HP Enterprise Services HomeTown Health Presentation November 3, 2010 Partnering for Success!

2/ Georgia MMIS Presentation November 2010 HP Enterprise Services Certain providers exempt from POA including: –At this time, the following hospitals are EXEMPT from the POA Indicator and HAC: 1. Critical Access Hospitals (CAHs) 2. Long-term Care Hospitals (LTCHs) 3. Cancer Hospitals 4. Children's Inpatient Facilities 5. Rural Health Clinics 6. Federally Qualified Health Centers 7. Religious Non-Medical Health Care Institutions 8. Inpatient Psychiatric Hospitals 9.Inpatient Rehabilitation Facilities 10. Veterans Administration/Depart of Defense Hospitals Changes

3/ Georgia MMIS Presentation November 2010 HP Enterprise Services Changes LTC and Swingbed Facilities must being including the prior authorization: The HP System was built to require Prior Authorization for Nursing Facility Residents as a mechanism for compliance with federal Pre-Admission Screening and Resident Review guidelines. The prior authorization is directly linked to submission of the PASRR Level I Screen. Because the capacity to submit prior authorization requests was not available prior to the HP transition on November 1, this function will not be activated until January 1, 2011 in order to allow nursing facility providers time to learn about the requirement and submit PA requests.

4/ Georgia MMIS Presentation November 2010 HP Enterprise Services Changes Claims must be submitted red dropout ink Claims must have all digits on provider ID; do not drop leading zeros IVRS Check Amount –Must use Payee to verify not Rendering

5/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portal Information Batch Billing Process: Link – The Trade Files >> Upload menu item is restricted to Trading Partner users only. Therefore, if they wish to submit HIPAA batch files, they will need to be setup with a Trading Partner account from EDI services, which were the letters sent on the green paper. Downloading/click won't download/any pubic –HP has tested this and are able to download publications from the public web portal. Issues downloading publications could be browser related. On all of the publication pages, above the publication panels, there is a section called “File Download Issues”. If they click the help link in that section, it will instruct them how to set their browser to allow publications to be downloaded if their browser is preventing this from occurring. Where on the web portal do I find RA information? –Secure portal/Reports/Financial/select Remittance Advices from dropdown box

6/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portal Response to Questions How do you link several providers under a single login? If you are working with more than one provider, do you have to have a separate login for each provider? –Please refer to section 3.2 in the Web Portal User Account Management Guide found at >> Provider Information >> Provider Manuals on the procedures taken to link multiple accounts under a single user ID/password. –Yes, each provider PIN account must be registered separately with a unique username.

7/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portal Response to Questions We can’t access Remittance Advice or check status of weekly payment check. –ACS RA’s are available under the payee/provider account that was setup to receive web RAs within the GHP site. Users may access this information through their payee account on the new secure Web Portal under Reports >> Financial Reports with the report type of RA’s before 11/1/2010.

8/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portal Response to Questions Do you have any sites that are able to retrieve RA on the new HP web portal or able to view EFT’s? If so how are they accessing them? –Any RA created out of interChange is available to the rendering and payee provider web accounts under Reports >> Financial Reports >> Report Type = Remittance Advice. This past weekend was the first financial run for interchange. –Users may access this information through their payee account on the new secure Web Portal under Reports >> Financial Reports with the report type of RA’s.

9/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portal Response to Questions Payee Accounts: –Payee accounts do not have access to Eligibility. This access is granted to rendering provider accounts only. Please make sure you register the rendering provider accounts for web access.

10/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portal Response to Questions How can I remove a user? – the “remove” button on web-site does not seem to work. –To remove some or all delegated roles from a billing agent user, please refer to section 3.3 within the Web Portal User Account Management Guide found at >> Provider Information >> Provider Manuals. Can I or someone change a username? - I set up the hospital with my name as a username thinking that I was setting up my account. Did not realize I was setting up the hospital, otherwise I would’ve done something more generic. –Once a username has been registered against a specific provider account, it cannot be changed. How do I inactivate an old provider # ? – I received letters for old Provider numbers we no longer bill for. –Please provide a list of those IDs and provide that information to EDI Services. Those accounts will be locked to prevent account registration. You may also send a written request to Provider Enrollment to terminate those provider accounts for the future.

11/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portal Response to Questions PIN letter for payee # instead of provider # - I received several PIN letters for some of our payee numbers instead of my provider numbers. Should I just disregard? –No payee’s and rendering accounts will be needed for RA purposes if you wish to download/access RAs sent to the payee account.

12/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portal PIN Letters Web Portal User Account Management Guide Provider Change of Information Form available on readiness website. If you have not received the PN letter, send an to Include the following information: –Individual providers: Provider name and ID, location address, date of birth and SSN –Facility providers: Provider name and ID, and tax ID Indicate on subject line PIN REQUEST Reminder: Provider IDs that were enrolled or became active in the Georgia Medicaid/Peach Care for Kids Program after July 31, 2010, must wait to receive their new MMIS Web Portal PIN in the mail after conversion has occurred or after (go-live) on November 1, 2010.

13/ Georgia MMIS Presentation November 2010 HP Enterprise Services Web Portals  Readiness Web Portal Address providerprereadiness/home.aspx  MMIS Web Portal

14/ Georgia MMIS Presentation November 2010 HP Enterprise Services Post Office Boxes ACS Current POST OFFICE BOXES HP Enterprise Services Future POST OFFICE BOXES Member Correspondence PO Box 3000 Member & Provider Correspondence PO Box Tucker, GA Provider Enrollment PO Box 4000 Provider Enrollment & EDI Services PO Box Tucker, GA Claims PO Box 5000 CMS 1500 Claims PO Box Tucker, GA Crossover Claims PO Box Tucker, GA ADA 2006 Dental Claims PO Box Tucker, GA Adjustments & Voids PO Box Tucker, GA 30085

15/ Georgia MMIS Presentation November 2010 HP Enterprise Services Post Office Boxes continued ACS Current POST OFFICE BOXES HP Enterprise Services Future POST OFFICE BOXES Special Projects PO Box 6000No Corresponding PO Box Nurse Aid Registrations & PAs PO Box 7000 No Corresponding PO Box Returned Mail PO Box 9000 No Corresponding PO Box Finance PO Box TPL/ Finance/ Buy-in PO Box Tucker, GA Retro Claims/Certified Mail PO Box Special Handling Documents PO Box Tucker, GA Non-Claim (miscellaneous) Documents PO Box Tucker, GA 30085

16/ Georgia MMIS Presentation November 2010 HP Enterprise Services GMCF PO Boxes (new) Review/Mail TypePO Box Atlanta, GA Nurse Aide ProgramPO Box Atlanta, GA Prior AuthorizationPO Box Atlanta, GA Medical Claims Review, SURS, CIS Waiver: Katie Beckett; GAPP; ICWP PO Box Atlanta, GA 30348

17/ Georgia MMIS Presentation November 2010 HP Enterprise Services Medicare Part B Inpatient Only Claims Medicare EOB attached and should not be handled like regular claims therefore PO Box to send these claims is Special Handling Documents PO Box Tucker, GA 30085

18/ Georgia MMIS Presentation November 2010 HP Enterprise Services Any questions?