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Issue: # 6April 2010
Welcome to the Omega Technology Solutions newsletter!
 
Our group is very excited because we have the necessary tools to make your operations work more efficiently and smarter. 
 
Please check out the articles below to learn more.
 
You can find an archive of our newsletters by going to:
 
www.omegatechnologysolutions.com/Newsletters.htm
 
On that same page, you can access our FAQ Blog.  Send us questions, and we'll get you the answers.  Please, check it out!
2010 ANI: The Healthcare Finance Conference
 
We are pleased to announce Omega Technology Solutions will be attending the 2010 ANI Healthcare Financial Conference held in Las Vegas, NV, from June 20th - 23rd, 2010.
 
 
Please click here for additional information regarding the conference, including our booth number and location, times, dates and more.
New Horizons
OnePoint
 Omega has grown exponentially when it comes to systems and streamlining hospital operations. Responding to the needs of our clients, both present and future, is the driving force behind our endeavors. 
 
 The Management team has been working tirelessly looking to enhance and develop systems geared toward improving your day to day operations. These systems include both front and back end appications that can be used in a hospital setting or a physician's office.
 
We are proud to present OnePoint 
 
This portal will include all the current applications we offer plus additional tools to help with your daily operations.
 
Verification Application
 
  • Eligibility
  • Demographics
  • Precertification request/respond
 
OCExaminer Application
  • CMS Rules
  • Managed Care Rules
  • Lost Charge Recovery
    • Interventional Radiology
    • Drug Administration
    • Carve Out
  • Professional Claims
  • User-defined Rules
  • Invalid Data Elements
  • RAC Alerts
  • Claim Correction
  • Work List Manager
  • Work List Setup Management
    • Desk Setup
    • Desk Assignments
    • Define Priority Levels
  • EDI Submission
    • Acknowledgement Management
    • EDI Submission Preferences
    • EDI Submission Approval Required
  • Return File Repository
  • OCExaminer Admin Tasks
    • Manage Rules
    • Manage Modules (ON/OFF)
    • Manage (Create) User Defined Edits Rules 
 
Claim Status Application
  •  Claim status request/respond
 
ChargeMaster Application 
  • ChargeMaster Work Manager
    • Make Work Request
    • Work List Queue
    • Work List Administration
    • Production Reports
  • ChargeMaster Work List Setup Management
    • Routes and Stages
    • Route templates
    • User Assignments
    • Define Priority Levels
  • Analysis Reports
    • Priority Issues
    • Uniformity Alerts
    • Model Overlays
    • View Complete CDM
    • Items Marked for Review
  • CDM Analysis Tasks
    • Import Files
    • Download Change File
    • Lock
    • Modified Items Management
  • Price Mark-up Tool
  • Pharmacy Itmes Manager
  • Import CDM Files
 
Client Utilities
  • File Uploads
  • File Downloads
 
 Mediregs Research 
 
We will be showing OnPoint at the coming ANI Conference in Las Vegas. Please make sure to stop by and visit us.
New Code Releases for 2nd Quarter

CMS released new codes in the 2nd quarter updates for the IOCE.  There are 10 HCPCS codes  and 6 new procedure to device code pairs. 
 
These codes were retroactive to 10/01/2009:
 
G0432  EIA HIV-1/HIV-2 screen
G0433  ELISA HIV-1/HIV-2 screen
G0435  Oral HIV-1/HIV-2 screen
G9147  Outpt IV insulin tx any measure
 
The following codes became effective 04/01/2010:
 
           C9258  Telavancin injection
           C9259  Pralatrexate injection
           C9260  Ofatumumab injection
           C9261  Ustekinumab injection   
           C9262  Fludarabine phosphate, oral
           C9263  Ecallantide injection
 
These new procedure-to-device code pairs were released retroactive to 01/01/2010:
 
           37215  C1874
           37215  C1875
           37215  C1876
           37215  C1877
           37215  C2617
           37215  C2625
 
Make sure your coding practices are up to date to ensure complete and accurate reporting of services provided and remember, CMS requires device coding, including HCPCS, when certain procedures are reported.

Find out more about ChargeMaster...

CMS ICOE Edits for 2nd Quarter
 
There were a few changes to the CMS edits for April 1, 2010. 
 
One change affects CMS edits #3(diagnosis/sex) and #8(procedure/sex).
 
Now, claims with the presence of condition code #45, ambiguous gender, will not be applied against either edit and will not be returned to the provider.
 
CMS also released new modifier effective 04/01/2010:                 
 
        GX      Notice of liability issued
ChargeMaster 
What's New
One of our strengths is to listen to our customer's needs. We are pleased to announce many new features to our existing ChargeMaster product, based on the feedback our customer's have provided.
 
Please see our enhancements outlined below. 
  • Added ability to print and download Summary and some Managerial reports
    Created a report of all approved items that can be uploaded.
  • We now accept usage information. In other words, the system can perform an analysis of all items used by a department to determine which are being used the most of which ones are used the most with issues.
  •  Added OPPS rate impact column that populates when usage information is loaded.
  •  If you rather work with all items in one report rather than by department, we now have that capability. You will be able to see all items with issues and alerts in one single report.
  • Added new management report area (Managerial Reports) containing reports accessible by administrative level user.
  • Added new reports under Managerial for Modified Items List  and Unmodified Items With Outstanding Issues with ability to run Crystal reports or download to a spreadsheet. 
  • Added new report area for Utility Items containing Search CDM Items, Search Mediregs Site and Complete CDM Listing. 
  • Added report with edit form for Procedure Codes with Different Descriptions, meaning the system will point out the items containing the same number but with different descriptions in various departments.
  • If you have a subscription to MediRegs, when you are researching the item in question, you can easily get to MediRegs by using the link provided in each Edit item screen.
  • We have added a drop down box in the  CPT/HCPCS and Revenue Code fields in the edit form to allow lookup from partial code;  the system displays all codes that begin with criteria entered and ability to select code from drop-down or link to MediRegs
  • Added CPT/HCPCS AMA full description  
  • Added display of  CMS SIC (Status Indicator Code) for each CPT/HCPCS
  • Added more sort and filter functions to report displays 
  • Added ability to change description on edit form 
  • Changed file upload page to accept independent files; CDM only, dept listing, usage, etc
  • All Summary or Priority Issue reports now display detail report on same page 
  • Added support page with "LivePerson"
  • Information such as descriptions, SIC, OPPS rate, etc, will change on edit form when CPT/HCPCS code is changed to reflect information relative to new code
  • Provided link on Model Overlay pages to allow existing items to be changed via edit form
  • Added ability to change items without issues from Complete CDM Listing and approval pages via edit form
  • Added "Reset Values" button to edit form to allow user to return original information if necessary
     
OCExaminer 
What's New
  • Added F1 "Help" button in most fields on GUI.  This feature provides the user with a look-up on fields containing data such as condition codes, value codes, patient status and other data elements.
  • Individual edits on a claim now have a check box to indicate if the issue has been reviewed and once the box is checked, the edit displays in gray as opposed to black on the Claim Report.  This allows the user to determine which claims/edits have been reviewed and corrected.
  • Added a new claim disposition "Bypass Edits and Force Claim to Transmit".  This allows the claim to bypass any subsequent scrubbing, be reported as "Passed" and forwarded on to be transmitted.
  • Improved the display of the "Batch Statistics" page by showing information on failed claims only.  This report no longer provides information on passed claims and is easier to understand than the previous display.
  • Added RAC module.   This module will flag claims that have a potential RAC issue based on current issues published by all four RACS.  This module only issues an alert so the client can review claims before submission or watch for trends in claim activity.
  • Eliminated the RTP module and created two new modules;  Managed Care and Invalid Data Elements.  Managed Care contains edit logic from the CMS module for all CMS edits that are applicable to non-Medicare claims.  Invalid Data Elements has edit logic that will flag claims that have errors that would prevent a claim from being accepted by a payer and returned to the provider as unprocessed.
  • Added filter options to the File History page to allow the user to "customize" the report.  This feature provides options to filter on criteria such as batch dates, rescrub dates, batch name and batch status and allows the user to view only the batches selected.
  • Added paging options to the File History page that allows the user to select how many batches per page to view and also gives the user the ability to select the page to be viewed.
  • Added filter options to the Claim Report page that provides the option of viewing claims by edit or reviewed status.
    Added sort ability to Claim Report that allows sorting based on claim order, patient number, patient name, claim amount or primary payer.
Thanks for your time!
 
Sincerely,
 
Ann Fierro, RN, CPA, MBA 
President and News Editor
Omega Technology Solutions                         
In This Issue
2010 ANI: The Healthcare Finance Conference
OnePoint
New Code Releases
CMS ICOE Edits
What's New in ChargeMaster
What's New in OCExaminer
HFMA Stacked
Zuba Piece
 Putting the Pieces Together