As of May 1, 2007, all NPIs will be validated to ensure that they meet standard NPI format requirements. Any claims containing invalid NPIs will receive a warning message. Invalid NPI warning messages are not rejections; claims receiving warnings will still be forwarded to payers per the normal process. Gateway EDI’s NPI warnings will, however, help call attention to any NPIs that may cause format rejections at a later date.
eClinicalWorks is chosen as the electronic records system by New York City’s Department of Health and Mental Hygiene.
I encourage anyone wanting an easy way to submit claims to give Gateway EDI a call.
Gateway EDI, one of the nation’s fastest growing health care EDI providers, today announces the acquisition of Professional Management Group of Virginia, Inc. (PMG), Richmond, Va.
PMG is the largest submitter of electronic claims for Virginia providers, serving more than 500 facilities and 5,000 providers throughout the Mid-Atlantic region.
Our goal is to make the site more pleasant to visit, more user-friendly, and to give you everything you need to perform daily tasks. We don’t plan to change any of the great tools we currently offer, just to add more and improve ease of use. Once the update is complete, you’ll still have help that enables you to use Gateway EDI best practices to increase revenue and the overall office efficiency.
Each quarter, we recognize clients who have achieved 99% Club member status. To earn membership, a practice must maintain a 1% or lower claim submission error rate for every month of a quarter. These practices have also been Gateway EDI clients for at least six months and submit over 200 claims per month.
No matter what their role, all Gateway EDI employees are working towards our ultimate corporate goal: to help providers get paid. That’s why it’s especially important to everyone here that providers are aware of the upcoming NPI requirements. They can have a huge impact on payments, and the deadline for NPI application is approaching fast.
Starting in 1999, health plans began to gravitate toward high deductible and out-of-pocket options. As HMO coverage steadily declines, PPO coverage has increased. This trend has continued to grow with HSA (Health Savings Accounts), HRA (Health Reimbursement Accounts) and FSA (Flexible Spending Accounts).
Want to experience what thousands of practices use to manage their revenue cycle? Sign up for a demo.
