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Author: Lauren Brown

Wear Red Day, February 1st

In 2004, the American Heart Association (AHA) launched the Go Red for Women® movement to increase awareness of Heart Health in women.  Heart disease is the leading cause of death in women. This is why it is so important to know the warning signs and start early in taking preventative measures. In order to raise awareness for Go Red for Women® and heart disease in women, AHA has created Wear Red Day which is February…
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MediSYS Webinar: Reporting in the New Year!

Join MediSYS on January 23 at 11:00 AM CST for our Online Webinar – Reporting in the New Year! It may be a new year, but your reporting needs to be done just like you did last year! Let MediSYS guide you through daily/weekly reporting and A/R management to keep your office going full steam ahead throughout the year. Click here to register: https://attendee.gotowebinar.com/register/5397131342027161090  

How does the government shutdown affect payment of your claims?

How does the government shutdown affect payment of your claims? In a tweet made by Centers for Medicare and Medicaid Services (CMS) shortly after the partial government shutdown began in December 2018, CMS stated, “CMS and its programs (including, but not limited to, @Medicaregov, @Medicaidgov and @Healthcaregov) are NOT affected by the partial gov’t shutdown.” This means that providers should not expect delays in Medicare and Medicaid claims processing and payment due to the shutdown,…
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Visit MediSYS at the AAP Alabama Annual Meeting & Fall Pediatric Update

Do what you do best, let MediSYS take care of the rest! MediSYS will be at the 2018 AAP Alabama Annual Meeting & Fall Pediatric Update at the Hyatt Regency Birmingham – The Wynfrey Hotel on September 28-30! We hope you take a minute to stop by our booth and learn more about MediSYS and how we can help you with your EHR, Practice Management and/or Medical Billing needs! Or just come by and say hello! MediSYS knows what it takes…
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MIPS Promoting Interoperability hardship exception now available

MIPS Promoting Interoperability hardship exception now available – Submit today, don’t wait! For 2018 MIPS, eligible clinicians can submit a QPP Hardship Exception Application to have the Promoting Interoperability (PI) performance category (formerly ACI) reweighted to 0 percent citing one of the following reasons: Small practices (15 or fewer clinicians) NEW for 2018 Using decertified EHR technology NEW for 2018 Insufficient Internet connectivity Extreme and uncontrollable circumstances Lack of control over the availability of CEHRT Application…
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MACRA Minute – Request your MIPS Targeted Review Today

Helping you put the MIPS pieces together each week! October 1 is the deadline to request a MIPS Targeted Review – But Don’t Wait! A targeted review is a process where MIPS ECs can request CMS review their 2017 MIPS participation year calculations. If you suspect there are errors or data quality issues with your 2019 payment adjustment then don’t delay! Confirm you have an Enterprise Identity Management (EIDM) account today and log in to…
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MACRA Minute – Exclusion vs. Special Status for 2018 MIPS

Helping you put the MIPS pieces together each week!   Difference between Exclusions and Special Statuses for 2018 MIPS EXCLUSION means you are EXEMPT from participation in MIPS and therefore will not receive a negative or positive payment adjustment. These include: Newly enrolled to Medicare (enrolled during the performance period) Below the low-volume threshold which means: Medicare allowable covered charges less than or equal to $90,000 a year OR 200 or less Medicare part B patients…
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Annual Wellness Visits

By Carrie Gulledge RHIA, Director of Electronic Health Records and Jennifer Woodward, Director of Operations with MediSYS   As today’s healthcare drive pushes practices even further down the path of pay for performance versus the older models of pay for volume, administrators and executives throughout healthcare are researching and implementing ideas to provide an overall better experience for patients. Medicare’s Annual Wellness Visits have become one way CMS has encouraged better patient care and follow-up….
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MACRA Minute – Low-Volume Threshold Determination Periods

Helping you put the MIPS pieces together each week! Deeper look into the low-volume threshold determination periods for MIPS Eligibility in 2018 From the 2018 MIPS final rule, the low-volume threshold determination period is a 24-month assessment period consisting of: An initial 12-month segment that spans from the last 4 months of the calendar year 2 years prior to the performance period through the first 8 months of the calendar year preceding the performance period; AND A…
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MACRA Minute – Check your 2018 MIPS Eligibility Status Now

Helping you put the MIPS pieces together each week! Updated Look-up Tool on QPP Website for 2018 MIPS Eligibility CMS has just released an updated look-up tool on their QPP website that enables clinicians to determine whether they must participate in the Merit-Based Incentive Payment Program (MIPS) this year. Visit www.qpp.cms.gov/participation-lookup and enter the Clinicians’ National Provider Identifier (NPI) number to find out whether they are eligible to participate in MIPS during the 2018 performance year. Reminder…
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Palmetto GBA Incorrect Claim Rejections- Group NPI and Rendering Provider NPI Do Not Match

Issue Identified 3/19/2018 Palmetto GBA is aware that certain Jurisdiction J Part B claims rejected incorrectly when the billing (group NPI) and rendering provider (individual NPI) combination were submitted correctly. Affected claims incorrectly rejected with: Claim Adjustment Reason Code CO-16 (Claim/service lacks information or has submission/billing error(s) and Remittance Advice Remark Code N290 (Missing/incomplete/invalid rendering provider primary identifier) While Palmetto GBA continues to research the issue, a temporary workaround has been implemented to prevent claims…
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The Providers Role in the New Medicare ID Transition

by Jane Ehrhardt Published: February 14, 2018 in the Birmingham Medical News “The one thing doctors should be doing is making sure their patients have their address correct with Medicare,” says Phillip Allen, billing service manager with MediSYS. “The patient won’t get a new card if their address is not correct.” This simple reminder could diminish ongoing problems for providers in the massive transition underway to distribute new Medicare ID numbers. Since its inception in…
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