Welcome to the MITS Overview for Providers course.
Table of Contents
History of MITS
Web Portal Benefits and Functionality
How to Prepare for MITS
Welcome to the MITS Overview for Providers course. The goal of this course is to provide you with basic information to help you understand the history of the Medicaid Information Technology System (MITS), the benefits of using MITS, what you can expect from MITS, as well as how to prepare for using MITS. You will need this information to assist you in your role as a provider using MITS in the state of Ohio.
By the end of this course you should be able to:
You can click here to return to the Table of Contents, or you can continue through this course in the order presented.
In June 2004, the Centers for Medicare and Medicaid Services (CMS) approved Ohio’s plan for the new Medicaid system and selected Ohio as an early adopter state for their new Medicaid Information Technology System, or MITS. In 2005, the Ohio Department of Job and Family Services (ODJFS) identified approximately 3,000 business requirements that were needed to support the business needs of Ohio’s ever-evolving Medicaid program. In autumn 2007, Electronic Data Systems (HP) was selected to design MITS. By the end of 2010, Ohio Medicaid is requiring providers who bill on paper to use standard claim forms. All other proprietary claim forms for institutional claims are being discontinued and will not be accepted after the December 2010 implementation of the new MITS. If claims are received in any format other than those listed above, the claims will be returned to providers.
What Is MITS?
MITS is a browser-based healthcare administration platform and integrated, streamlined system that supports payers more efficiently, reimburses providers more quickly, and resolves patient claims swiftly and fairly.
Essentially, submitting claims using the new MITS Web Portal is much more effective than submitting claims on paper. With the elimination of paper, money is saved on forms and office supplies. Furthermore, the risk of lost claims and human error is minimized. Billing electronically through the new MITS Web Portal, or Electronic Data Interchange (EDI), has the potential to reduce costs associated with labor, printing, postage, document management, and document storage.
For faster and more accurate claims processing, providers are encouraged to bill electronically using EDI or the secure MITS Web Portal. Both of these options allow your claim to enter directly into the MITS claims processing system, with same-day or real-time acknowledgment of your claim submissions.
By understanding the history of MITS, you will be better able to understand why MITS was created and how it can make your job simpler, easier, and more effective.
One of the main benefits of MITS is the Internet-based, self-service Web Portal. The Web Portal is an interface to MITS and is an important component of MITS. It is probably the most highly visible component of the new system because it can be viewed by the public.
The secure part of the Web Portal will allow you to do most of your work in real time, online via the Internet, with reduced time and effort as well as increased accuracy and effectiveness.
This activity contains questions to assess your understanding of key concepts in this topic.
Each question is followed by the correct answer. Review the topic if your score is below your standards.
Question: MITS stands for Medicaid Information Technology System.
Answer: A. True
Question: MITS is not Internet-based.
Answer: B. False
In this topic you learned about:
The federal government requires the Ohio Department of Job and Family Services (ODJFS) to process Medicaid claims through an automated claim processing system known as the Medicaid Information Technology System (MITS).
The new system also offers many improvements. One of the main improvements is the Internet-based, self-service Web Portal. The secure part of the Web Portal will allow you to complete and submit claims and attachments in real time, track claims, resubmit denied claims, and perform claims adjustments and voids via the Internet.
Learning why the change to MITS is being made will make the transition to the new system easier and faster.
You will find that your job will be simpler, easier, and more effective. Paper claims will be a thing of the past and human error will be either greatly reduced or eliminated.
Web billing offers speed and accuracy far superior to a paper claim. Submitting claims electronically typically results in faster claims processing and payments to providers. By eliminating paper claims, you can save money on claim forms, office supplies, printing, postage, the time it takes to complete a paper claim, document management, and document storage.
Question: The federal government requires the Ohio Department of Job and Family Services (ODJFS) to process Medicaid claims through an automated claim processing system known as the Medicaid Information Technology System (MITS).
Question: By eliminating paper claims, providers can save money on which of the following items? (Select all that apply.)
D. Office supplies
Answer: A, C, and D
MITS will give providers many up-to-date features for secure self-service on the Web such as:
When you change to MITS, you will find that your job becomes easier, and you will also discover that you spend significantly less time than you did when using the old system.
With MITS you will be able to:
If you are a long term care provider, you will also be able to request reports and download them from the Web Portal.
If you are a long term care or hospital provider, you will also be able to submit cost reports electronically.
Question: With MITS, you will be able to enroll to be a provider electronically.
Question: MITS will give providers many up-to-date features for secure self-service on the Web such as: (Select all that apply.)
A. Ability to submit claims and prior authorization requests
B. Viewable client eligibility information
C. There will be no changes
Answer: A and B
In this topic you learned about the changes that you can expect when MITS is implemented.
The Web Portal is a real benefit to providers because it saves time and provides immediate access to the system, which in turn means quicker claim submissions and response times.
MITS is an easier, self-service system that allows you to increase your effectiveness while reducing the amount of time that it takes to perform your job.
Using the new MITS Web Portal provides the following benefits:
Following is an example of the MITS portal home page.
One of the main benefits of MITS is the Internet-based, self-service Web Portal, as shown below. The secure part of the Web Portal will allow you to complete and submit claims and attachments in real time, track claims, resubmit denied claims, and perform claims adjustments and voids via the Internet. The Web Portal is divided into two parts:
This is an example of the MITS portal Provider home page:
Question: The Public Portal requires a sign-on process in order to gain access to the site.
Question: You will immediately see claim status and correct submission errors rather than waiting a week or more to discover that a claim denied.
In this topic you learned about the benefits and functionality of the MITS system.
Web Portal access is free of charge and designed to be available 24 hours a day, seven days a week, with the exception of minimal down time for maintenance. This ease of access makes it easy to use and also easy to prepare for.
By preparing for MITS you will be ready to start using it as soon as the system is available. Preparing now will save you time and also make the system ready to use as soon as you need it.
Preparation is simple and easy. You will need the following:
Question: You will need Internet Explorer 6 or higher in order to prepare for MITS.
Question: Web Portal access is free of charge and designed to be available 24 hours a day, seven days a week, with the exception of minimal down time for maintenance.
In this topic you learned about the requirements for preparing to use MITS.
In this course you learned how to:
This is the end of the course.
MITS Provider Training
Solutions to Reduce the MITS Web Portal Timing Out
HIPAA 5010 Implementation
Answer Keys: Problems while submitting claims in MITS