HP Enterprise Services HomeTown Health Presentation August 4, 2010 Partnering for Success!

2/ Georgia MMIS Presentation August 2010 HP Enterprise Services Provider Beta Testing August 16 – August 20Tucker August 30 – September 3Cordele Provider Implementation Workshops August 5 – October 14 1,636 Participants Registered Institutional BETA Testing and Workshops

3/ Georgia MMIS Presentation August 2010 HP Enterprise Services ACS  Last Claims Cycle – October 22, 2010  Last day to submit electronic claims for processing - October 21, 2010  Last day paper claims are received for processing - October 15, 2010  Last day to receive calls – October 29, 2010 HP Enterprise Services  First Claims Cycle – October 29, 2010  First day to submit electronic claims, except web portal, for processing – October 22, 2010  First day to submit web portal claims for processing –November 1, 2010  First day paper claims are received for processing - October 18, 2010  First day to receive calls – November 1, 2010 Tentative Timeframes

4/ Georgia MMIS Presentation August 2010 HP Enterprise Services Questions asked at July 2010 Webinar Who is the head of the MMIS Implementation project at the Georgia Technology Authority (GTA)? Tom Fruman Will the 835 format be changing? Yes, refer to the Readiness Website for the most current companion guides. Changes are highlighted in yellow.

5/ Georgia MMIS Presentation August 2010 HP Enterprise Services EDI Helpdesk EDI Services Phone Number Available after September 1, or toll free EDI Address: Provider Assistance

6/ Georgia MMIS Presentation August 2010 HP Enterprise Services Transition Information Will the process for submitting Part B crossovers change, currently providers submit the claims to DCH. Yes, the claims will be sent directly to HP for processing. New edits have been created to suspend the claims for review. 2502: MEMBER COVERED BY MEDICARE B - No attachment 2503: MEMBER COVERED BY MEDICARE B – With attachment

7/ Georgia MMIS Presentation August 2010 HP Enterprise Services Billing Manuals will be available via the web portal. The current billing information contained in the DCH Part I Policy and Procedures Manual will be removed. Transition Information

8/ Georgia MMIS Presentation August 2010 HP Enterprise Services Transition Information Will the Rendering Provider Activity Report be available in the new MMIS? While the ACS Rendering Provider Activity Report will no longer be available, HP designed the Payee remittance advice to report by rendering provider. In addition, an extract of the file is sent to the rendering provider.

9/ Georgia MMIS Presentation August 2010 HP Enterprise Services Transition Items Prior Authorization/Precertification Inquiries sent to GMCF The DMA 520A form was created for providers to submit any PA/Precertification questions directly to GMCF.

10/ Georgia MMIS Presentation August 2010 HP Enterprise Services Transition Item_Attachment Code Attachment Codes Crosswalk Old Attachment Code HIPAA Attachment CodeComments AS Admission SummaryHistory & Physical or progress notes 04B3 Physician Order 21B4 Referral FormHospice Referral form, Revocation Form, Election Form, Hospice Discharge Form, Hospice Transfer Form, Hospice CT CertificationDMA-964, DMA-400 (DFCS issued letter), Temporary Medicaid Certification Form, Supplemental Security Income Letter, DMA-304, Death Certificate 04DA Dental Models DS Discharge Summary EB Explanation of BenefitsEOMB, TPL, Remittance Advice 04NN Nursing Notes

11/ Georgia MMIS Presentation August 2010 HP Enterprise Services Transition Item_Attachment Code Attachment Codes Crosswalk Old Attachment Code HIPAA Attachment CodeComments OB Operative Notes OZ Support Data for ClaimThis can be any miscellaneous documentation needed to support processing a claim 04 RB Radiology Films 04 RR Radiology Reports 04 RT Report of Test and Analysis If you are unable to find the appropriate attachment code for documentation being submitted as an attachment, please use “OZ”.

12/ Georgia MMIS Presentation August 2010 HP Enterprise Services Provider Readiness Web Portal  Web Portal Address erprereadiness/home.aspx  CBTs for web portal training  Workshop Dates/Locations  Workshop presentations

13/ Georgia MMIS Presentation August 2010 HP Enterprise Services Any questions?