1. Electronic Remittance Advice and Electronic Fund Transfer Preparing for the Future 1121_0912

2. 2 National Government Services, Inc. Today’s Presenter Jhadi Grace –Provider Outreach & Education Representative

3. 3 National Government Services, Inc. Disclaimer National Government Services, Inc. has produced this material as an informational reference for providers furnishing services in our contract jurisdiction. National Government Services employees, agents, and staff make no representation, warranty, or guarantee that this compilation of Medicare information is error-free and will bear no responsibility or liability for the results or consequences of the use of this material. Although every reasonable effort has been made to assure the accuracy of the information within these pages at the time of publication, the Medicare Program is constantly changing, and it is the responsibility of each provider to remain abreast of the Medicare Program requirements. Any regulations, policies and/or guidelines cited in this publication are subject to change without further notice. Current Medicare regulations can be found on the Centers for Medicare & Medicaid Services (CMS) Web site at http://www.cms.gov.http://www.cms.gov

4. 4 National Government Services, Inc. No Recording Attendees/Providers are never permitted to record (tape record or any other method) our educational events –This applied to our Webinars, teleconferences, live events and any other type of educational event

5. 5 National Government Services, Inc. Acronym Term CMSCenter for Medicare & Medicaid Services EDIElectronic data interchange EFTElectronic funds transfer ERAElectronic remittance advice HIPAAHealth Insurance Portability and Accountability Act PHIProtected Health Information

6. 6 National Government Services, Inc. Objectives Educate providers who are currently receiving paper remittance advices and checks on the benefits of receiving ERA and EFT

7. 7 National Government Services, Inc. Agenda What is ERA/EFT? Benefits of ERA and EFT How to get started Available software Web sites and other helpful resources EDI Help Desk information

8. 8 National Government Services, Inc. Common Misconceptions for Not Receiving ERA/EFT ERA/EFT does not apply to or is not available to small providers Forms are too complicated Only applies to certain provider types If filing paper claims, providers can not receive ERA/EFT

9. 9 National Government Services, Inc. Did You Know… There is a faster, more efficient way to receive Medicare’s remittance advice and a faster way to receive Medicare’s checks!

10. 10 National Government Services, Inc. Polling Question #1 Does your facility currently receive paper remittance advices? 1.Yes 2.No 3.Not sure

11. 11 National Government Services, Inc. Polling Question #2 Do you know what ERA is? 1.Yes 2.No

12. 12 National Government Services, Inc. What Is ERA? A notice of payment that explains reimbursement decisions made on processed claims An outbound EDI transaction that enables providers to receive payment information in an electronic file format

13. 13 National Government Services, Inc. Benefits of ERA If providers have software capability in place in their system –Can create an ERA file where Medicare can automatically post to accounts receivable system –Once system is in place, payment process is more efficient and accurate –Provides faster payment and claim reconciliation

14. 14 National Government Services, Inc. Benefits of ERA Access to: –All claims screen –Single claim screen –Type of bill summary screen – Provider Payment screen Free software such as PC Print available to create a view-only ERA displayed on our Web site Efficient and accurate payment posting

15. 15 National Government Services, Inc. Available Software Software is available to view and print HIPAA-compliant ERAs from a computer –If your current system does not have ERA print capability PC Print software is available at no cost It is easy to use and will save provider time and money

16. 16 National Government Services, Inc. What You Should Do to Receive ERAs Visit our Web site http://www.NGSMedicare.comhttp://www.NGSMedicare.com Select Part A Connecticut and New York Accept attestation page On EDI submissions page: –Under index, select EDI products and services –Under Overview of Products and Services –Select Electronic Remittance Advice to get information for ERA enrollment –Complete and send both forms to EDI: EDI Submitter Action Request EDI Third-Party authorization

17. 17 National Government Services, Inc. Polling Question #3 Does your facility currently receive paper checks? 1.Yes 2.No 3.Not sure

18. 18 National Government Services, Inc. Polling Question #4 Do you know what EFT is? 1.Yes 2.No

19. 19 National Government Services, Inc. What Is EFT? A means of receiving your Medicare payment electronically –Similar to other direct deposit operations such as paycheck deposits Safe modern alternative to paper checks

20. 20 National Government Services, Inc. Did You Know… EFT is the required method of Medicare payment for all providers entering the Medicare program for first time and for existing providers that are submitting a change to their existing enrollment data but are not currently receiving payments via EFT –Reference CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 24, Section 60.7.3, “General EDI and EDI Support Requirements, Electronic Claims, and Mandatory Electronic Filing of Medicare Claims”

21. 21 National Government Services, Inc. Benefits of EFT Reduction in the amount of paper in your office Valuable time savings for staff and avoidance of hassle associated with going to the bank to deposit Medicare check Elimination of the risk of Medicare paper checks being lost or stolen in the mail

22. 22 National Government Services, Inc. Benefits of EFT Faster access to funds –Many banks credit direct deposits faster than paper checks Easier reconciliation of payments with bank statements

23. 23 National Government Services, Inc. What You Should Do to Receive EFTs Complete Authorization Agreement for EFT (CMS-588) form –Visit our Web site http://www.NGSMedicare.com http://www.NGSMedicare.com –On EDI submissions page: 1.Under index, select EDI products and services 2.Under Overview of Products and Services 3.Select EFT to get information needed for EFT

24. 24 National Government Services, Inc. Web site and Other Helpful Resources http://www.cms.gov/manuals –CMS IOM Publication 100-04, Medicare Claims Process Manual, Chapter 24, Section 60.7.3 General EDI and EDI Support Requirements, Electronic Claims, and Mandatory Electronic Filing of Medicare Claims –CMS IOM Publication 100-8, Medicare Program Integrity Manual, Chapter 10, Section 8 Medicare Provider/Supplier Enrollment, Electronic Funds Transfer (EFT) Understanding Remittance Advice –http://www.cms.gov/MLNProducts/downloads/RA_Guide_Full_0 3-22-06.pdfhttp://www.cms.gov/MLNProducts/downloads/RA_Guide_Full_0 3-22-06.pdf http://www.NGSMedicare.com –Electronic Submissions (EDI) –EDI Products and Services

25. 25 National Government Services, Inc. EDI Contact Information For questions on ERA or EFT, providers can contact EDI helpdesk at –877-273-4334 –Monday through Friday 8:00 a.m. to 4:00 p.m. eastern time (ET)

26. 26 National Government Services, Inc. ERA/EFT Reminders ERA/EFT is for all providers big and small Signing up is quick, easy and efficient Medicare-compliant with any provider enrollment changes

27. 27 National Government Services, Inc. ERA/EFT Reminders Signing up for ERA –Complete and send both forms to EDI: EDI Submitter Action Request EDI Third-Party authorization Signing up for EFT –Complete Authorization Agreement for EFT (CMS-588) form

28. 28 National Government Services, Inc. Polling Question #5 After today’s Webinar do you feel your facility will be interested in receiving ERA? 1.Yes 2.No

29. 29 National Government Services, Inc. Polling Question #6 After today’s Webinar do you feel your facility will be interested in receiving EFT? 1.Yes 2.No

30. 30 National Government Services, Inc. What You Should Do Now… Save time and money for facility: –Visit our Web site and submit forms to get EFT/ERA –Tell appropriate staff at facility about EFT/ERA to start the process –Include a voided blank check to facilitate transfer for EFT –Direct questions to the EDI Help Desk 877-273-4334

31. NGSMedicare.com Web Update

32. 32 National Government Services, Inc. We Need to Hear From You! Survey presents when using the NGSMedicare.com Web site –We look at survey scores every day –We read every comment our users submit –We use scores and comments to develop plans to improve the Web site We need to hear from more of you more often!

33. 33 National Government Services, Inc. Web Site Survey This is your chance to have your voice heard—Say “yes” when you see this pop-up so National Government Services can make your job easier!

34. Medicare University

35. 35 National Government Services, Inc. Medicare University http://www.MedicareUniversity.com Interactive online system available 24/7 Educational opportunities available –Computer-based training courses –Teleconferences, Webinars, live seminars/face-to-face training Self-report attendance

36. 36 National Government Services, Inc. Follow-up Attendees will receive an e-mail following this session that will include –Instructions for self-reporting attendance in Medicare University –An evaluation for providing feedback for this Webinar –An e-mail address to submit follow-up questions Include “Follow-up question for ERA/EFT Webinar” Do not include PHI or claim-/beneficiary-specific information

37. Thank You! Questions?