How To Choose A Medical Billing Software Vendor For Submitting HIPAA Claims To Manitoba Health? Prior to selecting a medical billing software vendor the list of questions should be considered including requirements for the MHHLS billing applications. Installation: What is the waiting period for delivery and installation? Training: Is the training included in the purchase price? How Read More →

Claims Submission Procedures (First Time Submission Guidelines) Claims Submission procedures should be followed once vendor has met Manitoba Health requirements using a new Electronic User Site Number. At this time, Manitoba Health will review any areas of concern that were noted during the testing process and address vendor questions relating to handling reduced, rejected and returned claims. Any additional practitioners that join Read More →

HIPAA EDI Tests Guidelines for Providers (Part 2) HIPAA EDI Tests will be reviewed by MHHLS staff to determine areas where MHHLS requirements are met and areas where further testing is required. Practitioners may use fictitious patient demographics on test submissions. Some practitioner’s software programs will not allow fictitious patient data to be populated in thepractice management Read More →

EDI Enrollment Guidelines And Assistance Steps EDI Enrollment steps described in the blog will help Manitoba Health providers to make a smooth transition to a new medical billing system. You will be provided with forms and instructions after contacting Manitoba Health, Healthy Living and Seniors. If you are required to submit ICD-9-CM codes (required on Physician, Nurse Practitioner, Read More →

EDI Worldwide Standards List And Description (Part 2) EDI worldwide standards appeared as business requirements were quite different and diverse, and organizations tried to optimize messaging formats. There are formats used across industries to facilitate business communication. We continue to describe international EDI standard formats. HIPAA (The Health Insurance Portability and Accountability Act). HIPAA EDI is a set of Read More →

EDI Worldwide Standards List And Description (Part 1) EDI worldwide standards appeared when EDI came onto the scene, and companies have attempted to standardize B2B relationships. As business requirements were quite different and diverse, organizations have optimized messaging formats that resulted in a dozen EDI standards in use. There are formats used across industries to facilitate business communication as well Read More →

Electronic Medical Claims Program Requirements (Manitoba Health, Healthy Living and Seniors) Electronic Medical Claims Program requires automation integrated with the current office tasks and procedures to maximize the benefits. An electronic medical billing system should provide your office with more rapid input, improved accuracy, faster processing and the ability to report and analyze practice statistics. Read More →

Claims Submission Via 837 File Guidelines (Alliance Behavioral Healthcare) Claims Submission Via 837 HIPAA compliant EDI file is available for poviders, including hospital facilities. Once an agency is EDI Certified, a secure FTP login and password will be assigned. 837s may be submitted using this Claims Submission method or by uploading the file through the provider portal using Read More →