Moderator: Deanna Menshew August 24, 2
Contents
1. We did receive the letter that has our GPNet password and login information But have three separate submitter ID numbers Do have three separate IDs and passwords Scott Armstead Yes if you have three different submitter numbers you would have three different passwords Teresa Garrison Okay now Scott can call in and find out what my other two are Because on the letter it does not tell me which submitter number this is for Scott Armstead Yes ma am If you can just get our EDI Help Desk we ll be glad to get that information for you Teresa Garrison Okay thank you Operator Again star 1 for questions We ll go next to Brent Swick with Diversicare Joyce Davis Hi This is Joyce Davis from Diversicare And we currently have NGS for all of our facilities except for eight in Texas And we cover different states which is Florida Tennessee Arkansas et cetera So what you re saying is you will be we ll be transitioning all our facilities from NGS to you CGS correct as our MAC Sue Allsop For the J15 MAC what we re talking about today is Kentucky and Ohio submitters CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 24 Joyce Davis Okay but we are a submitter through NGS and we use Kentucky Part A But we have facilities in different other states than Kentucky and Ohio Sue Allsop Are you submitting from your home office Or are you looking to submit to t2. CGS J15 Implementation Help Desk at 1 877 819 7109 Monday through Friday 8 00 am to 4 30 pm Central Time At this time would like to turn the call back over to Deanna for our Q amp A session Deanna Menshew Thank you Karen for that information Of course we d like to reserve the majority of today s call for questions from our EDI submitters on the telephone lines And since the focus of today s teleconference is EDI please make sure that you do limit your questions to that topic Please remember when you ask a question to identify yourself by name and your practice or organization Operator can we please open the lines for questions Operator Please press star 1 at this time if you d like to ask a question If you are using a speakerphone please make sure your mute function is turned off to allow your signal to reach our equipment Again star 1 for questions We ll have our first question from Cheryl Akers with Kindred Healthcare Cheryl Akers Hi This is Cheryl Akers with Kindred Healthcare actually have about three questions Gloria Lucas Okay Cheryl go right ahead CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 6 Cheryl Akers Okay know you said to use the current contractor ID for NGS for Early Onboarding I m assuming the payer name in the NM1 segment should still continue to read NGS Gloria Lucas That is correct Cheryl Cheryl Akers Okay does CGS have a spec
3. Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 21 So really all of the responsibilities here with EDI claims submission will all fall on our clearinghouse will it not Sue Allsop That is correct Rebecca Trask Okay So we just need to make sure that we re enrolled and then the rest of this falls under our clearinghouse s responsibility Sue Allsop Yes ma am Rebecca Trask Okay thank you so much Operator We ll go next to Lauren Harley with Maple Knoll Village Theresa Hi This is Theresa from Maple Knoll Village And guess l m kind of piggybacking off of the other questions in regards to the reports One gentleman asked if the 201 report would be available And think heard you say that the 997 and the 277CA will that still be providing the information that comes off the 201 PS amp R report for providers Sue Allsop I m sorry those are different The PS amp R report is a different situation It is not really EDI related So if we could ask you to give our technology support center our help desk a call with regard to that we would appreciate it The reports that NGS gives you that are proprietary to NGS will be different The reports that do go along with the 4010 or with the 5010 will be the same when you transition Theresa Okay So I ll call the help tech desk CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 22 Sue Allsop That would b
4. group will help you and ensure that since you have successfully tested for 5010 using the same software we can associate the submitter IDs from each different unit to you Kathy Clifton Okay that s it Thank you Operator Again star 1 if you d like to ask a question at this time We ll go next to Erica Fletcher Mercy Medical Center Erica Fletcher Yes this is a follow up to the previous question For 4010 testing files is there a number of a minimum number of claims that must be submitted Sue Allsop No ma am CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 27 Erica Fletcher Okay thank you Operator We ll go next to Michii Summers RelayHealth Michii Summers Hi just wanted to confirm with you that the transactions are they all going to be going directly to and from you Or are they still going to be funneled through NGS after this transition Gloria Lucas Once you transition those transactions will come straight to CGS Michii Summers Okay So NGS is not going to be part of the telecommunications set of everything Gloria Lucas Not once the transition is complete Michii Summers Okay thank you Operator Again star 1 for questions We ll pause for just a moment to see if we have any additional questions We ll go next to Debra Mattins Family Health Center Debra Mattins Yes I d just like a clarification So on the day of the cutover the cutover
5. setup IVANS is very familiar with GPNet and they won t have a problem at all getting you set up to submit your claims to us Mary Kopec My only problem is need to get a modem guess CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 19 Sue Allsop And don t know how the system works the IVANS system works Mary Kopec It s broadband Sue Allsop Okay don t think we ll have a problem in the world You just need to get with IVANS and make sure your particular protocol is all set up to go with us Mary Kopec Okay because thought you said it requires a modem Sue Allsop We don t know whether your particular setup with IVANS requires a modem or not But when you do come into us to GPNet you can come in FTP or you can come in with a modem You will need to get with your vendor though to answer your questions You won t have a problem though IVANS is really really good about it Mary Kopec Okay thanks Operator We ll go next to Pete Hall with VCPI Pete Hall Yes hi I ve got another multiple mailbox situation kind of like what Quadax has only not only a little different We have a submitter ID that we use to submit claims And then we have several mailboxes that we receive remits in And need to know if it s going to change So can get with somebody on that please Gloria Lucas All right we ll give you a call back today Pete Hall Thank you Ope
6. CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 1 CGS Jurisdiction 15 Kentucky and Ohio Part A EDI Ask the Contractor Teleconference ACT Moderator Deanna Menshew August 24 2011 10 30 am CT Operator Good day everyone and welcome to the Jurisdiction 15 A B MAC Implementation Ask the Contractor Teleconference for Part A Electronic Data Interchange Submitters Today s conference is being recorded At this time I d like to turn the conference over to Ms Deanna Menshew Please go ahead Deanna Menshew Good morning and welcome to today s CGS EDI Ask the Contractor Teleconference for our Ohio and Kentucky Part A providers in Jurisdiction 15 This is a special ACT teleconference that will specifically address EDI considerations for J15 customers who will transition to CGS in October of 2011 My name is Deanna Menshew of the Jurisdiction 15 implementation team And I m joined today by a team of our EDI experts Together we will be providing you with Early Boarding and electronic data interchange information and taking your J15 EDI related questions once we get to the question and answer portion of today s calls I m going to begin our call by introducing you to Karen Evans of our EDI team for opening remarks CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 2 Karen Evans Thank you Deanna Good morning everyone As Deanna mentioned am Karen Evans of
7. Hello bill for a nursing home in Louisville Kentucky And go through IVANS load up my file from my software and send it through IVANS But also use the FISS system to do direct CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 17 entry How will that work with you guys Will still do that just the same way Or do have to download the GPNet Sue Allsop This is Sue at CGS GPNet is our front end And that is where you submit your claims if you re submitting directly If you re using IVANS for your claims submission you will want to get with them to find out if there are any changes that you need to implement for this transition Terry Mullins Oh okay Sue Allsop Thanks Terry Mullins All right thank you Operator We ll go next to Mary Kopec with Laurel Lake Retirement Center Mary Kopec Hi had a question because other people have said they never got the letters that went out with the passwords I ve called the Transition Help Desk and the EDI Help Desk And was told that even though I m an EDI submitter still get paper checks from Medicare even though get my remits electronically And can t get a copy of the letter But wanted to know do need to enroll as an EDI submitter with you now because you don t apparently have me anywhere Scott Armstead If you want I ll be glad to give you a call after this meeting And we ll take a look at your se
8. IGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 29 Debra Worth Yes we are in the middle of a system conversion along with the 5010 conversion and the MAC conversion And we submit our 837s through RelayHealth But we have always pulled our 835s back directly from NGS am going to need to some testing on both 4010 and 5010 for our new system upgrade When and don t know if we ve Early Boarded yet the 837 side will have determined that When is the earliest can start testing 4010 and 5010 835s Sue Allsop That would have to take place after transition after October 17 Debra Worth Okay so cannot even begin testing my new system on either version until after October 17 Sue Allsop That is correct Debra Worth Okay our connection that we use for NGS is through Nebo And think understand you to say that if Nebo can conform to your standards we can continue to connect to CGS through Nebo Sue Allsop Yes This is Sue in EDI And we use Nebo Nebo uses us now They do know how to do this Debra Worth Okay so last time looked at the list they were not on the approved list Have they been added Sue Allsop think they re testing right now But don t believe that they have been put into production at this time That does not mean they cannot submit your claims CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 30 Debra
9. Worth Got you But they re in the process of getting approved Sue Allsop believe they are Debra Worth Okay that is great news Thank you so much Operator Again star 1 for questions And we have no further questions in the queue at this time Deanna Menshew All right thank you very much We d like to thank everyone once again for making the time to join us today As a reminder we will post an audio recording as well as the complete transcript of today s ACT call on our Web site in the near future And I will remind you as well that we do have a general Ask the Contractor Teleconference for Kentucky and Ohio Part A Providers scheduled for September the 8th 2011 We will be communicating complete event details on that call via our Web site and listserv in the near future Thank you again for joining us and we look forward to serving you Operator That concludes today s conference Thank you for your participation END
10. clearinghouse for your claims now is the clearinghouse actually uploading your claims for you Jennifer Geraghty I m going to say no guess they drop our claims into that particular program We run a process that checks the eligibility and everything on those claims through this program And then at a certain time when we submit we let go of the claims say at 4 00 in the afternoon and then that s when they go to Medicare I m hoping I m answering your question CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 13 Karen Evans This is Karen EDI So are you sending your claims to IVANS Or are you just using their portal to send the claims to Medicare Gloria Lucas If you currently send claims through IVANS today once you transition over you can still send claims through IVANS Jennifer Geraghty Okay so we don t have to do anything with the GPNet dialup Or will that automatically happen with IVANS Gloria Lucas Okay now IVANS has two types of setups One setup is where you actually send the information to IVANS and then IVANS uploads that information to CGS Jennifer Geraghty Okay Gloria Lucas The other setup with IVANS is you have your own submitter ID number and you actually use that submitter ID number to submit claims to CGS via IVANS Jennifer Geraghty Okay Gloria Lucas So is that what you are doing Jennifer Geraghty That I m not 100 sure maybe t
11. e good Theresa Okay thank you Teresa Reynolds This is Teresa with CGS just wanted to reiterate think the question that has been asked twice think the 201 report that are currently received in the NGS mailbox those reports would now be mailed when you move to CGS Operator We ll go to our next question from Debra Mattins Family Health Center Debra Mattins Hi we have a question since we are a federally qualified health center in regards to our supplement payments that we receive if they would use the same payer ID number to submit those claims Sue Allsop Debra this is Sue at CGS The payer ID does not change if you are being paid through the J15 MAC Debra Mattins Okay and you re going to be handling we don t have to do any type of new enrollment or anything That will all come across Scott Armstead And yes all your enrollments will come over Debra Mattins So do we just call to verify Because we are in the process of having two additional ones added And we re in the midst of that Scott Armstead Yes ma am If you call our EDI Help Desk we ll be glad to look everything up make sure everything crossed over and you re all set up to go CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 23 Deborah Mattins Great thank you Operator We ll to next to Teresa Garrison Kentucky Medical Services Teresa Garrison Hi ran across one more question
12. e ll go next to Dixie Mason with Knox County Nursing Home Dixie Mason Hi for now I m getting my remittance advices by paper Is there a way that need to go in to set up to get the electronic remittance advices or can still get them paper RAs CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 16 Gloria Lucas If you get your ERAs by paper today then once you transition over you would still get those by paper Dixie Mason Okay thank you Operator We ll go next to Teresa Garrison with Kentucky Medical Services Teresa Garrison Hi thanks for taking my call We currently use PC Ace to enter and transmit our Part A claims using ClaimShuttle You mentioned IVANS Do you all also work with ClaimShuttle Sue Allsop This is Sue at CGS At this time we don t have them as one of our network service centers that we acknowledge as someone we work with all the time But we are willing to take your claims from any submitter who can comply with the exact application details that we have on our Web site Teresa Garrison Okay So they would need to be sure that they are using if am because they re similar to to IVANS It s just another NSV Would they have to use the GPNet or can they do the FTP Sue Allsop It can do either one Teresa Garrison Okay That s all have Operator We ll have our next question from Terry Mullins with Wesley Manor Nursing Home Terry Mullins
13. er accept your electronic transactions after 5 00 pm on CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 3 October 13 2011 If you are currently an active electronic submitter with NGS no EDI enrollment forms will be necessary to begin submitting your claims to CGS You will continue to use your current contractor number as the payer ID during the Early Boarding period Any claim files received by CGS during Early Boarding will be forwarded to NGS for processing and payment This will not delay your payments or remittances advices in any way Please be aware that once you successfully migrate to GPNet during Early Boarding NGS will no longer accept your files directly You will continue to submit files to the CGS EDI front end using the Early Boarding process In most cases Kentucky and Ohio Part A submitters will retain your current trading partner or submitter ID to access GPNet You will use your current trading partner or submitter ID along with the GPNet password sent to you by CGS earlier to submit claims to CGS via GPNet GPNet requires a dialup modem and an analog phone line If you use a network service vendor you will need to contact them directly before your first submission to GPNet Claims files submitted after 5 00 pm on October 13 2011 must include your new CGS J15 contractor ID The new J15 contractor ID for Ohio Part A providers billing electronic claims to CGS is 15201 and fo
14. h Kentucky and Ohio Will that stay the same with CGS Gloria Lucas So you have one submitter ID Matt Andel We have one submitter ID for Ohio to submit claims under one submitter code for Kentucky to submit claims under and another one that all the remittances come back under So I m not sure how that got transferred over to you guys CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 15 Gloria Lucas Matt we re going to have to take a look in our system and see how that transferred over If you give me your telephone number I d be glad to give you a call back on that one Matt Andel Okay it s 440 777 6305 extension 2348 Gloria Lucas All right We ll check on it and give you a call back today Matt Matt Andel And the last question have is with NGS we get back the 201 ADR report Will that continue from you guys Sue Allsop Hi Matt this is Sue at CGS When you come through CGS you will be getting the reports in 4010 that the GPNet system normally sends out to our customers When you change to 5010 you will be receiving the 999 and the 277CA just as you would with any other contractor Matt Andel Okay these were like special reports NGS did once a week once a month Sue Allsop No They are different with the GPNet program and you will want to look on our Web site to find the details of how GPNet reports Matt Andel Okay I ll look at the Web site Operator W
15. hat s why I m a little confused Gloria Lucas Okay Jennifer Let me get your number and I ll call you Jennifer Geraghty Okay My other question is you said you sent out letters to providers We own multiple nursing homes throughout the United States Would you use the address that NGS has on file for the nursing homes CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 14 How did you send out the letters is what I m trying to figure out because haven t seen anything And don t know if can do Early Boarding yet That s why guess I m trying to ask Scott Armstead It would have been the address that NGS provided us from the submitter address If you want you can give us a call at EDI help line and we ll be glad to look that up for you and get that taken care of today Jennifer Geraghty Okay great Thank you Operator Well go next to Matt Andel with Quadax Matt Andel Hi The 5010 testing if we ve tested with NGS already and been approved do we still have to test with CGS Gloria Lucas Thanks Matt and that s a great question And if you tested with them and have been approved basically only thing we re going to ask you to do is just upload one test file and that should complete you But we just want to ensure that nothing has changed between NGS and CGS Matt Andel Okay Another question we have a submitter code with NGS where we get all our remittances for for bot
16. he MAC that supports the state in which your facility resides Joyce Davis We submit from our home office which is in Tennessee our corporate office Sue Allsop Okay think that s one we re going to want to delve into just a little bit more If you could contact our help desk we d be more than happy to work with you on that Joyce Davis All right thank you so much Operator We ll go next to Rebecca Lay Licking Memorial Hospital Rebecca Lay Yes we had a question know you guys said today that the 201 reports were going to end up being mailed So who are they going to get mailed to Are they going to be mailed to our vendors who are sending out our claims Or are they going to get mailed directly directly to the providers Gloria Lucas The documents should be mailed to the address that s set up for the submitter Rebecca Lay Okay so it would be our vendor if our vendor is our submitters Scott Armstead If that s what you have on file yes Rebecca Lay Okay That s my question CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 25 Operator And we ll go next to Cheryl Akers Kindred Healthcare Cheryl Akers Hi this is Cheryl Akers have one clarification on my setup here have one submitter ID that use for NGS And I have both Ohio and Indiana facilities will continue to send my Indiana claims to NGS And when transition over to CGS like for Early Onb
17. ific naming convention for their files Does it have to say CGS You need a specific something in your name of your files your 8371 files Gloria Lucas Thank you for that question Cheryl That s a great question And your file does not have to have a certain naming convention Cheryl Akers Okay perfect Do you have a max number of claims per file Gloria Lucas We re not aware that we have a max number of claims per file don t think that should be an issue Cheryl Akers Okay and looking at your documentation we currently use a network service vendor for our NGS connection And have facilities in both Ohio and Indiana so need to continue to keep my connection to NGS for my Indiana facilities that aren t going in October So want to keep my network service vendor for that But I d like to do a direct connection with the GPNet for CGS for my Ohio facilities Is that going to cause any problems Gloria Lucas That will not cause any problems Cheryl But do want you to be aware that you will need a dial up modem and an analog telephone line in order to dial into GPNet Cheryl Akers No FTP connection is available CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 7 Gloria Lucas You can do FTP but you still will need the dial up modem and an analog telephone line Cheryl Akers Okay Can leave my DDE with the network service vendor even for CGS and then do the dial u
18. n the ISA record you can put a T in there for test That way it doesn t come in as a production file and dupe Jason Bryan Oh sure okay Scott Armstead That will flag it as a test file would rather you do that Jason Bryan Sure Gloria Lucas And Jason one more thing on 5010 Jason Bryan Yes Gloria Lucas Once you test that and you migrate your users over they start 5010 billing you cannot go back to 4010 Jason Bryan Oh there s no going back Gloria Lucas No not once you ve got them in 5010 production Jason Bryan Okay thank you CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 9 Operator We ll go next to Rebecca Trask with Carroll County Memorial Hospital Rebecca Trask Hi this is Rebecca Trask from Carroll County Hospital My question is about your Early Boarding process And you said that GPNet password has been sent out last week The only thing have received new from CGS was the EDI electronic signup form have not received anything new And I ve not seen anything with a password What do need to do if have not received that information Scott Armstead You can give us a call on our EDI help line And we ll be glad to look that up Rebecca Trask Okay Scott Armstead and get you your user ID and password Rebecca Trask Okay Scott ARmstead Sometimes with the mail it s a little slow but we d rather double check and be
19. oarding can use my same existing NGS submitter ID to send the Ohio claims to CGS So in other words would have one submitter that I m using for NGS and CGS Or do need to get a new one Gloria Lucas Cheryl you can use that same submitter ID for sending your Ohio claims to CGS Cheryl Akers And even after go live everything it won t matter that I m using the same submitter ID to go to both NGS and CGS Gloria Lucas No that would not be an issue Cheryl Akers Okay thank you Operator Again that s star 1 for questions We ll go next to Kathy Clifton Richter amp Associates Kathy Clifton Yes had two questions here One is there a maximum number of claims to submit per test file Sue Allsop A maximum number Do you mean how many can you submit Or how many do you need to submit Kathy Clifton How many do you need to submit per test file CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 26 Sue Allsop Are we talking about 5010 or 4010 Kathy Clifton 5010 Sue Allsop 5010 25 claims please Kathy Clifton Okay and then if you re billing for one more than one skilled nursing facility does each skilled nursing facility have to submit a test file Sue Allsop No What we ll do with that is if you re submitting are these all under the same ownership Kathy Clifton Yes Sue Allsop Okay what you need to do is contact our help desk and Scott s
20. on at the same time Quinn Schumacher What we re currently taking on is the J15 contract which includes the Part A workloads from Kentucky and Ohio only which are coming in from NGS So if you have other facilities with other contractors at this time those will remain with those contractors or transition when any of those contracts are awarded in the future CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 11 Elizabeth Hardin We have several facilities in Ohio And we are certified under end stage renal disease under ESRD And we submit Part A So the J15 transition would affect us for the NGS providers that we have right now But the Highmark providers that we have you re saying are not transitioning Quinn Schumacher That s correct Elizabeth Hardin Okay all right So you are the FI for J15 Quinn Schumacher Correct we are the contractor for J15 Elizabeth Hardin Okay but only for the ones that are under NGS That part of our Ohio that is under another Fl remains under the old FI Quinn Schumcher Yes That is correct So we re taking only the workloads coming from NGS for Kentucky and Ohio Part A Elizabeth Hardin Okay all right That answers it Thank you Operator We ll move next to April Caldwell with AccuMED Technology April Caldwell Hi this is April Caldwell with AccuMED Technology Solutions And we re a software vendor And had a question We have se
21. our EDI team We also have several other EDI team members on the phone with us today We will now get started with our transition news By now you should already be aware that for Ohio and Kentucky Part A providers your transition date is scheduled for October 17 2011 At that time all Ohio and Kentucky Part A workload will be transitioned from National Government Services to CGS The CGS J15 Web site www cgsmedicare com j15 offers a wealth of information on CGS the J15 transition and EDI in general We strongly suggest you join the CGS J15 listserv if you have not already done so Simply click on the Join the Listserv link on the homepage and submit your information As we near your transition date there are some important EDI considerations that you will need to keep in mind Now would like to talk about Early Boarding Last week we mailed Early Boarding instructions to all current Part A EDI submitters in Kentucky and Ohio The purpose of Early Boarding is to provide you with an extended period during which you can update your connectivity and communications processes to effect communications with the CGS EDI front end It is important that you transition your claims submission to us as soon as possible to help ensure you are ready for a successful cutover to CGS as your new Medicare contractor The Early Boarding period just began on August 15 2011 and will continue through 5 00 pm on October 13 2011 NGS will no long
22. p modem for the claims submission Will that cause an issue Gloria Lucas No that will not cause an issue You may do that Cheryl Akers Okay great Thank you Gloria Lucas You re welcome Operator We ll go next to Jason Bryan MDI Jason Bryan Hey this is Jason Bryan at MDI Achieve was going to ask if we could do 4010 testing and 5010 testing during August 15 through October 13 Gloria Lucas Tommi when you say 4010 testing are you just testing to make sure that your files still come in successfully to CGS but you re not a new vendor actually testing 4010 Jason Bryan Correct We re currently sending 4010 claims to NGS And we just want to make sure that 4010 claims are okay with CGS as well as our 5010 claims are okay with CGS Gloria Lucas Okay and that is not required but you test on the 4010 And basically what you can do is just send in a file that you have already sent in and it will deny in our system as a dupe so that way it will let you know that it s compatible with our system and for the 5010 once you Early Board you can begin 5010 testing CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 8 Jason Bryan Okay Can I ask one more question Is there any plan to go to something newer than GPNet and the future for claims submission Gloria Lucas Not at this time Jason Bryan Okay appreciate it Scott Armstead On thet 4010 testing actually if you want i
23. r Kentucky Part A 15101 Please make a note of this and remember to update your systems to make this change Claims submitted to CGS after the transition that include the old payer ID will be front end rejected Now let s talk a little bit about electronic remittance advices 835s Submitters who currently receive electronic remittance advices through NGS will be able to download those remittances daily from CGS CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 4 This also applies to those who opt to Early Board You may view these remittances with the PC Print software you currently use ERA files produced by NGS prior to cutover will be available through CGS after the transition However we would encourage you to verify that you have received all your current remittances prior to the cutover Historical claims processed by NGS will also be available in the CGS system after the transition is complete Submitters will not be required to test their vendor issued software before transitioning to CGS as part of the J15 implementation This means that submitters may begin sending claims to CGS on August 15 2011 after the Early Boarding steps are completed While testing is not required submitters who wish to test may do so You may continue to use your current billing software when transitioning to CGS or download the CGS version of PC Ace Pro32 software The PC Ace Pro32 software is ready for 5010 claim
24. rator We ll go next to Jim Nahay with Laurel Health Care Company CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 20 Jim Nahay Hi just got one question It s kind of on the same lines as the last question We have a submitter ID that we submit both Ohio and our Indiana claims under the same submitter ID And just want to know if we have to apply for a new submitter ID for our Indiana claims or if we will be able to send them with a separate contract ID through the same submitter ID Sue Allsop Hi this is Sue in EDI Could we please ask you to contact our help desk so we can work with you individually Jim Nahay Yes no problem Sue Allsop Thank you so much Operator We ll go next to Teresa Dunn Trover Clinic Foundation Teresa Dunn Hi this is Teresa have a question on the network service vendors Is there any list out on the Web site where we could find the acceptable ones Scott Armstead Yes we have posted an updated list of all our trading partners on the Web site It s under the EDI section Teresa Dunn Thank you Operator We ll go next to Rebecca Trask Carroll County Memorial Hospital Rebecca Trask Yes this is Rebecca Trask again believe you ve answered this but just want to clarify We currently send all of our claims to a clearinghouse They submit the claims directly to Medicare And then we do all the follow up through the DDE program CIGNA
25. s submission and is available either as a free download or on a CD at a cost of 25 This software is available now on the CGS J15 Web site at www cgsmedicare com j15 edi html Your current direct data entry or DDE ID will not change The EDC screens will change to point to the correct menu options at cutover Our DDE user manual will be available on our Part A Web site at cutover Should have any password or security issues with DDE after cutover you must email or call our Medicare OPID Department We will publish that contact information closer to cutover After submitter migration to GPNet CGS will support ANSI 5010 Errata testing for J15 Part A customers ANSI 5010 Errata testing procedures are available on our Web site at www cgsmedicare com j15 edi html Please monitor our Web site for updates concerning ANSI 5010 testing CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 5 The CGS EDI Help Desk is available during Early Boarding Monday through Friday between 7 00 am and 4 30 pm Central Standard Time And the telephone number is 1 866 758 5666 Remember the CGS EDI Help Desk will assume full support for Ohio and Kentucky Part A EDI submitters on October 17 2011 including technical support and 5010 testing As areminder the CGS EDI Department does not handle the processing of applications or electronic funds transfer or EFT Questions regarding your EFT reenrollment should be directed to the
26. s the 17th of October Will there be any dark days from the 13th to the 17th Is that a dark period Sue Allsop don t believe we ve been given firm instructions on our dark days with CMS yet But you will definitely be able to see that on our Web site when they are confirmed with CMS Debra Mattins Okay thank you very much Sue Allsop Thank you CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 28 Operator We ll go next to William Norman Phoenix Rehab William Norman Yes currently use PC Ace software to prepare my claims Am to understand that you have a CGS specific version of PC Ace Karen Evans Hi William this is Karen at EDI Yes we do have that for CGS That will be available on the Web site once the transition has taken place William Norman So wait until after the transition and then download your version of PC Ace to prepare my claims Sue Allsop You don t have to do that But we ll only be supporting our version William Norman Oh okay Sue Allsop If you re real good at the one you ve got now as long as you can get it to us you can go with it William Norman Well mean we prepare our claims on that But we actually use IVANS portal for submission Sue Allsop You shouldn t have any problems William Norman Oh good Okay thank you Operator Again star 1 for questions We ll go next to Debra Worth Baptist Healthcare Systems C
27. sure Rebecca Trask Okay And that would be the 877 819 7109 Scott Armstead Actually that would be 866 758 5666 Rebecca Trask Okay Thank you Operator We ll go next to Teresa Mann Fair Oaks Health Systems CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 10 Teresa Mann Again this is Teresa Mann from Fair Oaks Health Systems just wanted to clarify on the claims submissions We currently use IVANS Lime portal to transmit our claims to NGS And we also print our remittance off the PC Print want to make sure once we actually convert over to CGS that that is the only programs that we need to use Or are we mandated to go to this GPNet think that s what we re having a little confusion Are we needing to change Or is this still compatible for you all And that s all Gloria Lucas Great question Teresa This is Gloria If you go through IVANS now with your current contactor whenever you switch over you can still go through IVANS It s not an issue And you can still use your PC Print software to you read your ERA files Teresa Mann Okay great Thank you very much That will be a lot off of our minds that we wont have to worry about Gloria Lucas You re quite welcome Operator We ll go next to Elizabeth Hardin with U S Renal Care Elizabeth Hardin If we have facilities that are currently using Highmark Medicare Services instead of NGS will those also transiti
28. tup and everything Because if you were set up with EDI over with NGS everything should have transitioned over to CGS CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 18 Mary Kopec Yes but never got the letter And when call in they don t have my submitter ID or my NPI or anything Scott Armstead All right I ll give you a call after this meeting Mary Kopec And had a question with I ve heard you tell people that they can still use IVANS to submit the files But apparently you have to have GPNet and I m still confused on that one Sue Allsop GPNet is our front end It s not a piece of software or an application It is simply the front end where your claims are sent Mary Kopec So if you the way submit files now is it s through the internet through IVANS you just drag your file into the window But from what understand we have to get a modem a program like HyperTerminal dial in and then use this DOS program of GPNet to submit the files now is that how it s going to be Sue Allsop GPNet is not a DOS program GPNet is the name of our front end Mary Kopec Okay because in your in the GPNet manual on your Web site it shows Sue Allsop GPNet is not even a program It s our front end on our mainframe here at CGS It s the front end where you would send your claim It s not something that you need to get What you need to do is talk with IVANS about your particular
29. veral clients in Ohio and Kentucky And was looking at your documentation about 5010 testing for trading partners Now will we have to get our own vendor ID and passwords to test after our clients transition Gloria Lucas Do you currently have a submitter ID in order to test CIGNA Moderator Deanna Menshew 08 24 11 10 30 am CT Confirmation 8152644 Page 12 April Caldwell Well every MAC is doing it a little differently With NGS we were required to use the providers submitter ID and password And we had to purchase a network service vendor So we had to provide them with the clients information to get to connectivity Gloria Lucas Okay April Caldwell But then for example NHIC gave us our own submitter ID So that s why I m asking Gloria Lucas Okay you can get your own we would be glad to sign you up with your own submitter ID number to do 5010 testing April what s your phone number And I ll give you a call after this call April Caldwell appreciate it thank you Operator Again star 1 for questions We ll go next to Jennifer Geraghty at HCR ManorCare Jennifer Geraghty So we submit our claims through a clearinghouse And we also submit the claims from the clearinghouse through DDE If we go through the clearinghouse do we still and maybe I m a little confused on the GPNet Do we still have to have a dialup for that We use IVANS Gloria Lucas Okay when you say you re going through a
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