CPTT Meeting Notes, May 21, 2015

CPTT Meeting Notes, May 21, 2015

The presentation slides are posted here: http://lacdmh.lacounty.gov/hipaa/IBHIS_EDI_Links.htm

Thought I'd share my summary notes, as several of you who couldn't attend have requested them.

·       IBHIS rollouts are on hold. No further contract providers will roll-out onto IBHIS until the known issues are resolved, many claiming issues, some Web Services enhancements needed, as well as PRM automation coming to avoid the triple data entry and resulting delays going on now.

• Therefore, you can focus on your EHRS implementations in-house, and get your IBHIS certification asap
• You can also use this time to apply for your Meaningful Use Incentives (this is complex when your psychiatrists and nurses are contractors, and requires assistance to find your way through all the available information....call me if you need help! I'm working on this for several agencies now.
• If your EHRS vendor is in production with EDI claiming to the IS, your should be asking to move to EDI claiming to the IS during this wait period.... in my opinion. Call if you need help with this.

·    DMH is working on a self-service method for IS Access, replacing hard tokens; so gaining access to the IS for your data entry staff will be much easier, versus the hard tokens used now. Stay tuned.

·     The IS SFT LE Extract data login method is changing in June.  See DMH slides.

·     A New Web Services version RC v201501 – this release is in production as of today June 12th. It includes SIGNIFICANT changes, some of which will change your Web services workflows, particularly around setting up the client Financial Eligibility and Guarantors.  DMH  strongly encourages you to work with their EHRS vendor to review and begin development / modifications needed to integrate with these changes. NOTE: valid USPS zipcodes will be crucial now, they will be validated by IBHIS. See the Release Notes here: http://lacdmh.lacounty.gov/hipaa/IBHIS_EDI_homepage.htm

·    Some changes to the strategy for indication of required forms and data have been made by DMH. See DMH  slides.

·    Some future changes are under discussion for documentation of services with co-providers, may require both providers signatures. You should determine how your EHRS will handle this in an e-signature workflow, and assure it won’t be a manual process to assure each note has both signatures. Let DMH know of any difficulties this may present to you. See DMH slides.

·    And ICD-10 codes will be required on all claims and in client Dx records starting October 1st! I'll write a blog for this next.

Some other tidbits here:

• At the DMH Provider Data Management/Reporting meeting this week, we were told that as of July 1^st the A7 code is expiring, it is used for claims older than 90 days with no adjudication.  DMH has reached out to the State asking whether there will be an alternate code that can be used, no news yet.
• In support of anyone that wants to consider moving to EDI claiming to the IS, ...

  Revised versions of the DMH HIPAA 5010 Companion Guides for the IS claims are now posted. 
  Note: With these changes, the IS will transmit the HMO Medicare Risk Plan indicator on Short Doyle Medi-Cal claims when they have been sent in on the LA County inbound claim.  An IS Alert will be sent out when this change is to take effect, which is anticipated to be by the end of June 2015.

   

  http://lacdmh.lacounty.gov/hipaa/edi_homepage.html

  
  

 

As always, happy to help !