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Posts Tagged medical billing clearinghouse

Medical Claims Processing: Life Made Better

At some point in our life we each need a little help. At Apex EDI we have set the goal of making everyone's life we touch to be made better by their association with Apex. It's a lofty goal but we are going for it. Recently we partnered with a local charity to provide meals for children in our community.

Making Lunches

The Food & Care Coalition is a local facility that is dedicated to alleviate hunger and diminish the plights of poverty. Their primary objective is to provide finding suitable housing, teaching financial accountability, facilitating an elevation in personal morals and values, and helping each patron achieve their full potential.

Team Work

Each and every day there is a need for hundreds of meals. Apex EDI worked together to make sack lunches that were primarily distributed to children. Apex administrators Nancy Christiansen and Kim Holliman headed up the effort. They pulled it off with great success. Over the course of three days we packed several hundred lunches that helped ease the plight of the less fortunate in our neighborhoods.

Apex EDI

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

Posted in: Medical Claims Processing

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News & Events: Apex EDI Attending HBMA Fall Annual Conference

Apex EDI will be attending the HBMA Fall Annual Conference held September 14-16, 2011 in Las Vegas, NV.

The OneTouch® solution enables healthcare professionals to get paid fast.

Apex EDI has been serving the professional healthcare community for over 15 years with leading-edge technology solutions focused on streamlined and efficient claims processing. The OneTouch® solution enables dental health care professionals to get paid fast by preparing and submitting insurance claims in less than two minutes a day – with one touch, or one keystroke.

The secure Web interface also allows users to track claims, check patient eligibility, generate reports and make online corrections. Paper claims are handled with the same simple process.

The OneTouch® solution incorporates up-to-the-minute data from thousands of insurance companies throughout the US, improving the process necessary to reference vital insurer information. In addition, a team of claims experts is available to provide free customer service and is always ready to help with any questions or concerns.

Using the Apex OneTouch® solution is cost effective, as users pay one low monthly fee for all electronic claims no matter how many are submitted, and it does not require any investment in new software.

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

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News & Events: Letter from the CEO: Driving Practices Forward

It is an exciting time at Apex EDI. We are working on some amazing projects. Our effort to help providers weather the transition to Version 5010 of the HIPAA requirements has been an incredible journey and has allowed us to make a lot of changes that will help our clients continue to generate the income to keep their practices running.

Late last year we celebrated our 15th anniversary and we continue to love what we are doing. Everyday is a fun and exciting challenge to see how Apex EDI can deliver a thrilling experience to our clients. We really enjoy coming to the office each day; working together to help you.

We have some exciting things coming. Over the next little while we are introducing some things to show how committed we are to being the very best clearinghouse you could choose. The first is what we call the Practice Accelerator™. The Practice Accelerator™ is a seven step proprietary process Apex EDI implements to create a system that allows your practice to generate regular recurring income. From your first interaction to your continuing partnership with Apex EDI the Practice Accelerator™ assures you are taken care of.

Why are we doing this? Well, we want to better serve you. We want to do everything we can to help you drive your practice. We understand how difficult it can be to make your practice profitable in today's healthcare environment. The Practice Accelerator™ greatly simplifies the process. We know that when you are successful, we are successful.

We appreciate our relationship with you. We love to hear what you are doing and how we can be a part of your work. If you ever want to let us know how we are doing, feel free to give us a call at 1-800-840-9152.

Sheldon Miner
Apex EDI CEO

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Medical Claims Processing: 5 Reasons EHR Helps Practices

Recent healthcare reform provisions will take years to implement, but the HITECH Act and its Meaningful Use provision is quickly beginning to influence greater adoption of Electronic Health Records (EHR).

While Apex EDI does not need to seek Meaningful Use certification many of our partners will and together we play an important role in individual practices achieving Meaningful Use. Many EHR vendors have received Stage 1 Meaningful Use certification and your practice could be on its way to receiving significant incentives.

One of our strengths at Apex EDI is our ability and desire to integrate with a wide variety of practice management software. Our dedication to working with our partners allows us to provide healthcare providers a seamless experience and significant improvement to their practices' operations.

Here are 5 benefits of implementing EHR in a practice.

  • Reduce costs: Record storage, retrieval, and processing costs are a big part of any practice's budget. Moving to an EHR will allow you to streamline scheduling, billing, approvals, referrals, and input of patient information. All of this can lead to reduced staffing or re-allocation of practice staff.
  • Automatically generate and upload regulatory information: Diagnosis codes entered into your practice management software are automatically submitted to the payer.
  • Speed up the billing cycle: Reduced errors and automated insurer adjudication will mean that payments will be returned to your office in a shorter time period.
  • Provide more targeted care: A primary care physician needs specific, reliable information. An EHR will give healthcare providers a detailed medical history that will create better medical care over time.
  • Improve medical research: As EHRs are implemented on a national scale, improved technology will allow for data mining of records by healthcare organizations. This wealth of data should provide greater insight into a variety of issues and illnesses. On a smaller scale individual practice EHRs give doctors valuable information about the health of their practice. With the help of office administrators providers can better manage their business to improve revenue and care to their patients.
About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

Posted in: Medical Claims Processing

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5010 Compliance: Apex EDI—Helping You Prepare for 5010

5010 is the next version of the HIPAA electronic transaction standards. If you submit electronic healthcare transactions, such as filing a claim, checking a patient's eligibility, or receiving remittance advice you should be aware of the 5010 update to the HIPAA electronic transaction standards.

Several benchmarks must be met along the way towards being 5010 compliant. Apex EDI is working diligently to make sure our clients and partners are well prepared and covered as the transition to 5010 approaches. Apex EDI is dedicated to making the transition to 5010 as easy as possible. We are building the technology into our systems that will allow you to decide when you want to convert to 5010 and to make sure you continue to get paid no matter where your practice is in the process.

Below is a schedule of 5010 benchmarks and deadlines.

5010 Schedule and Deadlines
January 1, 2010
  • Payers and providers should begin internal testing of Version 5010 standards for electronic claims
December 31, 2010
  • Internal testing of Version 5010 must be complete to achieve Level I Version 5010 compliance
January 1, 2011
  • Payers and providers should begin external testing of Version 5010 for electronic claims
  • CMS begins accepting Version 5010 claims
  • Version 4010 claims continue to be accepted
APRIL 1, 2011
  • Apex EDI begins testing
MAY 1, 2011
  • Apex EDI will begin Preliminary testing with trading partners
JUNE 1, 2011
  • Apex EDI will begin 837P testing with medical trading partners
JULY 1, 2011
  • Apex EDI will begin 837D testing with dental trading partners
AUGUST 1, 2011
  • Apex EDI will begin 999, 277CA, 835 testing with trading partners
SEPTEMBER 1, 2011
  • Apex EDI will begin 270/271 testing with trading partners
November 1, 2011
  • Apex EDI will start Migrating Data to 5010 Tables
December 31, 2011
  • Apex EDI will complete the conversion to accepting 5010 data
January 1, 2012
  • All electronic claims must use Version 5010
  • Version 4010 claims are no longer accepted
October 1, 2013
  • Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures
  • CPT codes will continue to be used for outpatient services

If you would like help preparing for the 5010 transition, request the Apex EDI 5010 checklist here.

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

Posted in: 5010 Compliance

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