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All Payers Workshop Blue Cross and Blue Shield of Kansas. December 9, 2011. Introduction and Today's Presenters. Connie Winkley, Education Coordinator, Institutional Provider Relations, Blue Cross and Blue Shield of KS
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All Payers WorkshopBlue Cross and Blue Shield of Kansas December 9, 2011
Introduction and Today's Presenters • Connie Winkley, Education Coordinator, Institutional Provider Relations, Blue Cross and Blue Shield of KS • Cindy Garrison, CPCProvider Consultant, Institutional Provider Relations, BCBSKS, Hospitals in Northern Kansas • Denny Cassel Hartman, CPC, Provider Consultant, Institutional Provider Relations, BCBSKS, Hospitals in Southern Kansas • Marie Burdiek, EDI Account Representative, EDI Operations, Blue Cross and Blue Shield of Kansas
AGENDA and UPDATES • Blue Cross and Blue Shield of Kansas • Availity • ICD-10 • CPT Code Changes for 2012 • EDI - Electronic Data Interchange • HIPAA 5010 • TRICARE/TriWest
BCBSKS Updates • Availity • BCBSKS Member's Eligibility and Claim Status will move to Availity in 2012 • Multiple Payer Portal • Pilot Groups Complete – Feedback Received • Future BCBSKS functions through Availity
BCBSKS Updates • ICD-10 • BCBSKS' vendor status • BCBSKS intends to follow CMS guidelines • Begin testing 2nd Quarter 2013 • Information on Web • Newsletters • GEM Tool • Roadmap being developed • BCBSKS leading the way
BCBSKS Update 2012 CPT Code Updates
EDI Update • HIPAA 5010 • The compliance date is January 1, 2012 • HIPAA 5010 information is found on the EDI home page at - www.ask-edi.com Only 23 days left!
TriCare/ TRIWEST Updates • Webinars/ eSeminars • TriWest Website Demos • Cut the Cord • Don't Wait – Update! • Share your email address • Secure Provider Portal • TriWest's Secure Website • TRICARE Programs