ICD-10: It’s time to test with Anthem

ICD-10: It’s time to test with Anthem

Anthem has started acceptance testing for providers who are EDI direct-submitters. We have chosen TIBCO Validator® as our primary testing tool that offers unlimited testing of your EDI HIPAA transactions. This self-guided, web-based processing application is equipped to test file formats and edits as they pertain to ICD-10. If you are not a direct submitter, you will need to partner with your claims submission vendor (clearinghouse, billing company, etc.) to test with us.

To get started, visit the “Free On-Line HIPAA Validation Testing” section on our Anthem EDI webpage, where you can find links to registration information and the guidelines for using the tool.

For more updates on ICD-10, visit the ICD-10 Updates webpage at www.anthem.com>Providers (enter state)>ICD-10 Updates.

 

IN, KY, OH: Changes to EFT 

Within the next few months, providers will see enhancements to EFT, including a new ability to search online by Nasco check, Nasco EFT remittance, and Nasco EFT number. In addition, there will be a change in search parameters: You will be able to hunt for remittances within a new 7 day range for remittances issued up to 2 years prior to current date.

As a result of the new functionality, there also will be minor screen display changes:

  • The page title for ‘Check Date Range:’ will be changed to ‘Check/EFT Date Range:’
  • The column title for ‘Check Date’ changed to ‘Check/EFT Date’.
  • The column title for ‘Check Number’ changed to ‘Check/EFT Number’.
  • The column title for ‘Check Amount’ changed to ‘Check/EFT Amount’.

Note: If you are not set up for EFT and would like to be, you may sign up utilizing the CAQH EFT enrollment tool, which simplifies EFT registration and allows providers to enroll and update practice information electronically. A link is available via the Availity® Web Portal and the Anthem EDI website. After completing the online EFT enrollment forms, enrollees will receive a confirmation that the enrollment request has been submitted. The CAQH website and CAQH EFT enrollment tool provide additional information about the benefits of EFT and the registration process.

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New Associate Member Program from Cornerstone Alliance, Inc.

Cornerstone Alliance Inc Lima Ohio PHO healthcare reformSPECIAL ANNOUNCEMENT!!

Cornerstone Alliance PHO is pleased to announce that we have contracted with Provider Services of America to develop a range of services that are private labeled for Cornerstone member practices.

Provider Services of America (PSA) has successfully launched similar programs with other physician networks throughout the United States.

The New Associate Member Program will offer programs, products and services to our member practices that are designed to do the following:

      • Increase Practice Profitability
      • Lower Costs
      • Increase Practice Efficiencies
      • Develop New Revenue Streams For The Practice
      • Improve Patient Relations

PSA will be sending out information to you via fax or email each month that will highlight the value proposition associated with these offerings.

These programs are offered to you on an ala carte basis and the decision to use these programs, products and services is strictly voluntary.  Again, these offerings are designed to increase your revenues and, in some cases, substantially lower your costs. If you feel that any one of these offerings may be of benefit to your practice, you can simply fill out the contact section found at the bottom of the fliers to be faxed or emailed to your practice. Then send these forms back to PSA who will follow up with your practice and answer any questions you might have about the program(s) of which you have an interest.  There is no cost to your practice to enroll in this program.

Please make sure that you review the information in these faxes and /or emails as these offerings could make a significant contribution to your practice goals in 2014.

Please call Jim Skognes at: (770) 390-9183 if you should have any questions about this new program.

Harold L. Bischoff, FACHE
Executive Director
Cornerstone Alliance, Inc.

Keeping up with the NEW this Happy New Year

Should old acquaintance be forgot,
and never brought to mind?
Should old acquaintance be forgot,
and old lang syne?

For auld lang syne, my dear,
for auld lang syne,
we’ll take a cup of kindness yet,
For auld lang syne!

 Out with the old… in with the new! Even as the last words to the traditional Auld Lang Syne were sung, cheers and tinsel were flying through the air. Let the celebration begin – the new year is here!

Happy New Year from all of us at Cornerstone Alliance. This promises to be a very exciting year in the healthcare industry as we move forward with ICD-10, Value-Based Care, and many new opportunities to serve the ones we exist for: our patients.

Cornerstonepho.com website happy new year

The past year was one of moving forward in many ways for Cornerstone. We moved into the realm of social media and updated our website to make it more user-friendly and consistently up-to-date. Our goal is to provide our members with a value-added service and a portal for information. We know you are busy, so we hope to save you time by having information you need readily available at your fingertips.

new this month cornerstonepho.com Our new “New This Month” tab will be the place where we will provide information as we receive it to keep everyone “in the know” as we receive updates. Instead of providing information quarterly or even monthly, we’ll add documents that we know you’ll need as soon as possible. Bookmark this tab – and make it a favorite!

credentialing cornerstonepho.com newAnother tab you’ll want to check is our “Credentialing” tab. Not only do we offer information about what credentialing is and why it’s important, we’ll provide our list of new providers in an easy-to-follow format. At the bottom of our “New Providers” page is a link where you can access full contact information for each new provider so you’ll have it available to use anytime.

cornerstonepho.com about us newBe sure and check out our “About Us” tab. Of course it gives you information about us and what we do, along with our history and mission statement. We also share a couple of testimonials that you can click on to view, along with resources to keep you updated with recall news, recent FDA updates, drug interactions, and current developments in the medical field.

Each of our staff members is ready to support you as we bring on 2014 with anticipation and excitement. Don’t hesitate to contact us, and be sure to let us know if there’s something we can add to our website that will be of help to you. Happy New Year!

happy new year

November Updates from Cornerstone

Welcome to November!

November Cornerstone

Don’t forget to turn your clocks back an hour at 2am on Sunday the 3rd!

It’s that time again – Don’t forget to turn your clocks back an hour this weekend as we shift from Daylight Saving Time to Eastern Standard Time.
Enjoy your extra hour!

It’s a busy time at Cornerstone Alliance as we do our utmost to stay on top of healthcare updates. There are no events planned for November as we gear up for our quarterly Credentialing Committee meeting on December 5th and our quarterly Board meeting on December 10th. We are planning an Annual Meeting for our members on Tuesday, December 3, 2013 from 6:00-8:00 p.m. at the UNOH Event Center. We plan to focus on Marketplace/Exchange plans that will be offered in our service area via the Federally-Facilitated Marketplace/Exchange effective January 1, 2014. An important update was forwarded to our members about these plans and how they will affect our members. We will do our utmost to keep everyone informed and – as always – please contact us if you have any questions.

CLICK HERE for October updates at Cornerstone, including information about the Ohio Exchange/Marketplace:
Ohio Exchange Carriers

We have learned that Molina Healthcare will not be offering an “Exchange Product” in Region 2 of the State of Ohio. Therefore, Cornerstone will not pursue an “Exchange Agreement” with Molina Healthcare.  If you have questions regarding this or any information about Cornerstone, please contact Harold Bischoff, Executive Director of Cornerstone, at 419-996-5317 or hlbischoff@health-partners.org

San Salvador 3000: Cornerstone Partners to Impact the World

October 1, 2013

Three thousand miles away, yet part of our world. Leaders of tomorrow are growing up in a dangerous environment and Cornerstone Alliance, in partnership with the Lima Rotary, wants to make a positive impact.

El Salvador map

Escuela Mizata is a small school located in the town of La Libertad, El Salvador. It is located in an area that is filled with gang members. To prevent students from becoming part of these gangs, the Lima Rotary Club wants to improve the school’s facilities by encouraging students to play sports and improving their educational experience by providing food and proper facilities.

Our goal is to add (CLICK HERE for the first report, including pictures):

  • A soccer/basketball court
  • A basketball court
  • A kitchen and mess hall
  • Restrooms

Lima Rotary LogoPlans are being finalized for the San Salvador 3000 event to be held in the Center Court of the Lima Mall on Saturday, October 26th, from 10:00 a.m. until 3:00 p.m. This event is meant to increase public awareness of the Lima Rotary International Service activities. Rotary International is the oldest and largest service club in the world with more than 32,000 clubs worldwide. The Lima Rotary Club was formed in 1915 and international service has been a key focus for Rotary since its founding.

San Salvador projectLima Rotary was recently informed that $14,680.00 was being forwarded to the Club Rotario San Salvador Maquilishuat to fully fund the rehabilitation of the kitchen and restrooms at the Mizata School in La Libertad, El Salvador. The growth of gangs is causing issues throughout El Salvador. The rehabilitation of the school, along with the construction of boundary walls to enclose a playground, will allow the students to attend classes and minimize their contact with gang elements. Each Rotary International project is a cooperative effort between a host club – in this case, the Club Rotario San Salvador Maquilishuat – and an International Partner Club: the Lima Rotary Club.

Lima to San Salvador mapThe Lima Mall event is an opportunity to share the many international service activities in which the Lima Rotary is involved with the Lima community. In cooperation with the Lima YMCA, four stationary bikes will be set up in the Center Court of the Mall. The Club hopes to pedal a total of 3,000 miles – the distance from Lima, OH to San Salvador, El Salvador – in a series of competitions between businesses and organizations to be held throughout the day. In addition to the two-person teams representing various organizations for bragging rights about who can pedal farther in ten minutes on a stationary bike, the general public will have the opportunity to participate in the world’s largest advertisement.

Polio this closeFor many years the number one priority for Rotary International has been to eradicate polio. If we would put a measurement to this endeavor, the world is “within inches” of successfully eradicating a disease that – only a few decades ago – crippled the lives of many. During the San Salvador 3000 event on October 26th, YOU can be part of the “We Are This Close…” initiative to END POLIO NOW for only a dollar. Plan to join others in walking the red carpet, going in front of the lights, and showing the world that you care about how close we are to eradicating polio – and you want to be involved.

Plan to join us!
We look forward to seeing you at the Lima Mall on October 26th.