LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone Toll-free: 866.814.0192 or 305.436.5030
Fax Toll-free: 866.818.0373 or 305.436.0086
E-mail Address: orders {at] LEEDerGroup [dot] com

2011-06 Going Green - An Electronic Environment

June 27, 2011

Going Green – An Electronic Environment
  • NHIC, Corp. DME MAC A would like to remind suppliers of the benefits of an electronic environment as a result of submitting electronic claims, receiving Electronic Remittance Advices (ERAs) and using Medicare Remit Easy Print (MREP).
  • Suppliers are also reminded of the Electronic Funds Transfers (EFT) enrollment requirement.
  • Electronic Funds Transfer (EFT)
    With EFT, Medicare will send payments directly to a provider’s financial institution. All Medicare providers may apply for EFT.
    As stated in 42 CFR §424.510(d)(2)(iv) and §424.510(e), all providers entering the Medicare program for the first time must use EFT in order to receive payments. Moreover, any provider not currently on EFT that: (1) submits any change to its existing enrollment data or (2) submits a revalidation application, must also submit a CMS-588 form and thereafter receive payments via EFT.
  • Electronic Remittance Advice (ERA)
    Another benefit of electronic billing is the ERA. An ERA is available to the supplier several days sooner than the paper remittances, which arrive in the mail. When a vendor billing software is used, the remittance information can be interpreted by the supplier’s computer system and automatically posted to the patient’s account. Several clerical posting steps can be abbreviated or eliminated.
    To sign up for ERAs, suppliers will need to sign and return a “Submitter Action Request From” to the CEDI Contractor.
    For further information on the Remittance Advice refer to the “Understanding the Remittance Advice for Professional Providers” web-based training on the Centers for Medicare & Medicaid Services (CMS) Web site or the DME MAC A Interactive Remittance Advice on the DME MAC A Web site.
  • Benefits of Electronic Claims
    Medicare claims submitted electronically, via Electronic Data Interchange (EDI), have the benefits of being filed faster, more efficiently, and more cost-effectively than paper claims. Suppliers who do not bill claims electronically should consider the following advantages of EDI:
    14-day payment floor versus 29-day payment floor for paper claims
    Increased accuracy and minimized rejections – direct processing (processors do not re-key claims)
    Online claim status verification/eligibility
    Ability to submit claims seven days a week, including holidays (excluding system maintenance)
    A contractor dedicated solely for EDI support for faster problem resolution Free software-CLICK-HERE
    Electronic billing is available to both participating and non-participating suppliers as well as accepting assigned and non-assigned claims.
  • Medicare Remit Easy Print (MREP) Software
    Save TIME and MONEY by taking advantage of FREE MREP software available for viewing and printing the ERA!
    The MREP software gives providers and suppliers the following abilities:
    Easy navigation and viewing of the ERA using your personal computer
    Print the ERA in the SPR format
    Search capability that allows providers and suppliers the ability to find claims information easily
    Print and export reports about ERAs including denied, adjusted, and deductible applied claims
    Easy-to-use method to archive, restore, and delete imported ERAs
    Providers and suppliers can view and print as many or as few claims as needed. This FREE software can save you time resolving Medicare claim issues. Take advantage of the MREP features unavailable with the SPR. Get started today!

For further information and to download MREP software refer to the Medicare Remit Easy Print section of the CMS Web site-CLICK-HERE