CHARTS Patch 152 Documentation
This patch contains:
1) software required to submit Form NYS-45 electronically,
2) New York State Medicaid 276/277 Claim Status Information, andÂ
3) an Accounts Receivable Collections Report has been added to the list of CHARTS reports available.
Form NYS-45 Reporting
Starting with the first quarter of 2025, New York State has modified the format for reporting employee wage and withholding information to the state on the NYS-45. Significant software modifications were required to update the CHARTS payroll software to adapt to the new format. This release includes the required software updates.
NYS-45 [PR, 5, 11]
When submitting the CHARTS file you created to New York State you will be asked a series of questions.
In response to ‘Do you have anything to report at this time’ answer ‘Yes‘.
In response to ‘Are you amending‘ answer ‘No‘.
In response to ‘Wage reporting filing options’ answer ‘Upload file‘.
In response to ‘File format’ answer ‘Flat file‘.
NYS Medicaid 276/277 Claim Status Information
RHS now has the ability to create a 276 Claim Status Inquiry file at the same time that a billing file is created. That 276 Claim Status Inquiry can then be sent an hour or two later to eMedNY. A short while later a 277 Claim Status file will be available on the eMedNY website. The 277 Claim Status file contains a listing of charges that will be paid and a listing of claims that will be rejected along with the reason for the rejection.
Medicaid HIPAA 5010 Part II [AR, 3, 8, 7]
At the ‘Create 276 Status File‘ field enter ‘Y‘ to create the file. The 277 claim file will be created in the same folder that the billing file is being created.
When submitting the file select ‘Claim Status Inquiry’ in the dropdown box.
When sending the 277 file via eMedNY select ‘Claim Status Request‘ in the ‘Send a Batch‘ menu dropdown.
Response Reader [AR, 3 ,8, 4]
After you retrieve the 277 response from eMedNY exchange in the ‘Sent Batches‘ area, use the ‘RESPONSE’ program to load the 277 file response file and produce a report of paid and rejected claim items.
Accounts Receivable Collections Report
An Accounts Receivable Collections report is now available in CHARTS. The report lists total debits and total credits by bill type and produces a report showing percentage collected. One nice feature of the report is that writeoffs can be eliminated from the collection report to show a true picture of billed vs. collected. The methodology of determining writeoffs is that any amounts added via the Balance Forward program as a ‘Writeoff’ will be disregarded. Cash Receipts with a source of ‘WO’ will also be disregarded from the total credits and percentage collected calculation.
AR Collections Report [AR, 5, 15, 11]
THE END
