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IMA Admin Update
APG Billing - Update 3
January 31, 2012
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IMA Admin Update
A month has passed and APG Billing is here to stay. By now, almost all of you are submitting claims and getting remittances. Here is our next update on what we have learned thus far and what we have added to the application.
Training
APG Remittances: How much is medicaid paying me and why? If you are wondering how much you are really getting paid for services and why, please join us for a webinar this Wednesday (February 1st) at 3:30 PM hosted by Barry Samel to review the Medicaid payment methodology as it applies specifically to your clinics. Reserve a spot using this link
https://www3.gotomeeting.com/register/510522934
APG Billing Denials, Voids, and Adjustments
IMA has now released a toolset for managing denials, voids, adjustments, and rebills in APG billing. Please join us on Tuesday February 7th at 2:00 PM for a webinar on this topic. You can reserve a spot using this link
https://www3.gotomeeting.com/register/995006014
Changes and Enhancements
A slew of changes and enhancements relating to APGs and version 5010 have been released in the last two weeks. Here are some highlights
- Payers, Payer Sequences, and Payer sequence groups: When creating claims in the IMA grouper or billing in the APG billing module, you will now see choices for selecting by payer, payer sequence, or payer sequence group. These replace the typical choices of program, unit, org, and area. This change was needed because services in multiple programs can be included in a single claim. You can adjust payer sequences and assign payer sequence group in the "Electronic billing file" payer setup options.
- After hours enhancement: Prior to APG, the after hour enhancement was not available for brief services. We have just learned that this is not the case for APG billing and have updated the module accordingly. The after-hours report can be checked to find additional services that are eligible for this enhancement.
- Voids, Adjustments, and rebills: We have released a update to the IMA grouper which will give visibility to claims that need to be voided, adjusted, or rebilled and provide an automatic tool to make these changes. We will review how to use this tool during the webinar mentioned above.
- Version 5010 for atypical providers: We are still getting feedback and making adjustments to the 5010 billing needed for atypical providers (those that bill without NPI). Please let the helpdesk know if you are experiencing any problems.
- NGS Medicare approved entity list: Information Management Associates is now listed on the NGS Medicare Approved 5010 entity list.
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