 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, October 24, 2006 5:51 AM To: [email protected] Subject: RE: [MEDITECH-L] Medicare e-claim submissions for Providers not i Hi Kim, I suggest you build a different Provider Type such as "Non-Credentialed" and put the docs in there. You may want them to appear "logically" with all your other providers since, when that patient comes back, Registration staff will need to find them easily. (Typically, they don't care whether the provider is credentialed or not (unless the patient is being admitted, or the doc wants to physically provide care under your roof with your stuff/staff) The DTSs for NPIs (HIPAA mandated deadline is May 23, 2007) are still being rolled out. It will put NPIs on claims (in place of all other "legacy" numbers that you now use. There's a new Dictionary for the hospital's NPI(s), and a new field in the Provider Dictionary for you to enter all the doc's NPIs. Good Luck, Rich McNeil MIS Project Leader Southcoast Hospitals Group New Bedford, MA 02740 [EMAIL PROTECTED] 508-910-0314 (temp) %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%% Tue Oct 24, 2006 12:33 pm From: "Kim Corrette" <kcor Subject: RE: [MEDITECH-L] Medicare e-claim submissions for Providers not i To: <[EMAIL PROTECTED]> From: "Kim Corrette" <[EMAIL PROTECTED]> Date: Tue, 24 Oct 2006 08:29:56 -0800 Thank you for taking the time to respond. We may need to enter all providers into the Provider dictionary as you say, perhaps with a different mnemonic so they fall to a separate place in the lookup. Until now we just submitted the non-credentialed MDs on paper with the proper UPINs hand-collected from a website, but I hear Medicare is no longer accepting paper claims. =20 What is the DTS that you mention supposed to do? To which module does it belong? Thanks, Kim -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Friday, October 20, 2006 3:09 PM To: Kim Corrette Subject: Re: [MEDITECH-L] Medicare e-claim submissions for Providers not i Hi Kim, As painful as it might be, add these non-credentialed MD's to the provider Dictionary. As you know, Generic UPIN OTH000 is no lomger acceptable for Medicare claims so this=20 adds a burden, especially for New "unenrolled" MD's. But at least there is a web site you can query to get UPINs. =20 Going forward, NPIs will replace UPINs and ALL other "Legacy IDs" on ALL claims. =20 We are testing the DTSs for this now. Still not sure if Medicare will accept Tax ID=20 instead of NPI, but for sure it will be one of these with no generic substitutes. And, of course, CMS hasn't yet released their NPEES Dissemination policy so we are=20 developing alternate tactics for getting the NPIs directly from the Docs. =20 Rich McNeil MIS Project Leader Southcoast Hospitals Group New Bedford MA, 02740 E-Mail: [EMAIL PROTECTED] [EMAIL PROTECTED] Phone: 508-910-0314 (TEMP) =20 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%% Fri Oct 20, 2006 11:58 am From: "Kim Corrette" <kcor =20 Subject: [MEDITECH-L] Medicare e-claim submissions for Providers not in To: <[email protected]> From: "Kim Corrette" <[EMAIL PROTECTED]> Date: Wed, 18 Oct 2006 12:12:03 -0800 =20 This is a multi-part message in MIME format. =20 --=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D0731596975=3D=3D Content-class: urn:content-classes:message Content-Type: multipart/alternative; boundary=3D"----_=3D_NextPart_001_01C6F2F1.AD0490A9" =20 This is a multi-part message in MIME format. =20 ------_=3D_NextPart_001_01C6F2F1.AD0490A9 Content-Type: text/plain; charset=3D"us-ascii" Content-Transfer-Encoding: quoted-printable =20 Historically, our hospital has only entered providers into the MIS Provider Dictionary after they complete their credentialing process with us. We are Magic 5.5 SR3 and use LSS. When a non-credentialed provider sent us a Medicare patient, we submitted the claim on paper and wrote in the UPIN. Now that Medicare requires electronic submission for all claims, how have other facilities handled the submission of a claim for a provider who is not in the Provider dictionary? The electronic claim process pulls the UPIN from the Provider Dictionary and does not allow other entries. TIA - =20 =3D20 =20 Kim Corrette, RN =20 Clinical Systems Analyst =20 Bartlett Regional Hospital =20 Juneau, AK=3D20 =20 (907)796-8838 =20 =3D20 =20 =3D20 =20 =3D20 =20 =3D20 =20 =20 ------_=3D_NextPart_001_01C6F2F1.AD0490A9 Content-Type: text/html; charset=3D"us-ascii" Content-Transfer-Encoding: quoted-printable =20 <html xmlns:o=3D3D"urn:schemas-microsoft-com:office:office" =3D xmlns:w=3D3D"urn:schemas-microsoft-com:office:word" =3D xmlns:st1=3D3D"urn:schemas-microsoft-com:office:smarttags" =3D xmlns=3D3D"http://www.w3.org/TR/REC-html40";> =20 <head> <META HTTP-EQUIV=3D3D"Content-Type" CONTENT=3D3D"text/html; =3D charset=3D3Dus-ascii"> <meta name=3D3DGenerator content=3D3D"Microsoft Word 11 (filtered = medium)"> <o:SmartTagType =3D namespaceuri=3D3D"urn:schemas-microsoft-com:office:smarttags" name=3D3D"State"/> <o:SmartTagType =3D namespaceuri=3D3D"urn:schemas-microsoft-com:office:smarttags" name=3D3D"City"/> <o:SmartTagType =3D namespaceuri=3D3D"urn:schemas-microsoft-com:office:smarttags" name=3D3D"place"/> <o:SmartTagType =3D namespaceuri=3D3D"urn:schemas-microsoft-com:office:smarttags" name=3D3D"PlaceType"/> <o:SmartTagType =3D namespaceuri=3D3D"urn:schemas-microsoft-com:office:smarttags" name=3D3D"PlaceName"/> <o:SmartTagType =3D namespaceuri=3D3D"urn:schemas-microsoft-com:office:smarttags" name=3D3D"PersonName"/> <!--[if !mso]> <style> st1\:*{behavior:url(#default#ieooui) } </style> <![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Verdana; panose-1:2 11 6 4 3 5 4 4 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:12.0pt; font-family:"Times New Roman";} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} span.EmailStyle17 {mso-style-type:personal-compose; font-family:Verdana; color:#333399; font-weight:normal; font-style:normal;} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} div.Section1 {page:Section1;} --> </style> =20 </head> =20 <body lang=3D3DEN-US link=3D3Dblue vlink=3D3Dpurple> =20 <div class=3D3DSection1> =20 <p class=3D3DMsoNormal><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt; font-family:Arial'>Historically, our hospital has only entered providers =3D into the MIS Provider Dictionary after they complete their credentialing =3D process with us. We are Magic 5.5 SR3 and use LSS. When a =3D non-credentialed provider sent us a Medicare patient, we submitted the claim on paper and =3D wrote in the UPIN. Now that Medicare requires electronic submission for =3D all claims, how have other facilities handled the submission of a claim for =3D a provider who is not in the Provider dictionary? The electronic =3D claim process pulls the UPIN from the Provider Dictionary and does not allow = =3D other entries. TIA -<o:p></o:p></span></font></p> =20 <p class=3D3DMsoNormal><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt; font-family:Arial'><o:p> </o:p></span></font></p> =20 <p class=3D3DMsoNormal><st1:PersonName w:st=3D3D"on"><font size=3D3D2 = =3D face=3D3DArial><span style=3D3D'font-size:10.0pt;font-family:Arial'>Kim =3D Corrette</span></font></st1:PersonName><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt;font-family:Arial'>, =3D RN<o:p></o:p></span></font></p> =20 <p class=3D3DMsoNormal><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt; font-family:Arial'>Clinical Systems Analyst<o:p></o:p></span></font></p> =20 <p class=3D3DMsoNormal><st1:place w:st=3D3D"on"><st1:PlaceName =3D w:st=3D3D"on"><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt;font-family:Arial'>Bartlett</span></font></s t= 1 :=3D PlaceName><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt;font-family:Arial'> <st1:PlaceName w:st=3D3D"on">Regional</st1:PlaceName> <st1:PlaceType =3D w:st=3D3D"on">Hospital</st1:PlaceType></span></font></st1:place><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt;font-family:Arial'><o:p></o:p></span></font> <= / p=3D > =20 <p class=3D3DMsoNormal><st1:place w:st=3D3D"on"><st1:City = w:st=3D3D"on"><font =3D size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt;font-family:Arial'>Juneau</span></font></st1 := C i=3D ty><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt;font-family:Arial'>, <st1:State w:st=3D3D"on">AK</st1:State></span></font></st1:place><font size=3D3D2 = =3D face=3D3DArial><span style=3D3D'font-size:10.0pt;font-family:Arial'> =3D <o:p></o:p></span></font></p> =20 <p class=3D3DMsoNormal><font size=3D3D2 face=3D3DArial><span =3D style=3D3D'font-size:10.0pt; font-family:Arial'>(907)796-8838<o:p></o:p></span></font></p> =20 <p class=3D3DMsoNormal><font size=3D3D3 face=3D3D"Times New Roman"><span = =3D style=3D3D'font-size: 12.0pt'><o:p> </o:p></span></font></p> =20 <p class=3D3DMsoNormal><font size=3D3D2 color=3D3D"#333399" =3D face=3D3DVerdana><span style=3D3D'font-size:11.0pt;font-family:Verdana;color:#333399'><o:p>&nbs p= ; <=3D /o:p></span></font></p> =20 <p class=3D3DMsoNormal><font size=3D3D2 color=3D3D"#333399" =3D face=3D3DVerdana><span style=3D3D'font-size:11.0pt;font-family:Verdana;color:#333399'><o:p>&nbs p= ; <=3D /o:p></span></font></p> =20 <p class=3D3DMsoNormal><font size=3D3D3 face=3D3D"Times New Roman"><span = =3D style=3D3D'font-size: 12.0pt'><o:p> </o:p></span></font></p> =20 </div> =20 </body> =20 </html> =20 ------_=3D_NextPart_001_01C6F2F1.AD0490A9-- =20 --=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D0731596975=3D=3D Content-Type: text/plain; charset=3D"us-ascii" MIME-Version: 1.0 Content-Transfer-Encoding: 7bit Content-Disposition: inline =20 =20 =20 =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D =3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D All messages should be posted in plain text. HTML will be converted to attachments. =20 The meditech-l web site is MTUsers.com ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l =20 --=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D0731596975=3D=3D-- =20 ------------------------------------------------------------------------ -------- Return-Path: <"Kim Corrette" <[EMAIL PROTECTED]>> Received: from southcoast.org by SLH.ORG; Fri, 20 Oct 2006 11:58:12 0000 Received: from smtp1.slh.southcoast.org (unverified [10.0.0.48]) by southcoast.org (Rockliffe SMTPRA 6.1.17) with SMTP id <[EMAIL PROTECTED]> for <[EMAIL PROTECTED]>; Fri, 20 Oct 2006 11:56:33 -0400 Received: from prosonic.com ([204.202.252.254]) by smtp1.slh.southcoast.org (SAVSMTP 3.1.6.45) with SMTP id M2006102011563227683 for <[EMAIL PROTECTED]>; Fri, 20 Oct 2006 11:56:32 -0400 Received: from prosonic.iserver.net (localhost [127.0.0.1]) by prosonic.com (8.13.6.20060614/8.13.1) with ESMTP id k9KFqRss068007; Fri, 20 Oct 2006 15:52:43 GMT Received: from brh-exchange.bartletthospital.org (2-171-165-209.bartletthospital.org [209.165.171.2] (may be forged)) by prosonic.com (8.13.6.20060614/8.13.1) with ESMTP id k9IKFFLI087490 for <[email protected]>; Wed, 18 Oct 2006 20:15:21 GMT Content-class: urn:content-classes:message MIME-Version: 1.0 Date: Wed, 18 Oct 2006 12:12:03 -0800 X-MIMEOLE: Produced By Microsoft Exchange V6.5 Message-ID: <[EMAIL PROTECTED] g> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: Medicare e-claim submissions for Providers not in Provider dictionary Thread-Index: Acby8dg4tfd//KxsQr+8V8QHdUa7lw=3D=3D From: "Kim Corrette" <[EMAIL PROTECTED]> To: <[email protected]> X-Mailman-Approved-At: Thu, 19 Oct 2006 13:19:52 +0000 Cc: Subject: [MEDITECH-L] Medicare e-claim submissions for Providers not in Provider dictionary X-BeenThere: [email protected] X-Mailman-Version: 2.1.5 Precedence: list List-Id: Email list for Meditech users <meditech-l.MTUsers.com> List-Unsubscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> List-Post: <mailto:[email protected]> List-Help: <mailto:[EMAIL PROTECTED]> List-Subscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> Content-Type: multipart/mixed; = boundary=3D"=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D0731596975=3D=3 D= " Sender: [EMAIL PROTECTED] Errors-To: [EMAIL PROTECTED] =20 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%% CONFIDENTIALITY NOTICE: This e-mail and any files transmitted with it are confidential and may contain health information protected by law. 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Southcoast accepts no liability for any damage caused by any virus transmitted by this e-mail. ------------------------------------------------------------------------ -------- Return-Path: <"Kim Corrette" <[EMAIL PROTECTED]>> Received: from southcoast.org by SLH.ORG; Tue, 24 Oct 2006 12:33:06 0000 Received: from smtp1.slh.southcoast.org (unverified [10.0.0.48]) by southcoast.org (Rockliffe SMTPRA 6.1.17) with SMTP id <[EMAIL PROTECTED]> for <[EMAIL PROTECTED]>; Tue, 24 Oct 2006 12:31:22 -0400 Received: from brh-exchange.bartletthospital.org ([209.165.171.2]) by smtp1.slh.southcoast.org (SAVSMTP 3.1.6.45) with SMTP id M2006102412311602193 for <[EMAIL PROTECTED]>; Tue, 24 Oct 2006 12:31:17 -0400 Content-class: urn:content-classes:message MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable Subject: RE: [MEDITECH-L] Medicare e-claim submissions for Providers not i X-MimeOLE: Produced By Microsoft Exchange V6.5 Date: Tue, 24 Oct 2006 08:29:56 -0800 Message-ID: <[EMAIL PROTECTED] g> In-Reply-To: <[EMAIL PROTECTED]> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: [MEDITECH-L] Medicare e-claim submissions for Providers not i thread-index: Acb0vzdIDM/0jK2EQBi60wV+hYCZIQCyXmOQ From: "Kim Corrette" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%% CONFIDENTIALITY NOTICE: This e-mail and any files transmitted with it are confidential and may contain health information protected by law. 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