Keystone “Kurrents”

3rd Edition

November 2008

 

 

As I write this email newsletter, we have a new president, the economy is very weak, and healthcare challenges abound!  We have reason to hope that the next administration will take up healthcare reform, but with money needed to prop up the sagging economy – healthcare dollars especially for reform - may be in short supply.

 

Here are some updates:

 

FTC Red Flag Rules

 

By now, you’ve probably all gotten the news that the red flag rules implementation has been delayed until May 1, 2009.  However, we should all continue with our efforts to set up policies and procedures to protect, detect and mitigate identity theft. 

 

At the very least, you should have procedures in effect that you are checking ID at time of registration; that electronic transactions with personal information are secure; and what actions you will take if identity theft is expected or reported.

 

Medicare Recovery Audit Contractors (RAC) Program

 

Likewise, you’ve probably heard that the RAC program roll-out is also being delayed.  Because one of the contractors who bid to become a permanent RAC contractor (PRG Shultz) was not chosen – the company is challenging CMS’s selection of the other RAC contractors.  Although this will delay RAC by a few months, we would still be wise in continuing our RAC preparations for go live some time in calendar year 2009.  Don’t miss Day Esquiza’s presentation on RAC at the December 10 Christmas meeting…..

 

 

HIPAA transactions version 5010 – April 1, 2010

 

April 1, 2010 – sounds very “far away” – but it is not too soon to start working on how you will adopt 5010 standards for your claims, remittances, claims status, and eligibility/verification transactions.

 

AAHAM has several published letters on their website that were sent to Secretary Michael Leavitt of Health and Human Services – reflecting AAHAM’s views on adoption of the 5010 standards.  If you would like copies of the letters, let me know and I will provide them to you.

 

I am also asking Jim Whicker for a crosswalk of version 4010 to 5010 changes so that we have that information for future reference.  If and when I receive that, I will forward it on.

 

 

PA Medicaid and APR DRG’s

 

Please be sure to attend the December 10 Keystone Christmas meeting, and we’ll get an update from Tom Peifer on this topic.  If you are not aware, DPW is proposing to change the IP reimbursement from DRG’s modeled after Medicare – to APR DRG’s (all payer DRG’s).  Not sure what this would mean to providers for grouping/pricing software or reimbursement levels – but stay tuned.

 

That’s all the updates I have for now…….just a word of encouragement:  In this time of economic turmoil, there are folks losing their jobs, in ill health, or down on their luck.  Please take this time to support your local charities and food kitchens—they suffer from lower donations during economic downturns too.  And don’t forget to bring your food items or donations to our annual Keystone Christmas meeting December 10 in Grantville, PA!

 

All the best—

 

Linda Sheaffer, CPAM CCAM

WellSpan Health System

Legislative Chair – Keystone AAHAM