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Medication Reconciliation Post-Discharge

As a reminder, the Medication Reconciliation Post-Discharge measure is displayed for Primary Care Select providers. This measure looks at the percent of members 18 and older with an inpatient admission during the measurement year for whom medications were reconciled from the date of discharge through 30 days after discharge (31 total days) from the first qualified admission during the measurement year by a prescribing practitioner, clinical pharmacist or registered nurse. Patients who used hospice services…
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Patient Billing Best Practices

Collecting patient balances in a medical billing environment requires a systematic approach to ensure timely and efficient payment. Not only is it necessary to be persistent, but also to remain committed to the best patient communication techniques. Patient engagement when it comes to payments should rank at the top of the list in importance for a financially healthy practice. Listed below is a helpful,  step-by-step guide on how to best manage and collect patient balances:…
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Industry Updates – in case you missed them!

Blue Cross: Star Score Preview Coming Soon to Provider InsightsDuring the fourth quarter of 2024, Provider Insights will begin displaying a prospective star score for Quality. There will be a preview period through 2025 and become effective for scoring in the first quarter of 2026. This prospective star score will be used to determine the value-based payment for meeting Quality thresholds. This impacts primary care providers, including pediatricians as the shift to star score methodology…
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A Longstanding MediSYS Tradition – Taking Care of Clients

With almost 40 years of experience in serving medical practices, MediSYS’ primary strength goes far beyond its quality products and continued efforts to create the easiest, most dependable software in the industry. Ask their clients and they will tell you. What sets them apart is outstanding support. For decades, MediSYS has focused on taking care of its clients. With a staff of experienced support professionals, the company works to solve problems as quickly as possible…
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Blue Cross Updates the Preferred Medical Laboratory (PML) Network

Blue Cross Updates the Preferred Medical Laboratory (PML) Network Blue Cross and Blue Shield of Alabama has designated Labcorp as the only PMLP provider in the PML network and the exclusive national laboratory effective December 1, 2024. Blue Cross announced that as the only designated PMLP provider, Labcorp is working with them to provide low costs to their members, as well as to maintain a high standard of performance and quality. Blue Cross recommends that…
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Important MIPS Updates for 2024

Attention MIPS Participants: Several of the traditional MIPS measures have been removed from reporting as of 2024. They are listed below: CMS 69 BMI Screening and Follow Up CMS 125 Breast Cancer Screening CMS 127 Pneumococcal Vaccination CMS 130 Colorectal Cancer Screening CMS 147 Influenza Immunization Many of these are common options for reporting therefore your office will need to review the current 2024 list and find other measures to report on for this year….
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MIPS 2024: A Comprehensive Guide for Healthcare Practitioners

With the ever-evolving landscape of healthcare, it is crucial for healthcare practitioners to stay informed about the latest payment systems and regulations. One such system that practitioners need to be familiar with is the Merit-based Incentive Payment System (MIPS). In this comprehensive guide, we will delve into the key aspects of MIPS 2024 and provide healthcare practitioners with the knowledge they need to navigate this payment system effectively. What is MIPS? MIPS, short for Merit-based…
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2023 May Newscast

Welcome to the MediSYS Newscast! By listening to a quick clip, we hope you will find helpful industry information, updated product features and benefits, as well as other community news related to our MediSYS clients. Simply listen to the podcast above to hear what’s happening at MediSYS! You can also find more information online via our website at www.medisysinc.com, as well as access recorded training videos, webinars and these newscasts when needed. Be on the lookout…
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Now Accepting Public Comments on the Draft 2024 CMS QRDA III Implementation Guide and Schematron for Eligible Clinicians Programs

The draft 2024 Centers for Medicare & Medicaid Services (CMS) Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG) and Schematron for Eligible Clinicians Programs are available for public comment starting on May 17, 2023, and closing at 5 pm eastern time (ET) on May 31, 2023. The 2024 CMS QRDA III IG outlines requirements for eligible clinicians to report electronic clinical quality measures (eCQMs) for the calendar year 2024 performance period. Visit the ONC Project Tracking System (Jira) website to submit public…
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