XIFIN Blog 5010

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david.byrd's picture

Who Perpetuates Naive Attitudes Toward Healthcare Cloud Computing?

Submitted by david.byrd on Wed, 2012-09-26 16:10
Wed, 2012-09-26 15:39
Those stuck with 30 year old technologies like client-server or ASP platforms will be left to flounder and see their technology gap become an even bigger revenue gap.
lale.white's picture

Termination of the BlueCard Program Runs Afoul of State and Federal Regulations

Submitted by lale.white on Tue, 2012-06-19 11:10
Tue, 2012-06-19 11:08
Blue plans attempting to reconcile the non-standard claims filing rules imposed by BCBS associated with the termination of the BlueCard program are running afoul of state and federal regulations; from non-adherence to HIPAA electronic standards to ignoring state assignment laws.
lale.white's picture

Who if anyone benefits from the dismantling of the BlueCard® program?

Submitted by lale.white on Tue, 2012-06-12 10:20
Tue, 2012-06-12 10:18
The new system turns a straightforward process into an unnecessarily complicated and expensive one. Is the BCBS Association, forcing the Blues to enforce their exclusivity arrangements that disadvantage regional labs and prohibit them from competing in the market place?
lale.white's picture

XIFIN and CCLA Urge Labs: Test and Go Live with 5010 Now to Avoid Payment Disruptions

Submitted by lale.white on Tue, 2012-05-01 10:27
Tue, 2012-05-01 10:25
lale.white's picture

MGMA call for 90-day 5010 extension draws wrong conclusion, would negatively impact providers

Submitted by lale.white on Thu, 2012-02-09 09:42
Thu, 2012-02-09 10:41
lale.white's picture

11 Real-World 5010 Issues and How to Resolve Them

Submitted by lale.white on Mon, 2012-01-16 09:39
Mon, 2012-01-16 10:37
XIFIN experts, Lâle White and Matt Warner were asked to present some key strategies for submitting and getting paid on clean 5010 claims as well as some real-life examples of 5010 challenges and their solutions. As a service to the lab industry and providers everywhere, we are posting a series of real-world use cases for different 5010 challenges and how to resolve them.
lale.white's picture

Recorded Webinar - What We Learned in Our First Million 5010 Production Claims

Submitted by lale.white on Fri, 2011-12-16 09:35
Fri, 2011-12-16 10:32
The 5010 conversion is that it's so broad and complex that there are bound to be issues. The key to success is your ability to identify, investigate and resolve those issues and ensure you have the resources available to do those things.
lale.white's picture

3 Red Flags Behind the 5010 Enforcement Delay. More than a Format Change; Guidance Required on Comments and Edits

Submitted by lale.white on Thu, 2011-11-17 09:48
Thu, 2011-11-17 10:47
It is not surprising that CMS had to delay enforcement of 5010 compliance in light of the fact that even the small payor community, including a number of MACs and Medicaids, were unable to test and implement 5010 files in production timely; let alone the thousands of providers primarily relying on unprepared clearinghouses and software vendors. A number of payors had announced delays in advance of CMS that they would not meet the deadline, such as Medi-Cal of California which had announced it would not be ready until 2013.
lale.white's picture

HIPAA 5010 contingency plan needed, says MGMA

Submitted by lale.white on Mon, 2011-10-31 10:52
Mon, 2011-10-31 10:51
MGMA’s research suggests that critical coordination among many practices and their trading partners has not yet occurred. Practices that do not successfully implement Version 5010 by the Jan. 1, 2012, compliance date face possible disruption in cash flow, say experts. The Medical Group Management Association (MGMA) is calling on the Department of Health and Human Services (HHS) to issue a HIPAA 5010 contingency plan permitting health plans to adjudicate claims that may not have all the required data.
lale.white's picture

5010 National Testing Week: Join LinkedIn Group on Payor Readiness

Submitted by lale.white on Mon, 2011-08-22 11:18
Mon, 2011-08-22 11:17
In light of CMS' National Version 5010 Testing Week, XIFIN is hosting a 5010 Readiness - Payor Testing group on LinkedIn and we would like to extend an invitation to you to join the group.

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