HP Enterprise Services Home Town Health Presentation August

HP Enterprise Services Home. Town Health Presentation August 4, 2010 Partnering for Success!

BETA Testing and Workshops Provider Beta Testing August 16 – August 20 August 30 – September 3 Tucker Cordele Provider Implementation Workshops August 5 – October 14 1, 636 Participants Registered Institutional 2 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Tentative Timeframes ACS Ø Last Claims Cycle – October 22, 2010 Ø Last day to submit electronic claims for processing October 21, 2010 Ø Last day paper claims are received for processing October 15, 2010 Ø Last day to receive calls – October 29, 2010 HP Enterprise Services Ø First Claims Cycle – October 29, 2010 Ø First day to submit electronic claims, except web portal, for processing – October 22, 2010 Ø First day to submit web portal claims for processing –November 1, 2010 Ø First day paper claims are received for processing October 18, 2010 Ø First day to receive calls – November 1, 2010 3 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Questions asked at July 2010 Webinar Who is the head of the MMIS Implementation project at the Georgia Technology Authority (GTA)? Tom Fruman Will the 835 format be changing? Yes, refer to the Readiness Website for the most current companion guides. Changes are highlighted in yellow. 4 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Provider Assistance EDI Helpdesk EDI Services Phone Number Available after September 1, 2010 770 -325 -9590 or toll free 1 877 -261 -8785 EDI Email Address: ediservices. gammis@hp. com 5 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Transition Information Will the process for submitting Part B crossovers change, currently providers submit the claims to DCH. Yes, the claims will be sent directly to HP for processing. New edits have been created to suspend the claims for review. 2502: MEMBER COVERED BY MEDICARE B - No attachment 2503: MEMBER COVERED BY MEDICARE B – With attachment 6 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Transition Information Billing Manuals will be available via the web portal. The current billing information contained in the DCH Part I Policy and Procedures Manual will be removed. 7 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Transition Information Will the Rendering Provider Activity Report be available in the new MMIS? While the ACS Rendering Provider Activity Report will no longer be available, HP designed the Payee remittance advice to report by rendering provider. In addition, an extract of the file is sent to the rendering provider. 8 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Transition Items Prior Authorization/Precertification Inquiries sent to GMCF The DMA 520 A form was created for providers to submit any PA/Precertification questions directly to GMCF. 9 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Transition Item_Attachment Codes Crosswalk Old HIPAA Attachment Code Comments Attachment Code 04 05 12 AS Admission Summary History & Physical or progress notes 04 B 3 Physician Order 21 B 4 Referral Form Hospice Referral form, Revocation Form, Election Form, Hospice Discharge Form, Hospice Transfer Form, Hospice 01 05 12 14 21 CT Certification DMA-964, DMA-400 (DFCS issued letter), Temporary Medicaid Certification Form, Supplemental Security Income Letter, DMA-304, Death Certificate 04 DA Dental Models 04 05 12 DS Discharge Summary 06 09 11 EB Explanation of Benefits 04 NN Nursing Notes 10 EOMB, TPL, Remittance Advice / Georgia MMIS Presentation August 2010 HP Enterprise Services

Transition Item_Attachment Codes Crosswalk Old HIPAA Attachment Code Comments Attachment Code 04 05 12 OB Operative Notes 04 05 12 21 OZ Support Data for Claim 04 RB Radiology Films 04 RR Radiology Reports 04 RT Report of Test and Analysis This can be any miscellaneous documentation needed to support processing a claim If you are unable to find the appropriate attachment code for documentation being submitted as an attachment, please use “OZ”. 11 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Provider Readiness Web Portal Ø Web Portal Address http: //providerinfo. mmis. georgia. gov/provid erprereadiness/home. aspx Ø CBTs for web portal training Ø Workshop Dates/Locations Ø Workshop presentations 12 / Georgia MMIS Presentation August 2010 HP Enterprise Services

Any questions? 13 / Georgia MMIS Presentation August 2010 HP Enterprise Services