| Announcements
CMS FRACTIONAL MILEAGE EFFECTIVE 01/01/11
On November 29, 2010 CMS published the Final Rule for the new Medicare Fractional Mileage policy that took effect January 1, 2011.
In order to comply with the new rule, for trips involving Medicare payment with dates of service on or after 01/01/2011, providers must report mileage to the nearest tenth of a mile. The policy will apply to all claims with mileage up to 100 loaded miles. Any trips above 100 loaded miles should still be reported by rounding to the next whole number.
Examples:
100.1 = 101 loaded miles
99.9 = 99.9 loaded miles
25.23 = 25.3 loaded miles
Additional information regarding this new rule can be found under the CMS 2010 transmittals: Transmittal 2103 (CR7065)
The AIM System Billing and ePCR Modules have been updated to ensure that our AIM customers can successfully report fractional mileage. The update has been available for download since December 20, 2010 and we are happy to report that the majority of our customers have already completed the update. Customers can visit the Support section of our web site for instruction on how to complete the update, or contact our customer support department at 1.800.726.4362 with questions.
PREPARING FOR HIPAA VERSION 5010
The implementation of HIPAA 5010 presents substantial changes in the content of the data submitted electronically to trading partners/insurers (i.e.; Medicare, Medicaid, Gateway EDI), as well as the data available to providers in response to electronic inquiries. CMS is encouraging all insurers (estimated at over 1,300 total carriers) to complete their internal testing by 01/01/2011 so that software vendors, including RAM, can begin external testing in the first quarter of 2011.
RAM is well in to the process of readying AIM Billing to handle the 5010 standards. Highmark Medicare Services advised that we are the very FIRST software vendor to send them 5010 test files. Testing has gone well so far. However, Highmark wont actually be ready for production until the second quarter 2011 due to the 5010 errata/changes passed late in 2010. Needless to say, we are off to a good start and will continue testing through Q1, 2011 with Medicare Contractors and Gateway EDI.
Important Dates to Remember:
Effective Date of the 5010 Regulations: March 17, 2009
Level I Compliance by: December 31, 2010 (Medicare/Medicaid/Clearinghouse Internal testing)
Level II Compliance by:December 31, 2011 (Vendor - Insurer end-to-end testing)
All covered entities have to be fully compliant by: January 1, 2012
Medicare does not anticipate extensions to these deadlines.
What about ICD-10 Implementation Plans?
HIPAA 5010 is a prerequisite for implementing the new ICD-10 codes, which are slotted for a 01/01/2013 deadline. The expanded ICD-10 will pinpoint services, diagnoses and treatment information to support pricing, as well as expand Medicare's resources in detecting and preventing program abuse. The codes offer more granularity and are designed to ensure accurate payments for new procedures. Given the fact that CMS will not accept ICD-10 codes as part of the 5010 project, RAM will start development of ICD-10 once 5010 compliance is met.
Additional information on HIPAA 5010 can be found at http://www.cms.hhs.gov/ElectronicBillingEDITrans/18_5010D0.asp
HIPAA 5010 Fact Sheet
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To learn more and receive a free demo, please contact us at 1-800-726-4690.
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