1 / 62

Presented by Mina Reynaga Provider Field Representatives

. 2. Call 505-246-0710 or 800-299-7304 - to directly reach all provider help desks including Provider Relations, Provider Enrollment, the HIPAA/EMC help desk and TPL.. ACS, a Xerox Company Helpdesks. . 3. For all contact, Claims, and Correspondence Addresses information go to the following link o

johnathan
Download Presentation

Presented by Mina Reynaga Provider Field Representatives

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Presented by Mina Reynaga Provider Field Representatives

    2. 2 Call 505-246-0710 or 800-299-7304 - to directly reach all provider help desks including Provider Relations, Provider Enrollment, the HIPAA/EMC help desk and TPL. ACS, a Xerox Company Helpdesks

    3. 3 For all contact, Claims, and Correspondence Addresses information go to the following link on the New Mexico Medicaid Web Portal: https://nmmedicaid.acs-inc.com/nm/general/loadstatic.do?page=ContactUs.htm ACS Info

    4. 4 Important State Websites STATE WEBSITE: PROGRAM POLICY MANUAL http://www.hsd.state.nm.us/mad/policymanual.html BILLING INSTRUCTIONS http://www.hsd.state.nm.us/mad/billinginstructions.html REGISTERS AND SUPPLEMENTS: http://www.hsd.state.nm.us/mad/registers/

    5. 5 Provider Field Representative: Mina Reynaga– (505) 246-9988 Ext. 233; (800) 282-4477 Ext 233 E-mail: Erminia.Reynaga@acs-inc.com ACS Field Representatives

    6. 6 IMPORTANT UPDATE! Electronic Funds Transfers (EFT) As of May 1, Medical Assistance Division policy requires payment to be made only via electronic funds transfer (EFT). As stated in section 8.302.2.9, “MAD or its selected claims processing contractor issues payments to a provider using electronic funds transfer (EFT) only. Providers must supply necessary information in order for payment to be made.” (Please see Program Policy Manual)

    7. 7 IMPORTANT UPDATE! Electronic Funds Transfers (EFT)

    8. 8 All information will be verified and validated against the information ACS already has for the provider. While registering for EFT using the web portal, the Master Administrator will be asked to supply an e-mail address for receipt of notifications. This e-mail address will also provide a security purpose for EFT because a provider will be notified whenever a change is made to the banking information associated with EFT. IMPORTANT UPDATE! Electronic Funds Transfers (EFT)

    9. 9 IMPORTANT UPDATE! Electronic Funds Transfers (EFT)

    10. 10 Registered Web Portal users are no longer mailed an RA. The current RA and newsletter are available on the web portal, The current RA and newsletter are available on the web portal every Monday, along with last 8 RA’s. Please download your RA for future reference REMINDER! Remittance Advice Update

    11. 11 Payerpath Registration If you have not registered with Payerpath, You can access the Payerpath registration form at http://www.state.nm.us/hsd/mad/hipaa.htm When you have completed the user registration form, Please fax to (505) 246-8485 - Attention: HIPAA Help Desk or mail to ACS – HIPAA Help Desk New Mexico Medicaid Project 1720 Randolph Road, Suite A SE Albuquerque, NM 87106

    12. 12 Payerpath and Electronic Claims Submission Assistance The ACS HIPAA\EMC Helpdesk supports the Payerpath claims application product, technical support for the New Mexico provider community. (note) No billing training will be provided. For Payerpath support: Email the HIPAA\EMC Help Desk at NMSUPPORT@acs-inc.com or you may call 1-800-299-7304 (Toll Free) or 505-246-9988 Select option 5 for the HIPAA EMC Helpdesk For questions on coverage or eligibility, please log on to the ACS NM Web Portal https://nmmedicaid.acs-inc.com. For questions on claim status, please contact ACS Provider Relations @ option 2. Note: You must enter your provider ID before selecting these options.

    13. 13 Payerpath Home Page

    14. 14 Before Logging on to PayerPath, please turn your Pop-up Blockers off or disable them

    15.

    16. 16

    17. 17

    18. 18

    19. 19

    20. 20 Payerpath Tips! TO not have to enter the same data information in the electronic fields, click on the MAINTENANCE tab, Edit Claim Defaults, then locate the fields that you want to have constant values.

    21. 21 Setting Defaults

    22. 22 Setting Defaults

    23. 23

    24. 24

    25. 25

    26. 26

    27. 27

    28. 28

    29. 29

    30. 30

    31. 31 NPI number is entered in Field 33, bottom of form, far right

    32. 32 To input your taxonomy code click on Electronic Fields in the form navigation box.

    33. 33 Provider Taxonomy codes

    34. 34 Provider Taxonomy codes NOTE: when multiple lines are billed. You must do the following five steps.

    35. 35 Rendering Provider Taxonomy codes.

    36. 36

    37. 37

    38. 38

    39. 39

    40. 40

    41. 41

    42. 42

    43. 43

    44. 44

    45. 45

    46. 46

    47. 47

    48. 48

    49. 49

    50. 50

    51. 51

    52. 52

    53. 53

    54. 54

    55. 55

    56. 56

    57. 57

    58. 58

    59. 59 Payerpath Tips! When entering information on a claim, click out of the box before clicking on Save and Run Edits. When entering Service Lines, you do not have to enter the decimal point (.). Use the reports to reconcile your weekly Remittance Advice.

    60. 60 Payerpath Tips! To save time when first entering patients into Payerpath, establish a “Dummy Claim” that contains all the information that would remain the same for each patient (i.e. the Provider’s Federal Tax Identification Number, Billing Name and Address, etc.). When you have a new patient to add into Payerpath, click the View link on the Dummy Claim. Once the claim opens, click on the Tools link on the tool bar and click on the Copy link in the dropdown menu to create an exact duplicate of the claim. Enter the patient’s name onto the claim and immediately click on Save and Run Edits link on the Navigation tool bar to save the claim under that patient’s name.

    61. 61 Payerpath Tips! Claims Transmissions: Claims Marked for Send no later than 8:00 a.m. MT are picked up daily.

More Related