Customer Support Blog

 Posts Tagged ‘electronic billing’

On January 15^th we will be releasing version 2012.0 of Therap! The release is going to bring out a host of new features including Medication Profiles, Medication Reconciliation, Home Medications, Individual History and Individual Care Plan  The release will also introduce the OPWDD IRMA feature for New York users.

In addition to these, significant enhancements have been made to Therap’s Individual Service Plan (ISP), Habilitation Plans, Incident Reports (GER) and Electronic Billing modules. To learn about these enhancements in details, please read the 2012.0 release notes. Even better, you can actually try these features out at https://beta.therapservices.net. Note that this beta context is for test purposes only. None of your data will be saved permanently in our system.

Please also note that for the 2012.0 release, Therap will be unavailable for approximately 15 hours starting from:

10:00 p.m. EST on Saturday, January 14 to 1:00 p.m. EST on Sunday, January 15, 2012

To prepare for this downtime, please see the advice provided in the Release Notes.

We are looking forward to hear what you think of Therap 2012.0.

Thank you.

Therap’s Electronic Billing solution, has been approved for ASC X12 version 5010 transactions by Electronic Data Systems (EDS), MMIS vendor in Florida, as of November 22, 2012.

This will allow HCBS/DD Waiver service providers under Florida APD to submit 5010 compliant professional claims directly to Florida Medicaid.

ASC X12 version 5010 is the latest HIPAA transaction standard. All developmental disabilities support providers, as well as other covered entities, will have to transition to version 5010 by January 1, 2012.

ASC X12 version 5010 is the latest HIPAA transaction standard. All developmental disabilities support providers  and other covered entities will have to transition to 5010 by January 1, 2012.

KMAP’s (Kansas Medical Assistance Program) EDI team has approved Therap’s ASC X12 version 5010 compliant software for claim production as of November 7, 2011. In addition to producing claims, users are able to track claim status and view remittance reports.

Therap’s comprehensive electronic billing solution handles the entire billing process for providers, covering service authorizations, billing/attendance records management, claim submission and status tracking. The electronic billing system supports the Kansas Day Habilitation per diem unit calculation and the unique Targeted Case Management unit calculation methods utilized by KMAP.

Therap’s ASC X12 version 5010 electronic billing has also been approved by EDS, MMIS vendor in Florida and Computer Sciences Corporation (CSC) – Trading Partner services provider in New York.

With Florida APD moving into quarterly service authorizations with the iBudget system, Therap’s electronic billing will be helpful for HCBS/DD waiver service providers in the state to maximize utilization.

In New York, the 5010 compliant billing system will be useful for Day Hab, Res Hab, IRA, Pre Vocational and other ID/DD service settings by allowing them to submit and track Medicaid claims. Therap also supports the Hab Checklist for users in New York.

In the coming weeks, Therap’s 5010 electronic billing system will be ready for the States of Colorado, Wyoming, Delaware and Alaska.

By October 1, 2013, ICD 10 code sets will replace the existing ICD 9 code sets that are now used to report diagnoses.

The transition to ICD 10 is closely associated with the upgrading of ASC X12 version 5010 transaction standard for electronic healthcare claims, which is to replace by version 4010/4010A by January 1, 2012. The ASC X12 5010 will be able to accommodate the ICD 10 code structure.

After the recent 9.2 release, the Service Description/Code section of Therap (used in electronic billing) now accepts ICD 10 primary diagnosis codes, as well as ICD 9.

ASC X12 5010 is the latest version of HIPAA transaction standard. All healthcare providers (including developmental disabilities support providers), clearing houses and other covered entities will have to be fully 5010 compliant by January 1, 2012.

The ASC X12 version 5010 transactions is an upgrade over ASC X12 version 4010A1. This will facilitate exchange of financial and administrative information such as eligibility inquiries, service authorizations, referrals, claims status requests, claims and remittance advice (claims payment).

According to this article on HIMSS’ financial systems newsletter ASC X12 5010 meets “many new needs for current business requirements, such as better POA reporting on claims, improved use of NPI numbers and a more functional eligibility transaction. In HIPAA version 5010, the authorization and referral transactions are significantly improved”.

Therap’s billing support will be 5010 compliant by January 1, 2012. So far, the development is going according to schedule; providers will be able to use 5010 compliant billing system (and the necessary support materials) right from the January 1 deadline. The 4010 version of ACS X12 may remain available for providers who will not yet be ready to make the transition. Looking forward to interesting times ahead!