News

Oct 31st, 2008

The October 2008 EDI Transition Newsletter has been published for NJ Medicare. You can read this newsletter by accessing our transition website at:

http://www.highmarkmedicareservices.com/transition/j12/edi-newsletters/editransitionnews-sipp4b-1008.pdf

Sep 12th, 2008

Gazelle Update 8.1.55

www.gazellemedicalbilling.com/download/Neicssn/Gazelle.exe

Information below included in the Gazelle 8.1.55

       1    "For NEIC Layout if SS# is all zeros then it will not report" Added the logic if first 5 characters of SS# are zeros, ones, twos, etc....

       2    "For DME & CARE if Solo, does not report the 2000 PRV" segment

       3    "Referral Phys. Report - replace Provider # with NPI" Referral Analysis Details Report".

       4    "Sorting Order of Diag and Procedures on Superbill" Prints out in the same order as entered.

*Please note after updating to G8.1.55 please make sure you retrieve your reports if submitting claims Electronically.

For information on future updates check under the “News Section” of our web site.

Aug 28th, 2008

New Jersey/Pennsylvania Medicare Part B J12 MAC transition from National Government Services (NGS) to Highmark Medicare Services effective date is November 14, 2008.

The August 2008 EDI Transition Newsletter has been published on our transition website at:

http://www.highmarkmedicareservices.com/transition/j12/edi-newsletters/editransitionnews-sipp4b-0808.pdf

Jul 18th, 2008

Tech Plus Release Gazelle Version 8.1.152 for Jurisdiction 13 (J13) this change effectives both Empire and GHI Medicare as of July 18, 2008.

The Gazelle 8.1.52 Update contains the following:

       1    Compliance with the J13 that went into effect July 18, 2008 for both Empire Medicare Part B and GHI Medicare Part B.

       2    GHI Medicare switches to NGS (National Government Services) for asynchronous dial-up and Blue Zone.

       3    NEIC/Emdeon NPI compliance for electronic claims.

       4    DME NPI compliant (No longer report Provider ID)

Call the Help Desk for Update instructions.

Jul 11th, 2008

Tech Plus Systems, Inc. Releases Gazelle version 8.1.148 NPI Compliance for Emdeon/NEIC Commercial Electronic Submission.

Call the Help Desk for Update instructions.

Jun 24th, 2008

Information Package for GHI Medicare migration to National Government Services

Download the PDF here

Jun 24th, 2008

Introduction Letter for GHI Medicare migration to NGS Services

Download the Doc here

Jun 10th, 2008

National Government Service (NGS) set to take over administration of Part A and Part B Medicare fee-for-service claims in Jurisdiction 13 GHI Medicare as of July 18, 2008

http://www.ghimedicare.com/provider/serve.php?page=whatsnew.html&news_id=705

Gazelle Version 8.1.137 update released for NPI reporting to Medicare for 837 claims and 835 remittance. Call the help desk for the update.

Feb 14th, 2008

M2 Migration Cutover Date Extended

http://www.empiremedicare.com/news/newsbny08.cfm

Feb 8th, 2008

Provider NPI Search:

https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do

Feb 7th, 2008

EDI Help Desk (1-877-273-4334) Line of Business Modifications Effective Thursday, February 7, 2008

Effective Thursday, February 7, 2008, the EDI Helpdesk (1-877-273-4334) has modified the line of business options. The following changes were made to better serve our EDI customers.

Press 1 for the Jurisdiction B DME MAC:

If you meant to call the Durable Medical Equipment Common Electronic Data Interchange Help Desk, press # now to be routed to that desk.

       *    For Claim Status Inquiry Password Resets, Press 1

       *    For All Other Calls, Press 2

Press 2 for Medicare Part B:

       *    For Password Resets, Press 1

       *    For Other Non-Password Related Calls, Press 2

Press 3 for Medicare Part A:

       *    For Password Resets, Press 1

       *    For Other Non-Password Related Calls, Press 2

Press 4 for the latest EDI News:

       *    For the latest NPI News, Press 1

       *    For information on EDC Migrations, Press 2

       *    For the latest news regarding Duplicate Claims, Press 3

Feb 5th, 2008

Information Needed When E-Mailing the NGS Medicare EDI Help Desk:

http://www.empiremedicare.com/news/nynews08/ngs_020508inf.htm

Jan 22nd, 2008

ATTENTION: Medicare Electronic Submitters and Receivers

The M2 migration cut over date is approaching quickly. Any Medicare provider or electronic trading partner who conducts business with National Government Services electronically must be migrated to the M2 EDI Gateway by February 15, 2008. Failure to migrate will cause your EDI claim submissions to reject. For more complete details on the M2 Migration, visit our Web site at http://www.empiremedicare.com/edi/index.htm

Quick Start Tips for M2 Migration

The following are some quick tips to assist with your migration to the new M2 EDI gateway.

For additional details on the migration including helpful Frequently Asked Questions, please visit our Web site at http://www.empiremedicare.com/edi/index.htm

       1    Your current submitter numbers are being replaced by a new M2 trading partner ID. All current submitters should have received their new M2 ID. If you have not received your M2 ID please email IEMgroup@wellpoint.com .

       2    Your new M2 trading partner ID will act as your logon ID for the M2 system and as your submitter number.

       3    Your current submitter number will need to be replaced in the files that you send to Medicare. Most likely there is a set up table in your practice management system where the current submitter number is housed. When you are ready to migrate to the M2 system, the current submitter number will need to be changed.

       4    You have several options available for connectivity to the M2 system. There are network service vendors who offer communication packages. Network Service Vendors include but are not limited to: IVANS, Vision Share, ECC, etc. In addition, you can also connect directly to M2 through a dialup bulletin board system or dialup FTP.

       5    If you currently use a Network Service Vendor for connectivity, Please contact them for the specific software upgrades or information regarding the M2 migration.

       6    When you have your new M2 ID and you have upgraded your connectivity software, YOU ARE READY TO SEND A FILE TO THE M2 SYSTEM.

       7    The initial default password which has been assigned will expire when you first login. The default password was given to you along with you new M2 submitter ID. You will need to define a unique password for your office. The password criteria: Must be 8 characters in length, must include alpha and numeric characters, must include a special character and the password is case sensitive.

       8    We recommend that you send a test file prior to sending production files. This is not a requirement.

       9    Once you begin sending production files to M2, all reports and files will be delivered to you through the M2 system.

       10    For Part B providers, follow the instructions on our Web site http://www.empiremedicare.com/edi/index.htm for the correct provider number formatting for the billing and rendering provider.

       11    When you send a file to the M2 system you will receive 3 reports. The TRN report, 997 transaction report and the GenResponse (Claim Confirmation) report. These reports should be generated with in a few minutes. For more details on how to interpret the GenResponse report, please visit our Web site at http://www.empiremedicare.com/edi/index.htm .

       12    Part B providers will also receive the MCS Edit Report (Validation) report which is generated approximately 24 hours after your claim submission.

Jan 21st, 2008

EDI Help Desk Telephone Line Issues.

http://www.empiremedicare.com/news/newsbnj08.cfm

Jan 9th, 2008

Tech Plus System releases Gazelle Version 8.1.130 for M2 Gateway Migration for Empire Medicare Electronic Submission

Call our Customer Service at 212-929-3919 for the Password to Download this important Update.

Revised Guidance for Completing form CMS-1500

http://www.empiremedicare.com/news/nynews08/ngs_010808_mm5749.htm

Jan 04th, 2008

Important Note: M2 Gateway Migration – Deadline Extended until February 15, 2008 – As of this date all Empire Medicare Submitters must use M2 Gateway.

IVANS Free Webinar: How to Use Bluezone for FTP to M2.

http://www.empiremedicare.com/news/newsbny07.cfm

Dec 17th, 2007

As of March 1 2008, NPI's will be required for Medicare Billing.

http://www.empiremedicare.com/news/nynews07/111607man.htm

Nov 16nd, 2007

Attention National Government Services Medicare Electronic Submitters Part B New YorkNew Provider Numbering Format

http://www.empiremedicare.com/news/nynews07/111507npn.htm

Your New M2 Submitter Number for the Migration of the EDI Gateway – 11/7/07

http://www.empiremedicare.com/news/nynews07/110807obt.htm

Nov 2nd, 2007

REMINDER: Download BlueZone software in preparation for Medicare Transition.

Download the BlueZone

Oct 30th, 2007

Migration of the Electronic Data Interchange (EDI) Gateway.

http://www.empiremedicare.com/news/nynews07/092507mig.htm

Oct 29th, 2007

NGS migrating to the M2 translator as well as our Migrating off of e-Link for Medicare only.

Download the Vendor Bulletin

May 8th, 2007

Tech Plus Systems Announces Gazelle Version 8 Shipping Date set for May 15th, 2007.

Gazelle 8 Highlights:

       *    HIPAA 4010A1 837 & 835 NPI Compliant

       *    New HCFA 1500 Form Support

       *    New Patient Information Screen with exciting features such as:
     *    Photo capture
     *    Document Attachments
     *    Additional data fields: Email Address, Mobile Number, etc…

       *    Support for 4 Procedure Modifiers (Electronic & Paper)

       *    Service Dates added to A/R Insurance Report & Payment Recap Report

       *    Electronic Submission to Rail Road Medicare

       *    Integration with Claim Tracker for WebMD/Emdeon

       *    Integration with Medicare's "835 Easy Print"

Download Gazelle 8 Order Form

May 1st, 2007

NPI Contingency Plans:

Click HERE for Medicare Fee-For-Service (FFS) National Provider Identifier (NPI) Implementation Contingency Plan.

Click HERE for New York Medicaid National Provider Identifier (NPI) Implementation Contingency Plan.

April 5, 2007

Tech Plus Systems Announces Gazelle Version 8 Release Date set for May 1, 2007.

       *    NPI Number Edits

       *    New HCFA 1500 Form

       *    Rail Road Medicare Electronic

March 14, 2007

The Centers for Medicare & Medicaid Services (CMS) has decided to extend the acceptance period of the Form CMS-1500 (12-90) version beyond the original April 1, 2007 deadline:

http://www.empiremedicare.com/news/nynews07/031207imp.htm

February 8, 2007

Empire Medicare Services to Become National Government Services!
http://www.empiremedicare.com/aboutus.htm

Announcement of a Dedicated National Provider Identifier (NPI) Web Page (JSM-06536)
http://www.empiremedicare.com/news/nynews06/071206ann.htm