As each New Year begins, we notice trends: lunch rooms filled with healthy meals from home, organization tools flying off the shelves, and packed fitness gyms. The launch of a new year is also time to review the previous year’s accomplishments and then look toward what lies ahead.
Do You Speak Our Language? To find out, ask yourself the following questions:
Along with the 5th anniversary of the Gateway EDI scholarship program, we are pleased to announce our expansion from two to three Continuing Education Awards. We firmly believe that professional development is as important for the future of health care as it is for the future of individuals working in this field, and are pleased to offer additional support.
Gateway EDI didn’t just listen to your requests for a more robust eligibility payer list, we’re taking action. Our plan is to enhance our eligibility offering with access to all Medicare plans and many Medicaid, Blue Cross Blue Shield, and commercial plans. Our recently formed partnership with Passport Health Communications, Inc. will make this possible.
No one likes rejection. So we try to eliminate rejection as much as possible. The number one cause for rejection in our business is “Invalid Insured ID†– eligibility issues. It is very important, at the beginning of each year especially, to ask your patients for a copy of their insurance card.
In order to support requirements for the National Provider Identifier (NPI), a new HCFA 1500 form has been created and mandated for use for all paper claims as of April 1, 2007. If Gateway EDI does your paper claims for you, this change requires no modifications on your part for the April 1, 2007, implementation. Gateway EDI will handle the programming and testing of all required changes, and will notify payers of our plans for transition to the new form so that you have no interruption in payment.
Gateway EDI is pleased to recognize our clients who have achieved 99% Club member status. To qualify for membership, a practice must be a Gateway EDI client for at least 6 months, submit over 200 claims monthly, and maintain a 1% or lower claim submission error rate for every month of the quarter.
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