Benjamin Franklin is credited with saying "In this world nothing can be said to be certain, except death and taxes". To paraphrase, change is inevitable, and in this industry, if you don’t like change, you are going to have a hard time. Insurance companies often change the rules, and Palmetto, it would seem, is no exception.
Palmetto has announced they are terminating the dialup connection they have offered for decades as of July 1st, 2015. While we here at PSS can certainly understand the desire to renounce the hassles of a technology that has essentially remained unimproved since the 1983 movie "War Games", the down side is that Palmetto has followed in the footsteps of many other Medicare intermediaries and instead of offering a robust secure alternative like SFTP, they have offloaded the work onto third party companies called "Network Services Vendors (NSVs)".
The role of a network services vendor is to take your claim files from Validator and send them to Medicare, then take Medicare’s reports and get them back to you. This is done over a secure high speed internet connection, which should offer a vast improvement in the difficulty you experience getting claims to Medicare. The problem is, these network services vendors charge you to use their service. What this move does is takes the burden and cost of supporting the connectivity Palmetto offers for claims and places it square on the shoulders of small offices and medical clinics such as yourself. Network service vendors charge anywhere from $30 to $50 a month for this connectivity, so the claims you have been able to submit for free for over a quarter century will now have a cost associated with them.
While some of the functionality of an NSV is similar to that of a clearinghouse such as sending claims and getting response reports, that is where the similarities end. NSVs offer connectivity only to Medicare, while clearinghouses like Trizetto offer connectivity to thousands of payers. In addition, clearinghouses offer additional service in the form of improved reporting and claim tracking, reimbursement analysis, error checking, batch and instant eligibility, ERA files, and so much more. For most offices, this means it makes more sense to use Validator with a clearinghouse than to use it with an NSV.
Trizetto (formerly Gateway EDI) is a clearinghouse we have partnered with for many years now, they know how to work with our clients and offer excellent customer service. They have worked with us to create special rate packages for our clients that make switching to a clearing house the clear choice over an NSV. We believe strongly enough in the benefits of using the Trizetto clearing house that we offer free set up and training. Call 877-527-2407 or email firstname.lastname@example.org to find out more.
Exciting Changes to your Invoices
Here at PSS we have been burning the midnight oil constantly working to improve operations. We want our clients to have only the best experience when working with us. That is why we have partnered with Billflash for our client invoicing needs. At the end of January, we switched our client billing system to one which can utilize Billflash, and sent our first batch of invoices to you, our clients. If you have received one of these invoices, you will see it is a much improved design which is easier to understand and looks much more professional. In addition, for the first time in over 25 years of PSS’s history, you are now able to pay your bill online using Visa, Mastercard, Discover, and American Express. and even using a check. This makes it easier on you, our valued clients, and as a bonus it reduces the amount of time we spend every month generating invoices.
The best part about this news is if you use Lytec or Medisoft to do patient billing, you too can use Billflash to improve the patient experience, making it easier and faster for patients to pay their bills. With patient portions becoming an ever increasing percentage of your accounts receivable, there has never been a better time to re-evaluate your patient statements and payment collection. Call us today to set up a free demo. Through 02/27/2015, Billflash is offering all of their services free of charge (you only pay for the postage), but you need to hurry to get this special offer.
ICD10 Webinar – Sign up before it’s too late
We are only two days away from our exciting ICD10 webinar. Hosted by some of the top talent at Mckesson, all attendees will get a firsthand look at how Lytec handles the upcoming ICD10 changes, and why the issue is more complex than just making more room. The clock has already begun its countdown. You DO NOT want to delay any further on ICD10 implementation. Offices who are not compliant BEFORE the October 1st, 2015 deadline risk serious cash flow issues, as we can not guarantee how long testing will take for those that wait until the last minute. September is going to be a very busy month transitioning those that wait until the last minute. Get ahead of the game by starting today!
As a bonus, any attendees of the webinar are entitled to an additional 10% off of Lytec upgrades for up to 24 hours after the event. Don’t delay, sign up today!
Click here to sign up today: https://mck.webex.com/mck/onstage/g.php?d=279251268&t=a
Call 877-527-2407 if you have any questions.
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