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Provider Action Items

IMPORTANT!

ATTENTION: TMS PROVIDERS
TENANCY SUPPORT CONSULTATION
 

Very limited spaces available

DHHS will be hosting their 4th web-based Tenancy Support consultation on Friday, May 17th 9:30 - 11:00 a.m.

Attendance will be capped at 12 people. This will be a group discussion, and will only focus on a few cases per web-meeting. Complete and submit the attached consultation form by Thursday, May 16th noon. You are welcome to attend if you did not submit a consultation form; however, your participation will be expected. If no consultation forms are received, they may elect to cancel the consultation. 
 
Linked is the Request for Occupational Therapy Consultation form (docx), and also Presentation on web-based Consultation (ppt) from their review of the process (how to fill out the form); below the recording of this overview: 

To register for May 17th consultation, go click on the link below and complete this form: 

After registering, you will receive a confirmation email containing information about joining the webinar.

Email Antoine Bailliard at antoine_bailliard@med.unc.edu AND Lorna Moser at lorna_moser@med.unc.edu with any questions. 

New Provider Direct URL

At this time, all providers should be able to login to the new Provider Direct system with existing usernames and passwords. The new URL is https://www.ncinno.org/. Providers can return to submitting claims billing, TAR submissions, and enrollment/clinical updates via the new Provider Direct URL. For any issues or questions, please email IT.Support@TrilliumNC.org.

NCTracks

Please make sure that all NPI numbers, address information, and Taxonomies are current and have correct linkage at NCTracks. To review your Taxonomy codes and linkages, please visit the NCTracks website at www.nctracks.nc.gov.

For a full list of Taxonomy codes, please visit www.nucc.org.

Provider Survey

Trillium’s Network Council is aware of the expense of interpreting services and would like to determine the Provider Network’s interest in our pursuit of negotiating special rates or discounts for Providers in Trillium’s network.

Please take a few seconds to provide your feedback and tell us your opinion.

Your participation is greatly appreciated!

Access Question

Providers Submitting 837 EDI Files

Effective May 4, 2018, Trillium Health Resources will be implementing two new edits to our 837 EDI file verification process that may cause claims to reject prior to being processed in the CIE/Provider Direct system.

The first of these new edits will focus on not allowing a revenue code to be submitted as a procedure code on an 837 Professional file, as this is not an acceptable billing practice. This rejection will be documented on the Submitter Reports you receive as “The Procedure Code ‘ ‘ is not a valid CPT or HCPCS Code for this Date of Service”.

The second of these two edits will be checking that a valid patient discharge status is received on the 837 Institutional claims. If a discharge status is submitted and is not valid per National Uniform Billing Committee (NUBC) guidelines, the claim will not be accepted into our system and you will receive a rejection notice of “Patient Status Code ' ' is not a valid Patient Status Code” on your Submitter Report.

For questions related to these two new edits, please email PDSupport@TrilliumNC.org. Thank you for your immediate attention to this matter.