Riverbend

ListServ Message 02/15/2008

February 11, 2008

Important information from The CMS.

As instructed in Change Request (CR) 4303, Mammography Facility Certification File-Updated Procedures and Content, CMS still requires all contractors to adhere to downloading the MQSA file on a weekly basis. It is imperative that this data is downloaded weekly to ensure accuracy in facility certification data. It has been brought to CMS’ attention that although the files are being downloaded, the change in certification data is not being uploaded by contractors into the Fiscal Intermediary Standard System Provider record timely, thus causing erroneous rejections/denials of valid certified facilities. In addition, some facilities that receive certification from the American College of Radiology (ACR) are submitting claims for these services the following day after certification, which is before the systems are capable of being updated with new certification data.

The CMS is currently working on implementing an automatic upload process to allow for reduced processing time, however in the meantime, contractors may suggest that providers hold their mammography claims for seven (7) business days to allow for any changes in certification data to be uploaded accordingly. After the (7) seven business day hold, providers may submit their claims for payment. Contractors shall have all MQSA certification information uploaded into FISS within 7 days of downloading the file from CMS. Upon implementation of the automated process for certification data uploads, providers may discontinue holding these claims.

February 12, 2008

Don’t miss the 2008 Rural Health Clinic Workshop
Recipes for Success
Where You are the Main Ingredient!

The TN Chapter HFMA is proud to present the Rural Health Clinic (RHC) Reunion workshop featuring speakers from Riverbend Government Benefits Administrator, Inc. in Nashville, TN on March 4, 2008.

The location will be the Willis Conference Center Nashville, TN

The following FLASH Newsletter has been posted to the RGBA Website at:

http://www.rgbagov.com/Publications/Flash/2008/Flash08-01.pdf

February 15, 2008

The CWF Keystone Host will be conducting a history purge Saturday 2/16/2008. During this history purge the CWF host will be down. This means eligibility will be unavailable for New Jersey Beneficiaries through HIQA.

You Are Cordially Invited To Attend the 2008
2^nd QuarterAsk the Contractor Teleconference (ACT)
February 20, 2008
2:00 P.M. EST
Dial In Number: 1 877 852 6573
Hosted by: Riverbend Government Benefits Administrator, Inc.

All providers are welcome and are encouraged to join the call.Representatives from all areas of RGBA will be available.

The Ask The Contractor Teleconference is scheduled for 90 minute. If you have questions for Riverbend that you would like answered during this call, you are encouraged to e-mail those to us as soon as possible to ensure any necessary research is completed by the scheduled date. Please send your questions to: education@rgbagov.com .

Once the call is completed, there will be a replay for 30 days. The replay can be accessed by calling 888.203.1112, and entering replay pass code 3422025.

End of Listserv Message