Allegheny Messages

Recently CIGNA Government Services [CGS] was awarded the contract for Medicare electronic file submissions.

Before submitting any files to CIGNA, each home health agency is required (by CIGNA) to go to www.cignagovernmentservices.com/J15 and fill out the J15 HH+H Transition Profile form located there.  They need to do this as soon as possible.

As far as we can see the only item that will actually have to be changed within HHC3000 is the Receiver ID # located in Insurance Company setup.

CIGNA began to allow files to be submitted to them on April 20, 2011.  Between April 20, 2011 and June 13, 2011 they want to receive files containing the Receiver ID for CAHABA which is 00111

During this time frame (which they call “Early Boarding”) they do not want their own Receiver ID#.

On June 13, 2011 you will need to go into Insurance Company Setup and change the Receiver ID from 00011 to 15004 before continuing to submit files to Cigna.

If you have any questions please give our office a call at 800-527-7213

In Insurance Companies / HCFA 1500 setup you can now check that you want only a ‘1’ to show in field 24E Diagnosis Pointer.

As of Version 4973 PPS billing can be done in the professional ANSI format instead of just the institutional format. Some of our clients recently have come across insurance companies that want the professional format. If you need to bill in the professional format make sure under Insurances / ANSI that you select the professional format.