Feb 24, 2015

IBHIS GO-LIVE Readiness, Using Data Extracts to Reconcille your claims

IBHIS GO-LIVEs continue to be on HOLD, while DMH and their EHRS vendor Netsmart work out issues and enhancements identified by the providers that are Live and Piloting IBHIS for you.

In the mean time, there is no lack of preparation you should be doing now, for example:

Learn how to and begin using the IS LE Extract data to reconcile your claims submitted against the status of the claims in the IS.
  • This takes time to learn and to understand the data and tables, don't put this off!
  • Make sure you assign the right staff person to use this data. This should be  someone who can sort and filter data and analyze it; the person you expect to compare your EHRS claims records, to the IS / IBHIS records of claims submitted, against payments received, and detect claims issues.
  • Obtain training from DMH on the IS LE Extract data and begin using this downloadable data to reconcile your claims. You will be reliant on this data when you go to IBHIS EDI claiming! DMH is offering free training
  • Monitor and attend the IS Reports Committee Meetings, there was one held today. Topics today included: LE extract claims data, payment reconciliation, ICD-10 changes, data migration for IBHIS, PRM issues.
    http://lacdmh.lacounty.gov/ISReport/Documentation.html

 


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