[MT-L] Claim Scrubber intergation Meditech

[Knowlton, Pam]

Hi All,

We are looking into claims scrubber that fully integrated with Meditech . In other words any corrections made in scrubber would flow back to Meditech i.e modifiers added,charges removed etc. Is any one using that partner’s with Meditech?

 

 

[Gary Ring]

I haven't found any that do.  The ones that do "integrate" (such as MedAssets, Claimtrust/Craneware that I am aware of) only  send back comment transactions to MEDITECH.  While it's better than nothing, unless you devote resources to double-entering changes in both the scrubber system and MEDITECH, I don't know of any way that the actual changes get reflected/implemented in the MEDITECH database.  This is something that we've all been looking for for years, but I still haven't seen it.

I, too, would be interested in any company that has successfully and truly integrated with MEDITECH.

Gary J. Ring
President
RINGCONSULTING
978-807-1573
www.ringconsultinginc.com

---

From: "Pam Knowlton" <PKNO...@shsny.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Sent: Friday, April 10, 2015 12:52:55 PM
Subject: [MT-L] Claim Scrubber intergation Meditech

Hi All,

We are looking into claims scrubber that fully integrated with Meditech . In other words any corrections made in scrubber would flow back to Meditech i.e modifiers added,charges removed etc. Is any one using that partner’s with Meditech?

 

 

===###===###===###===###===###===###===
To unsubscribe from the meditech-l, follow the instructions at the URL http://mtusers.com/mailman/options/meditech-l_mtusers.com/

Please do NOT send messages that ask "Please post to the list" or "I'd like to see your answers" or "Send that info to me, too"  These are useless messages that just waste the email server's resources.  Instead, email the original requester and ask that they send you or post the results of their question.

Go to http://MTUsers.net for other information on the list, as well as:
1) reading meditech-l messages online
2) job opportunities
3) vendor products and service

Do NOT send email to meditech...@MTUsers.com.  This is a system email box that is NOT monitored by a human. If you need help or advice on how to use the meditech-l, email  ju...@MTUsers.net.  Julia helps manage the meditech-l, so she is your best resource.

===***===***===***===***===***===***===

[Julia Carter]

I’ve never seen this functionality, either.

 

When edits are made in the scrubber, the claim that goes to the payer doesn’t match what’s in Meditech.  Insuring that claims are built correctly, using proration and claim checks to hold accounts/claims for known issues and minimizing the use of bridges or edits in the clearinghouse provides a clean, accurate, compliant host system – Meditech- which is the source of truth.

 

julia carter, cpar
Senior Management Consultant
Phone 229.891.6668
Jacobus Consulting, Inc.    |   Achieve What Matters Most™

Confidential E-mail: This e-mail is intended only for the person or entity to which it is addressed, and may contain information that is privileged, confidential, or otherwise protected from disclosure. Dissemination, distribution, or copying of this e-mail or the information herein by anyone other than the intended recipient is prohibited. If you have received this e-mail in error, please notify the sender and Jacobus Consulting at in...@jacobusconsulting.com and destroy the original message and all copies.

[Taylor, John]

Speaking the Gospel Julia!  Too many, far too many hospital business offices do not properly build or maintain the Meditech bill, claim, and reimbursement dictionaries.  The Operations Summary is reflective of this – non-contractual adjustments all over the place.

 

Thanks,

 

John Taylor

Systems Analyst, Information Technology

Augusta Health | Office:  (540)332-4882

[Knowlton, Pam]

I couldn’t agree more, unfortunately hospital business offices do not dedicate the resources to maintain they system as it should  be  and adding another “solution” just adds another layer .

[Gary Ring]

I couldn't agree more with Julia when it comes to custom "edits" or "bridges" in the clearinghouse.  I have customers who constantly want to create a "bridge" in the clearinghouse to automatically add a "modifier", or change a CPT code from standard CPT to HCPCS Level II, etc., on the claim in the clearinghouse system; because it's easier/more expedient than correcting a user or system problem at the source.  And as you would expect, this creates havoc when attempting to generate a correlating secondary claims, especially when COB is involved; as well as being a nightmarish headache to maintain and support.  It's bad enough that sometimes you have to have custom logic done in your host MEDITECH system.  But to also have custom logic in the clearinghouse is even worse.

Gary J. Ring
President
RINGCONSULTING

11 Jones Road
Peabody, MA 01960
978-807-1573
www.ringconsultinginc.com

www.linkedin.com/pub/gary-ring/7/741/43b
 

---

From: "Julia Carter" <jca...@jacobusconsulting.com>
To: "Gary Ring" <garyr...@comcast.net>, "Pam Knowlton" <PKNO...@shsny.com>
Cc: medit...@mtusers.com
Sent: Monday, April 13, 2015 8:57:18 AM
Subject: RE: [MT-L] Claim Scrubber intergation Meditech