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 e-MDs Finalizes Acquisition of Software Technology Assets from McKesson

Austin, TX  Fri, 2016/04/01 - 12:15pm

Austin, TX – April 1, 2016 – e-MDs, a leading provider of ambulatory electronic medical record (EMR), practice management (PM) software, revenue cycle  management (RCM) solutions, and credentialing services, announced today that it has finalized the acquisition of several software technology assets from McKesson  Business  Performance

Services (McKesson). The McKesson assets include Practice Choice™, Medisoft®, Medisoft® Clinical, Lytec®, Lytec® MD, and Practice Partner®.

 

The acquisition establishes e-MDs as a top 5 provider in the ambulatory healthcare market, enhancing the company’s future growth and performance potential.

The company’s products and services are projected to be used by over 55,000 providers nationwide.

 

“e-MDs will continue to support our product lines, but more importantly we are dedicated to identifying and delivering new enhancements, solutions, and products customers need and want. We welcome the VAR and Customer communities that are joining the e-MDs family of existing clients and employees," commented Derek Pickell e-MDs CEO. "We remain steadfast in our commitment to retaining all of our partners and customers and supporting them with the next phase in their healthcare evolution.”

 

“We have a 20 year history in the ambulatory healthcare space with a proven track record of long-term consistency and excellence. Our primary market is

small- to medium-sized practices, a perfect fit for our new customers,” continued Pickell. “Our company was founded by a family physician and we continue to be guided by physicians, giving us a unique understanding of a practice’s day-to-day challenges.”

 

About e-MDs

 

e-MDs is a leading provider of integrated electronic health records, practice management software, revenue cycle management solutions, and credentialing services for physician practices and enterprises. Founded by physicians, the company is an industry leader for usable, connected software that enables physician productivity and a superior clinical experience. e-MDs software has received top rankings in physician and industry surveys including those conducted by the American Academy of Family Physicians’ Family Practice Management, AmericanEHR™ Partners, MedScape®, and Black Book®. e-MDs has a proven track record of positioning clients for success as demonstrated by Meaningful Use attainment in 2011, 2012, 2013 and 2014. According to data provided by CMS, e-MDs clients are attesting in the top proportion

of all major vendors. For more information, please visit http://www.e-mds.com

Electronic Claim Rejection Reasons

304 NM1_08 - Required element #08(Identification Code Qualifier) is not present. At segment number 866,                                                                                             304 NM1_09 - Required element #09(Other Payer Primary Identifier) is not present. At segment number 866,

( The patient has secondary insurance. The secondary carrier is missing the payer id/Source of Pmt/Type of Ins in the ECS\Other tab.)

303 PAT_01 Loop:2000C, (Individual Relationship Code) - Code '34' not valid for this element. Valid codes: 01-Spouse19-Child 20-Employee 21-Unknown 39-Organ Donor 40-Cadaver Donor 53-Life Partner G8- Other Relationship At segment number 700,

 

(Invalid relationship code to the subscriber, in patient coverage “Other” is not a valid relationship code.)

720 Loop: 2010BA Segment: N3 failed segment table situational validation. At segment number 570 with the following situational rule:

Required when the patient is the subscriber or considered to be the subscriber. If not required by this implementation guide, do not send.                                       Loop: 2010BA Segment: N4 failed segment table situational validation. At segment number 570 with the following situational rule:                               Required when the patient is the subscriber or considered to be the subscriber. If not required by this implementation guide, do not send.

(There is address information missing in either the patient demographic screen or in the resp party tab.)

307 Value of element #SBR_05 (Insurance Type Code) does not pass validation. SBR-05 Is Required when Payer is Medicare and not the primary payer.. At segment number 793

307 Value of element #SBR_05 (Insurance Type Code) does not pass validation. SBR-05 Is Required when Payer is Medicare and not the primary payer.. At segment number 793

730 Loop: 2320 segment: 'SBR-10900 element: '05' failed Element table situational validation. At segment number 793with the following situational rule:

Required when the payer identified in Loop ID-2330B for this iteration of Loop ID-2320 is Medicare and Medicare is not the primary payer (Loop ID-2320 SBR01 is not P). If not required by this implementation guide, do not send

 

(There cannot be 2 Medicare plans on a claim. If a patient has Medicare part B and United HealthCare/Medicare the carrier has to be setup the same as a commercial carrier.  In the ECS\Other tab the Source of Pmt has to be” CI” and the Type if Ins should be “OT”. It is only Source of Pmt “MB” when it’s a Medicare B plan.)

303 HI_01_02 Loop:2300, (Diagnosis Code) - Code 'G43B0' not valid for this element. Valid codes: International Classification of Diseases Clinical Mod Procedure Code(131) not found in the External Codes Table. At segment number 519

 

(HCDS does not reject a claim if the diagnosis code is invalid. This error means the claim has an ICD-9 indicator on the claim. Check the carrier setup. In the front screen the ICD-10 box needs to have a check mark next to it, and the effective date needs to be 10/1/2015.)

720 Loop: 2310A Segment: REF failed segment table situational validation. At segment number 399 with the following situational rule:

Required prior to the mandated HIPAA National Provider Identifier (NPI) implementation date when an identification number other than the NPI is necessary for the receiver to identify the provider. OR Required on or after the

mandated NPI Implementation Date when NM109 in this loop is not used and an identification number other than the NPI is necessary for the receiver to identify the provider. If not required by this implementation guide, do not send.

 

(Missing the referring provider’s NPI number.)

720 Loop: 2300 Segment: DTP Segment ID: 6200 failed segment table situational validation. At segment number 1756 with the following situational rule:

Required on all ambulance claims when the patient was known to be admitted to the hospital. OR Required on all claims involving inpatient medical visits. If not required by this implementation guide, do not send

 

(The claims place of service is “inpatient hospital” and you do not have the hospital admission date on the claim in the “Ext Ins” tab.)

304 CTP_05_01 - Required element #05_01(Code Qualifier) is not present. At segment number 416

(When using an NDC number the “surface field” needs the drug quantity plus the code qualifier of ML, UN, GR, or R2. Example ML.5 )

304 SBR_09 - Required element #09(Claim Filing Indicator Code) is not present. At segment number 806,                                                                                             304 NM1_08 - Required element #08(Identification Code Qualifier) is not present. At segment number 811,                                                                                               304 NM1_09 - Required element #09(Other Payer Primary Identifier) is not present. At segment number 811,

(The patient has secondary insurance. The carrier is missing the Payer id, Source of Pmt and Type of Ins in the ECS/Other tab. If there is no payer id use NOCOD.)

 

305 Required segment 'HI' (HEALTH CARE DIAGNOSIS CODE) is not present. The details for this segment can be found on page #226 of the ANSI specification. At segment number 1369,                                                                                                  304 SV1_07_01 - Required element #07_01(Diagnosis Code Pointer) is not present. At segment number 1373

 

(Check the diagnosis code in maintenance. Make sure the diagnosis code is populated in the ICD-8, ICD-9 and ICD-10 boxes. Also check to make sure there is a diagnosis code on the claim.) 

 

730 Loop: 2310C segment: 'N4 element: '03' failed Element table situational validation. At segment number 774 with the following situational rule:

Required when the address is in the United States of America, including its territories, or Canada, or when a postal code exists for the country in N404. If not required by this implementation guide, do not send. When reporting the

ZIP code for U.S. addresses, the full nine digit ZIP code must be provided

(The zip+4 (9 digit) zip code must be on the group, providers and the facility.)

Resources

ICD-10 FAQs:

https://www.cms.gov/Medicare/Coding/ICD10/Frequently-Asked-Questions.html 

 

Meaningful Use and PQRS Assistance:

Are you participating in Meaningful Use or needing help with PQRS?  If you are looking for assistance with Meaningful Use Attestation or PQRS reporting, please contact us today and a member of our training department will schedule a time to meet with you.