FW: STAR Patient Accounting Alert: UPDATE: Claims may be failing in PCON due to 5010 claim edits
Margaret D. Barnes
Has anyone heard when STI F10949 will be released?
Thank you
Margaret Woods
Memorial Health System of East Texas
IT Analyst
Phone 936.639.7553
Fax 936.639.7578
Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
From: DeLorenzo, Teresa [mailto:owner-starp...@stardomo.mckesson.com]
Sent: Monday, January 30, 2012 9:36 AM
To: starptac...@stardomo.mckesson.com
Subject: STAR Patient Accounting Alert: UPDATE: Claims may be failing in PCON due to 5010 claim edits
Importance: High
To subscribe / unsubscribe: send an email to majo...@stardomo.mckesson.com and leave the subject field blank. In the body of the email
type: subscribe listname (Example: subscribe starptacct-alert) or unsubscribe listname (Ex: unsubscribe starptacct-alert). When subscribing,
you will receive an authentication email – follow the instructions contained within that email to complete the subscription process.
|
|
|
UPDATE: Claims may be failing in PCON due to 5010 claim edits |
|
NOTE: This alert applies to customers with STAR, PCON, EC2000 and/or Relay Assurance/ePremis.
ISSUES:
1. If Oupatient UB Claims retained in STAR have no admit date, then these claims will not be accepted by PCON.
2. If no admit date was present for a claim when information was formatted for the Electronic Claim System, then the system date was used for the admit date prior to F10944.
RESOLUTION
· STIs F10943 and F10951 were released so the admit date, discharge hour, and admitting diagnosis are obtained from account data when the data is not present in claim data. If you are experiencing this problem, then we recommend loading F10943 and F10951 as soon as possible.
· STI F10949 will be released in STAR to resend any standard claims that have exhausted their allowed resend attempts and any pass-through claims released in this time frame. This allows the claims rejected by PCON due to no admission date to be re-sent. An additional alert will be sent to communicate the expected release date and other details for F10949. This STI (F10949) will require that STI F9725 be loaded with or before it and that STIs F10943, F10951 and F10944 be loaded with or before it.
· If EC2000 and/or Relay Assurance/ePremis is used and STAR Claim Load and Edit Parameters were updated to not load the admission date in locator 12, then McKesson recommends loading F10944 as soon as possible so an incorrect admission date is not formatted for the ECS Interface.
STIs F10943 and F10951 will populate the missing fields listed below using account data if the claim data is not present for the PCON Interface. McKesson recommends loading F10943, F10951, and F10944 STI’s as soon as possible so data is provided to interfaced systems as needed.
Outpatient UB claims are being sent from STAR to PCON with up to three fields missing:
· Admit Date · Discharge Hour · Admit Diagnosis
Based on directions from payors; parameters and/or data were changed so these fields would be blank on the claim. These changes could have occurred in STAR, EC2000, or Relay Assurance.
Prior to loading F10943 and F10951, the following actions can be taken to reduce the number of claims to be re-sent when F10949 is available.
For STAR/EC2000 customers: · In STAR – check the Claim Load and Edit Parameters (CLEP) to make sure that Internal Elements are defined for Admission Date, Admission Diagnosis, and Discharge Hour. · In EC2000 – disable edits 19194 and 19195 (for EC2000 customers on Release 15. Please log a service order with Support) · In STAR – set the PCON Resend days to at least 30 days to avoid additional claims expiring from the Resend Report. Verify file system space. PCON run times may increase.
For STAR/Relay Assurance/ePremis customers: · In STAR – check the Claim Load and Edit Parameters (CLEP) to make sure that Internal Elements are defined for Admission Date, Admission Diagnosis, and Discharge Hour. If the CLEP parameters are defined you may have to contact ePremis support at 800-457-1209. Bridge routines can be written to remove the data inbound to ePremis. · In STAR – set the PCON Resend days to at least 30 days to avoid additional claims expiring from the Resend Report. Verify file system space. PCON run times may increase.
Additional impacts expected that will not be minimized by the above actions: · In PCON – any activity (payments, adjustments, and refunds) will be rejected because the claim is not in PCON. Contact PCON support for assistance in evaluating the Payment Error Worklist. · In PCON – any denials and appeals will be rejected because the claim is not in PCON. Denials and Appeals will be evaluated as the service order is reported.
RETROFITTING Customers who are on a STAR release prior to 16.0 will require a work order to retrofit the following STIs referenced in this alert: F10943, F10944, F10949, and F10951. Customers who are on a STAR release prior to 15.0 will require a work order to retrofit F9725.
· F10943 was released on 1/12/12 for customers using PCON Interface file format 8 · F10951 was released on 1/24/12 for customers using PCON Interface file format 7 · F10944 was released on 1/19/12 · F9725 was released on 11/15/11 (this STI is applicable to STAR releases 15.0 and higher)
If you have any questions or require additional information, please log a standard service order via the Customer Portal.
January 30, 2012 |
Hartsell, Shelli
It’s released now. I just looked on customer portal for the update.
Shelli Hartsell
Site Director
McKesson/MedCath
office: 704-815-7665
mobile: 704-771-2884
--
You received this message because you are subscribed to the Google Groups "hisnet" group.
To post to this group, send email to his...@googlegroups.com.
To unsubscribe from this group, send email to hisnet+un...@googlegroups.com.
For more options, visit this group at http://groups.google.com/group/hisnet?hl=en.
CONFIDENTIAL & PRIVILEGED
Unless otherwise indicated or obvious from the nature of the following
communication, the information contained herein is privileged and confidential
information/work product. The communication is intended for the use of the
individual or entity named above.
If the reader of this transmission is not the intended recipient, you are
hereby notified that any dissemination, distribution or copying of this
communication is strictly prohibited. If you have received this communication in error or are not sure whether it is privileged, please immediately notify us
by return email and destroy any copies, electronic, paper or otherwise,
which you may have of this communication.
Rouppas, Dorothy
I’ve set up plenty of new Revenue departments in Star using various SIM codes that we’ve had.
I am trying to set up a brand new SIM dept, and am unable to. If my memory is correct, (which yes it’s on overload) only SIM departments can be created by McKesson. Is this correct?
If not, would someone please give me the simple steps to create. I am under a time crunch as this unit is going live next Tuesday.
Thnx in advance.
Dorothy A. Rouppas
University of Toledo Medical Center
Clinical Informatics – Systems Analyst II
(
Telephone: 419.383.3564
P Please consider the environment before printing this e-mail
Klein, Michelle
That is correct. McKesson has to create the dept. Just let them know which of your current SIM depts you want them to mirror it after.
Michelle Klein
Senior Systems Analyst - Implementation
Columbus Regional Hospital
--
You received this message because you are subscribed to the Google Groups "hisnet" group.
To post to this group, send email to his...@googlegroups.com.
To unsubscribe from this group, send email to hisnet+un...@googlegroups.com.
For more options, visit this group at http://groups.google.com/group/hisnet?hl=en.
CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201
Leonard Culberson
--
Nannette Hylenski
Here are the instructions on how to set it up a SIM department on your own, I believe you have to be forms and menus certified…I just added one and had to enter my ID code…
CONFIDENTIALITY NOTICE
This email, including attachments, may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed. If the reader of this email is not the intended recipient or his/her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this email is prohibited. If you have received this email in error, please notify the sender by replying to this message and deleting this email immediately.
Shelby, Shirley
Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains.
Klein, Michelle
I have a C sign-on but there are globals and things that need to be added that I had no idea what to select. McKesson informed me that they need to add those anyway.
Shelby, Shirley
From: his...@googlegroups.com [mailto:his...@googlegroups.com] On Behalf Of Klein, Michelle
Sent: Wednesday, February 08, 2012 2:02 PM
Joni Neal
Shelby, Shirley
From: his...@googlegroups.com [mailto:his...@googlegroups.com] On Behalf Of Joni Neal
Sent: Wednesday, February 08, 2012 2:23 PM
Forrester, Alex
HMMMMMM you can add your own SIM deparetments with your ‘C’ signon. I do it ALL the time. The globals that McKesson is talking about are your actual screens, ZBlocks, etc which if you just go into another department that is like the new one you want to build you can enter in the same codes.
After you build your department just remember you have to fill out the SIM Department page under Table Maintenance and you have to create the FDL and FVDL reports.
Alex
K. Forrester, CHUC | Clinical Applications Specialist – Information Services
Office: 704-355-0351 | Fax: 704-446-6450 | alex.fo...@carolinashealthcare.org
P Please consider the environment before printing this e-mail
This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.
Todd Mullins
You must be on a really old version, then. Or have a special relationship with McK. They took this away from us a couple of years ago.
Sent: Wednesday, February 08, 2012 2:47 PM
This email may contain information covered under the Mississippi Privacy Law (Miss. Code Ann. § 75-24-29), the Privacy Act of 1974 (5 U.S.C. § 552a) and/or the Health Insurance Portability and Accountability Act of 1996 (Pub. L. No. 104-191) and its accompanying regulations. Healthcare information is personal and sensitive and must be protected in accordance with these provisions. If this email contains healthcare information, it is being disclosed to you only after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patient authorization, unless otherwise permitted by law, is prohibited.
**********PRIVATE AND CONFIDENTIAL**********
If you are not the intended recipient of this email, be advised that any use, disclosure, copying, distribution or taking any action in reliance on the contents of the information contained therein is strictly prohibited. If you have received this email in error, please contact the sender immediately by reply email and then destroy/delete all copies of the original message and any attachment(s) thereto.
Forrester, Alex
No we are on 16.0, I remember when we first started back in 1997 I had all kinds of powers were I was able to delete FIM’s, Clone/Create a new facility, make actual screen changes, etc and I remember a while ago I was stripped of that power. But, I can still create departments, etc.
Alex
K. Forrester, CHUC | Clinical Applications Specialist – Information Services
Office: 704-355-0351 | Fax: 704-446-6450 | alex.fo...@carolinashealthcare.org
P Please consider the environment before printing this e-mail
Carol Anthony
From: "Forrester, Alex" <Alex.Fo...@carolinashealthcare.org>
To: "'his...@googlegroups.com'" <his...@googlegroups.com>
Sent: Wednesday, February 8, 2012 3:59 PM