Day #45 with ACPM: Some good news!
We received payment on three claims today that were filed with PM about 2wk ago, one each from Aetna, Masshealth, Celticare. These are our first payments using the new system.
Because of the problems with PM we have not been able to send out any claims for about two weeks. Today we were able to send out claims for work we did on May 18 and 19. If things continue going smoothly we should be able to get the rest of our claim backlog sent out in the next few days.
There?s an issue with the addresses for some of the insurance companies?our IS is working on resolving this.
There are two issues that affect my work as a physician directly. When I do my Assessment in AC the ICD codes need to be complete (nothing yellow). There can't be more than four codes. When the note is signed off the information flows into PM. If it's not done correctly the claim will be automatically rejected. This means retraining myself to be careful with coding in the Assessment. Prior to PM we used a paper "Encounter Form" to record ICD/CPT codes for each visit.
