Gateway EDI Newsletter

In today’s health care world, medical practices are facing an ever-changing landscape of policies and reforms that force them to adapt the way they manage their revenue cycle. Now, more than ever, health care organizations need to establish systems to ensure they can manage their revenue cycle efficiently. Here are seven tips on how to [...]

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By Jackie Griffin, Client Services Director Over the past several weeks, I’ve been presenting on 5010 with associations and talking with our clients and representatives from all different areas of the industry to get a feel for what the industry is experiencing.  What I’ve found is that, whether or not your practice has transitioned to [...]

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Due to the challenges providers are facing with 5010, several industry associations are calling on the government to make changes. Here’s a summary of their latest actions:  Medical Group Management Association Citing widespread delays in claims payments, MGMA recently asked the Centers for Medicare & Medicaid Services (CMS) not to enforce its 5010 mandate until [...]

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Here is a summary of the 12 most common data issues that are causing rejections and reimbursement delays: 1. Billing Provider Address Guidelines require providers to enter the billing provider as a physical address. If a PO Box or lock box address is necessary for payments and correspondence from payers, it must be reported as [...]

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