ECW Users

Can only send a limited number of claims

2012-02-07T10:03:45Z

We are using version 9.0, we have it set to send 500 claims but on some computers we can only send 25 claims. Then another computer may can send 70. We have one computer in the office that can send 500. We have had a work order in for a few months now with no resolution. Has anyone every had this problem?

5010 rules & vaccines…NDC unit # not carrying forward to claim

2012-02-03T17:50:15Z

So I finally get all the bugs worked out to begin sending true 5010 claims only to find out that eCW has a bug that severely cripples me when billing vaccines. I went into all of our vaccine CPT codes & made sure to add a “1” to the National Drug Unit box. However, when the CPT code is added to a claim, that tiny piece of information isn’t carrying forward.

That now means that EVERY time I have a claim with a vaccine on it (which in Pediatrics is at least 50% of our claims), I now have to MANUALLY add the “1” on the Additional Information tab for EACH vaccine. Most well child visits have at least four vaccines on them.

Just talked to eCW support about this & was told there is currently no fix along with the standard line about how it should be fixed with the next update that will come out sometime in the indefinite future. Seems like ALL the known 5010 requirements should have been covered with the 5010 patch!!!

Looking for Michigan Gateway ecwusers for ERA tips for BCBS of MI

2012-01-12T17:56:34Z

We’ve just switched to Gateway and are trying ERAs again. We tried several years ago and had too much trouble with BCBS so we went back to the old-fashioned way. Still seem to have some of the old problems with BCBS.

eCW/Gateway combo ERAs can’t handle the Michigan BCBS extortion fee - I mean the contribution to the reward pool - that is held back. Has anyone managed to get this fixed?

My hope is that one of the big hospital systems is using Gateway and has enough clout with BCBS of MI or Gateway or Ecw to have them work out a fix. Or even a very persistent small practice

Normal carriers just lower the fee schedule and give you extra money if you meet their criteria. That;s pretty straightforward, honest and easy to post. BCBS has their “allowed” amount but then they take a chunk out of it for redistribution to practices that meet their criteria. So the “allowed” amount from the ERA isn’t really the true allowed amount, and the “extortion fee” isn’t adjusted off anywhere.

I know there have been a bunch of practices from Northern Michigan that have joined in the last few years. Anyone vaguely close to Petoskey that either has a users group going or would be interested in meeting occasionally please send me a PM.

Single Tax ID with multiple databases

2012-01-31T14:54:39Z

I am looking for a large site, multi specialty group that uses a single tax ID number with multiple databases. I am interested in any experience while posting ERA’s within two or more databases.
We have a cardiology and Family med practice that we would like to keep on independant databases but don’t know how to handle the remittance advice within two different system. I know there are very large sites out there that have a cental billing office and are able to bill efficiently using eCW. Are different tax ID’s used in this case? Any info or ideas are greatly appreciated. Thankks!!

That Helpful 5010 deadline extention

2012-01-30T09:10:23Z

Just a word of warning for one and all. We had not installed 5010 since the deadline was extended to March. Unfortunately, our insurance carriers have switched already and most of our claims are being kicked back for not being 5010 compliant. Needless to say, we ran the update this weekend!

Texas Medicare Batches

2012-01-20T15:07:50Z

Has anyone else experienced delays in Medicare (TX Part B) picking up the claim batches from the Clearinghouse? We use Gateway and have had horrible time since the 1st with Medicare sending back acceptance reports when (if) they picked our claim batches. I was on hold for 3 hours with Gateway to inquire about this and then did not get helpful answers.

EMDEON REJECTION OF MEDICAID CLAIMS

2012-01-19T13:05:52Z

We started having an issue this week with our Medicaid claims being rejected by Emdeon. The error we get states “Claim provider secondary identifier qualifier invalid; must be a valid qualifier…....Data in error: ZZ.” This is the taxonomy identifier for the provider. We have called eclinical, medicaid, and Emdeon without any answers. Anyone else having this issue?

Emdeon ERA delivery issues

2012-01-18T13:10:08Z

Anyone else besides us having issues with getting all their ERAs from Emdeon?

According to eCW support, Emdeon is way backed up in getting ERAs requeued.

MSP (Medicare Secondary Payor) Questionnaire

2012-01-17T14:32:05Z

We are seeking a smooth, efficient method for completing, saving and retrieving the MSP Questionnaire. How do you handle the MSP (Medicare Secondary Payor) Questionnaire? Who completes the Questionnaire? Do you update this with every visit? Do you have an efficient method of access?

Duplicate post ERA’s

2012-01-17T15:14:25Z

Having trouble with some ERA’s that were posted and show up as unposted. They were posted again and now patient has a credit. ECW says it is our clearing house’s issue. Has anyne had this problem and how did you resolve it? Emdeon is our clearinghouse.